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Nongonococcal urethritis

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Nongonococcal urethritis

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  • Dr. Diana West
  • Updated 2024-08-22
  • Published 2024-03-06

Nongonococcal Urethritis

Nongonococcal urethritis (NGU) is a common sexually transmitted infection that primarily affects the urethra, the tube that carries urine from the bladder out of the body. Unlike gonococcal urethritis, NGU is caused by various pathogens other than Neisseria gonorrhoeae bacteria.

What is Nongonococcal Urethritis (NGU)?

Nongonococcal Urethritis is an inflammation of the urethra not caused by gonorrhea, often resulting from infection with Chlamydia trachomatis or Mycoplasma genitalium.

What are the symptoms of Nongonococcal Urethritis?

Symptoms include burning or pain during urination, discharge from the penis or vagina, and itching, irritation, or tenderness. In some cases, it may be asymptomatic.

How is Nongonococcal Urethritis diagnosed?

Diagnosis is typically made through a combination of patient history, physical examination, and laboratory tests, including urine analysis and testing for chlamydia and gonorrhea.

What is the treatment for Nongonococcal Urethritis?

Treatment usually involves antibiotics, such as doxycycline or azithromycin. It’s important to treat all sexual partners and to abstain from sexual intercourse until treatment is complete.

Can Nongonococcal Urethritis be prevented?

Prevention includes practicing safe sex, using condoms, limiting the number of sexual partners, and regular screening for sexually transmitted infections.

Are there any complications associated with Nongonococcal Urethritis?

If left untreated, NGU can lead to complications like epididymitis in men, pelvic inflammatory disease in women, and increased risk of HIV transmission.

Can Nongonococcal Urethritis recur after treatment?

Yes, NGU can recur, especially if the initial infection was not completely treated or if re-exposed to an infected partner. It’s important to follow up with healthcare providers as directed.

NGU often presents with symptoms like inflammation, burning sensation during urination, and a discharge from the penis. However, some infected individuals may remain asymptomatic. NGU can also lead to complications such as epididymitis (inflammation of the epididymis) in males and pelvic inflammatory disease (PID) in females.

The infection can be transmitted through sexual activities involving the penis, vagina, anus, or oral sex, and it can affect both men and women. NGU can be diagnosed through laboratory tests such as a urethral swab or urine sample analysis.

Treatment for NGU typically involves a course of antibiotics directed against the most common pathogens responsible for the infection. It is also crucial for sexual partners to undergo testing and receive treatment if necessary to prevent reinfection.

Prevention of NGU involves practicing safe sex by using condoms correctly and consistently, limiting sexual partners, and getting regular sexual health check-ups.

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Causes of Nongonococcal Urethritis

  • Sexual contact with an infected person
  • Bacterial or viral infections
  • Unprotected sexual intercourse
  • Having multiple sexual partners
  • Engaging in high-risk sexual activities
  • Poor hygiene
  • Use of irritating substances, such as spermicides or douches
  • Imbalanced or weakened immune system

Disease: Nongonococcal Urethritis

General Symptoms:

  • Pain or burning sensation while urinating
  • Increased frequency of urination
  • Cloudy or abnormal discharge from the penis
  • Redness or swelling of the urethra
  • Irritation or itching around the genitals
  • Discomfort or pain during sexual intercourse
  • Lower abdominal pain or discomfort
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