Long-term sequelae of untreated gonococcal infection can be serious.3–5 Among females, who are often asymptomatic, complications include pelvic inflammatory disease, infertility, ectopic pregnancy, chronic pelvic pain, oculo-urethro-synovial syndrome (reactive arthritis), and disseminated gonococcal infection. Untreated males might develop epididymoorchitis, oculo-urethro-synovial syndrome (reactive arthritis), disseminated gonococcal infection, and (rarely) infertility.