Which complications are associated with gonorrhea?

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Gonorrhea can spread beyond the initial infection site and cause serious reproductive and systemic problems. In women, untreated gonorrhea often leads to pelvic inflammatory disease, which can damage the fallopian tubes and uterus, leading to infertility, ectopic pregnancy, and chronic pelvic pain. The infection can also disseminate through the bloodstream, causing disseminated gonococcal infection, which presents with fever, dermatitis, and joint pain (and can progress to septic arthritis). The other options don’t reflect complications of gonorrhea: type 1 diabetes is not related to gonorrheal infection, vaginismus is a pelvic floor/sexual pain condition, and chlamydia is a separate infection (though it can occur alongside gonorrhea, it is not a complication of gonorrhea).