How does the incidence of gonorrhea vary by sex?

Updated: Jun 15, 2021
  • Author: Shahab Qureshi, MD, FACP; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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The male-to-female ratio for gonorrhea is approximately 1:1.4; however, females may be asymptomatic, whereas males are rarely asymptomatic. From 2015 to 2016, rates among males increased approximately 22%, whereas rates in females increased 13.8%. The large increase in diagnosis in males is attributed to either increased transmission or increased case documentation (increased extra-genital screening) among men who have sex with men (MSM). [29]

Serious sequelae are much more common in women, in whom pelvic inflammatory disease (PID) may lead to ectopic pregnancy or infertility and in whom DGI is more likely, owing to menstruation, pregnancy, and a higher incidence of occult infection.

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