JAMA. 1908;L(5):335-342. doi:10.1001/jama.1908.25310310011001c.
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We readily recognize gonorrhea in the male. We diagnose, under difficulties, gonorrhea in the female. The element which attracts attention in the male is the primary urethritis, accompanied by pain, burning and discharge. From this come all the subsequent troubles. Through this urethral channel the various genitourinary complications arise. In the female the urinary and genital organs have separate canals and urinary and genital involvements by gonorrhea may occur independently or may be of different degrees of severity. An originally acute localized involvement in women often attracts little or no attention. A subacute invasion may, and frequently does, attract no attention at all.

An acute urethritis in the female often causes such slight annoyances that the patient does not seek the services of a physician. Acute gonorrheal urethritis in the female has a tendency to heal without treatment in six to eight weeks. In other cases the discharge gradually becomes


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