The successful treatment of gonorrhea depends largely on a thorough understanding of the underlying pathologic condition and on making a careful diagnosis before any type of treatment is instituted. The diagnosis should be established by a positive finding of the gonococcus by spread, culture or complement fixation test.
Gonorrhea in the female can be likened in many ways to a typhoid infection. Taken as an acute infection in a woman or girl who has previously had normal pelvic organs, one may expect a fairly definite clinical course in an ascending infection, which passes up above the internal os. Thus it will run its course for a period of six to seven weeks, reach its clinical peak and then begin to subside, so that at the end of twelve to fourteen weeks one may look for a cessation of the clinical symptoms and the organs may return to approximately their original
BARRINGER ED. THE TREATMENT OF GONORRHEA IN THE FEMALE. JAMA. 1934;103(24):1825-1830. doi:10.1001/jama.1934.02750500007003