Which physical findings are characteristic of gonorrhea in females?

Updated: Jun 15, 2021
  • Author: Shahab Qureshi, MD, FACP; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Look for the following 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 pelvic inflammatory disease (PID)

  • Upper right abdominal tenderness (with perihepatitis)

  • Fever

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