Gonococcic infection of the rectum decidedly is not an uncommon complication in women who harbor this infection in the cervix or the urethra. Symptoms often are absent; nearly always they are mild. As a consequence the disorder rarely is diagnosed. Years ago Jullien1 stated that rectal gonorrhea "is a disease one sees only if one looks for it." This statement is still pertinent. The lesion commonly results from genital gonorrhea. Although not uncommon, it is not very frequently encountered in the ordinary run of examinations in women in a proctologic practice. The disease is rather uncommon in males and rare as a primary ailment in women. Of 220 men having gonorrhea in the Chicago House of Correction Hospital, a group in which the incidence would be expected to be relatively high, De Bere2 found rectal gonorrhea in a little over 2 per cent of the cases.
MARTIN CL. RECTAL GONORRHEA IN WOMEN. JAMA. 1935;104(3):192–195. doi:10.1001/jama.1935.02760030024006