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Other medical solutions What are the signs and symptoms of gonorrhea in a male and in a female? Ninety percent of infected men and 50% of infected women complain of symptoms with gonococcal infection. Men develop dysuria 2 to 5 days after exposure, often followed by copious purulent discharge. Unilateral epididymitis with penile edema can be present. Women will often be asymptomatic or report a purulent vaginal discharge, dysuria, genital pruritus, and occasional vaginal spotting. Rectal pain, pruritus, and discharge can be involved in both men and women. Abdominal pain usually indicates PID in women. PID is also characterized by cervical motion tenderness on bimanual pelvic examination. Disseminated gonococcal infection often starts with fever, rash, joint pain, and tendonitis, which can become septic arthritis. The knee is often involved in a purulent gonococcal joint infection. Gonococcal infection of the bloodstream can lead to arthritis, meningitis, endocarditis, or myocarditis. In newborns, gonococcal infection of the conjunctiva can cause erythema, eye pain, and discharge. Without treatment, it can lead to blindness. Get the instant assignment help. How does gonorrhea lead to PID?