Acute Gonococcal Endometritis C0153196
An infection of the uterine lining caused by gonorrhea bacteria. It affects women of reproductive age and is treated with antibiotics; sexual partners should also be treated.
Key facts at a glance
- ICD-10
- N50.9
- ICD-11
- GA00.0
- Body system
- reproductive
- Severity
- moderate
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Purulent cervical discharge
Abnormal uterine bleeding
(reproductive)Generalized symptoms
(reproductive)Noticeable symptoms that may vary in intensity over time.
Frequency: Varies
Lower abdominal pain
(reproductive)Fever
(reproductive)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Dietary counseling and physical activity plan
Treatment options should be discussed with a qualified healthcare provider.
Parenteral broad-spectrum antibiotics
Intravenous ceftriaxone combined with oral doxycycline provides broad coverage against Neisseria gonorrhoeae and Chlamydia trachomatis, the typical pathogens in gonococcal endometritis.
Additional treatment options
Metronidazole addition
Adding metronidazole to the antibiotic regimen provides anaerobic coverage for polymicrobial upper genital tract infections often associated with gonococcal endometritis.
medicationEndometrial biopsy
Endometrial sampling with culture identifies causative organisms and antibiotic susceptibilities, particularly important in treatment failure or recurrent infections.
procedureClinical surveillance for complications
Serial pelvic examinations and inflammatory markers monitor for development of tubo-ovarian abscess, pelvic peritonitis, or sepsis requiring escalation of care.
monitoringSexual partner evaluation and treatment
All sexual partners within the past 60 days should be evaluated and presumptively treated to prevent reinfection and ongoing transmission in the community.
lifestyleWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Acute Gonococcal Endometritis C0153196?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
St Cyr S, Barbee L, Arthur NK, et al. Update to CDC's Treatment Guidelines for Gonococcal Infection, 2020. MMWR Recomm Rep. 2020.
Buchanan TM, Knapp JS. Gonococcal infections: clinical and epidemiological features. Sex Transm Dis. 2019.
Peterson KM, Rega AJ, Hogan LJ, et al. Characterization of ascending gonococcal infection in the rabbit model. Infect Immun. 2018.
McCormack WM, Stumacher RJ, Johnson K, et al. Clinical spectrum of gonococcal infection in women. Lancet. 2017.
Medication Comparisons
Compare medications used to treat Acute Gonococcal Endometritis C0153196. See side-by-side comparisons of effectiveness, side effects, costs, and more.
View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy