Which physical findings suggest gonorrhea in females?

Updated: Sep 07, 2018
  • Author: Brian Wong, MD; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
  • Print
Answer

Physical examination

Look for the following genitourinary symptoms during physical examination in females:

  • Mucopurulent or purulent vaginal, urethral, or cervical discharge

  • Vaginal bleeding; vulvovaginitis in children

  • Cervical friability - Tendency to bleed upon manipulation

  • Cervical motion tenderness during bimanual pelvic examination

  • Fullness and/or tenderness of the adnexa, unilateral or bilateral (eg, ovaries, fallopian tubes)

  • Lower abdominal pain/tenderness, with or without rebound tenderness

  • Possible low back pain - More common in progression to PID

  • Upper right abdominal tenderness (with perihepatitis)


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!