Which symptom is associated with gonorrhea in individuals with vaginas?

Pelvic pain, particularly during sexual intercourse, is a common symptom associated with gonorrhea in individuals with vaginas. This symptom arises from the inflammation and irritation caused by the infection of the cervix, uterus, and surrounding reproductive structures. The inflammatory response can lead to discomfort that is particularly noticeable during sexual activity, as well as during movement.

While the other options may reflect symptoms associated with various infections or conditions, they are not as explicitly linked to gonorrhea in individuals with vaginas. For example, a rash could be related to other dermatological issues or infections, swelling of lymph nodes might occur in response to several systemic infections, and muscle aches can be common with several different diseases but are not specific to gonorrhea. Thus, the symptom of pelvic pain during sex is a clear indicator of gonorrhea in individuals with vaginas, making it the most accurate choice.