Is a positive gonococcus test in pregnant women serious?

Nov 29, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
In general, a positive gonorrhea test in pregnant women is relatively serious, as it not only endangers the mother's health but may also affect the fetus. Immediate medical treatment following clinical guidelines is necessary. During treatment, medication should be taken in full dosage as prescribed, and self-discontinuation should be avoided to prevent recurrence. Personal hygiene should be maintained by frequently changing underwear, keeping the external genital area clean and dry, and abstaining from sexual intercourse. Regular follow-up tests are required to confirm clearance of the infection, and the diet should be light and nutritious.

In general, a positive gonorrhea test in pregnant women is relatively serious, as it not only endangers the mother's health but may also affect the fetus. Immediate medical treatment following clinical guidelines is necessary. The specific analysis is as follows:

For pregnant women, gonococcal infection may lead to urethritis and cervicitis, causing symptoms such as frequent urination, urgency, and purulent discharge. If not treated promptly, the infection may spread upward, resulting in pelvic inflammatory disease, increasing the risks of miscarriage, preterm birth, and premature rupture of membranes, and potentially affecting future fertility in severe cases.

For the fetus, infection can easily occur during delivery when the baby passes through the birth canal, possibly leading to neonatal gonococcal conjunctivitis. Without timely treatment, this may result in serious complications such as corneal ulcers and blindness, causing irreversible harm to the newborn's health.

During treatment, it is essential to follow medical advice and complete the full course of prescribed medication to avoid recurrence due to premature discontinuation. Personal hygiene should be maintained—frequent changing of underwear, keeping the external genitalia clean and dry—and sexual intercourse should be avoided. Regular follow-up tests are needed to confirm clearance of the infection. A light, nutritious diet should be followed to enhance immunity and ensure the health of both mother and baby.

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