Note EF — Chapter XXIV · MALE CHASTITY

When a newly married woman experiences a burning pain in urinating, noticing at the same time a certain leucorrhoea, in ninety-nine cases out of a hundred, it is caused by the gonococcus. If two weeks after she was married, she feels pain in her lower abdomen, the case is suspicious of gonorrhoeal salpingitis. The gonorrhoeal infection reaches the tubes about ten to fourteen days after the initial infection of the cervix. The vagina may not be affected at all. Gonorrhoeal vaginitis is exceedingly rare. The pavement epithelium, covering the vaginal surface, seems to afford protection against the specific infection. Gonorrhoeal endometritis is also rare. Gonorrhoea infects the female genital tract by jumps. From the urethra and vulva the infection jumps to the cervix and hence to the tubes and ovaries.