About 4 million cases occur annually. Gonorrhea A. Gonorrhea has an incidence of 800,000 cases annually. Rates of gonorrhea are highest in the southeastern United States and in large cities. Rates are higher among African Americans than among whites or other racial groups. Over the past five decades, syphilis has decreased dramatically in the United States, with a current incidence of 100,000 cases annually.
New infections are most common in adolescents and young adults.
Women at high risk of HIV infection should be offered testing. About 1 million cases of PID occur in the United States annually. Risk factors for PID include young age, low socioeconomic status, unmarried status, residence in an urban area, douching, B. N gonorrhoeae is usually a symptomatic infection.