In all inflammatory lesions of the female genital tract the causative agent should always be determined, for on this factor the prognosis and treatment are largely dependent; it also shows the necessity of instituting prophylactic measures in certain varieties of infection. In most cases the etiologic factor can be determined with a fair degree of certainty by the clinical evidence alone.
During the acute stage of gonorrhea the diagnosis, both in the adult and in the child, is generally easy. The history, the symptoms, and especially the appearance of the affected areas are usually sufficient grounds on which to base the diagnosis. In doubtful cases the profuse discharge will be found to contain numerous typical gonococci which can easily be demonstrated by staining methods.
During the chronic stage the diagnosis is much more difficult, since the subjective symptoms are often mild, or may be virtually absent, and the lesions that
NORRIS CC, MICKELBERG HB. DIAGNOSIS OF GONORRHEA IN THE FEMALE BY STAINING METHODSTHEIR PRACTICAL VALUE. JAMA. 1921;76(3):164–166. doi:10.1001/jama.1921.02630030016006