(4) Proctitis (inflammation of the rectum) and pharyngitis (inflammation of
the pharynx) may develop after rectal and orogenital contact.
c. Signs and Symptoms in Women. If a sexual partner has nonspecific
urethritis, the female will probably have a nonspecific genital infection. Also included
are the following:
Mild dysuria (difficulty or pain in urination).
Dyspareunia (difficulty or pain in intercourse).
Possible cervicitis (inflammation of the uterine cervix).
(6) Urethritis (inflammation of the urethra) with mucopurulent (containing
mucus and pus) secretion in the urethra.
d. Treatment. Treatment is based on bacteriologic examination to include a
gram stain. Untreated symptoms and signs subside within 4 weeks in 60 to 70 percent
of the patients. The signs and symptoms may recur often with complications. To treat,
follow this procedure:
The patient should abstain from sexual intercourse until cured.
Give tetracycline (Tetracyn) or Erythromycin (Erthrocin), Ilotycin).
Drugs of choice for both sexes are tetracycline and erythromycin.
Tetracycline is contraindicated in pregnant females.
Spectinomycin in the dosage of 2 gm IM may also be considered.
Both partners must be treated to prevent reinfection.