A couple has been trying unsuccessfully to conceive for several years. An examination reveals that scar tissue blocks the womanʹs uterine tubes. The woman has complained about large amounts of vaginal discharge, which coincide with her husband complaining of painful urination and a pus-filled discharge from his penis. Antibiotics clear up the infections. This couple has probably been infected with

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The symptoms described for both the woman and the man are characteristic of gonorrhea, a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. Scar tissue blocking the uterine tubes (leading to infertility) can result from a long-term, untreated infection, and the symptoms of painful urination and pus-filled discharge in the man are classic signs of gonorrhea. Antibiotics are effective against bacterial infections, which further supports that gonorrhea is the cause.

A Couple Has Been Trying Unsuccessfully to Conceive for Several