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December 19, 1977

Gonococcal Proctitis in a Married WomanReport of a Case

JAMA. 1977;238(25):2718-2719. doi:10.1001/jama.1977.03280260048017

ABOUT 3 million persons in this country acquire gonorrhea each year, according to the US Public Health Service. Many writers have called attention to the increasing problem of gonococcal proctitis in women, especially in those who have cervical gonorrhea.1-3 The sexual gymnastics of contemporary society make it mandatory for physicians to be aware not only of the many routes of infection, but also of the probable sites involved.

Report of a Case  One Monday morning, an internist from a local hospital asked me to see a married couple whom he had treated for gonorrhea two months earlier. The husband had a recurrence of a purulent urethral discharge and a positive gonococcal smear. He denied vehemently any extramarital exposures. The wife, whom the physician had not examined that morning, just as vehemently protested her innocence. The couple insisted that the discharge could not be of a gonococcal nature, and if