The effect of gonorrhea on the female generative organs has been so destructive that no successful contradiction is feared when the belief is expressed that no disease in modern times has caused so much indirect mortality, mutilation and suffering, both mental and physical, as gonorrhea; and this association can hardly spend its time and influence in any more valuable and humanitarian direction, than in establishing the facts in regard to its ravages, and in suggesting methods of limiting or preventing them in future.
Acute gonococcic infection of the vulva and vagina may be compared with acute gonorrhea of the anterior portion of the urethra in the male; both are frequently cured before any ascending infection occurs, both are frequently incurable in their chronic or latent stages, when the gonococcus has found lodgment in the deeper structures.
The chief danger of gonorrhea in women is stated by all the text books
JOHNSON JT. THE EFFECTS OF GONORRHEA ON THE FEMALE GENERATIVE ORGANS.. JAMA. 1905;XLIV(10):757-759. doi:10.1001/jama.1905.92500370005001a