Pathogens:

• Chlamydia trachomatis (Bacteria, obligate intracellular)

  

  

• Neisseria gonorrhoeae (Bacteria, GN Diplococci)

Transmission: Vaginal, anal, oral sexual contact

Symptoms: Asymptomatic, cervicitis, vaginal / urethral discharge, Dyspareunia testicular pain, proctitis, Epididymitis/Orchitis

Extra-genital manifestation: ‘Can’t see, can’t pee, can’t dance with me’

• Conjunctivitis , Urethritis, Reactive Arthritis
• Pharyngeal infection often asymp.

Major sequelae: !PID , !Ectopic Pregnancy , Infertility

Impact on Pregnancy

Treatment

• Treat Co-morbidity:
  • Chlamydia co-infection occurs in up to 46% of diagnosed gonorrhea
  • Gonorrhea in 7% of chlamydia
• Offer Tm to Asymp. partner as well. No intercourse 1 week after treatment
• Still send NAAT for empiric trm
• No intercourse 1 week after treatment