Among females, 80% of those with gonorrhea have no symptoms, and 80 to 90% of those with chlamydia have no symptoms. For this reason, annual chlamydia screening is recommended for all women 25 and under.
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Most women with gonorrhea do not have any symptoms. Even when a woman has symptoms, they are often mild and can be mistaken for a bladder or vaginal infection. The initial symptoms in women can include a painful or burning sensation when urinating, increased vaginal discharge, or vaginal bleeding between periods. Women with gonorrhea are at risk of developing serious complications from the infection, even if symptoms are not present or are mild.