NGU (Non-Gonococcal Urethritis) is an infection of the urethra
caused by pathogens (germs) other than gonorrhea.
How common is NGU?
Several types of germs cause NGU, the most common and serious is
chlamydia. Chlamydia is very common in both males and females. The
diagnosis of NGU is more commonly made in males than in females,
mainly due to the anatomical differences. Germs that can cause NGU
include but are not limited to:
Chlamydia trachomatis (most
common)
Ureaplasma urealyticum
Trichomonas vaginalis (rare)
Herpes simplex virus (rare)
Haemophilus vaginalis
Mycoplasma genitalium
What
are the signs or symptoms of NGU?
In men (urethral infection) symptoms may include the following:
Discharge from the penis
Burning or pain when urinating
Itching, irritation, or
tenderness
Underwear stain
Symptoms of NGU in women can
include:
Discharge from the vagina
Burning or pain when urinating
Abdominal pain or abnormal
vaginal bleeding may be an indication that the infection has
progressed to Pelvic inflammatory Disease (PID)
Anal or oral infections may
occur in both men and women. Anal infections may result in rectal
itching, discharge or pain during a bowel movement. Oral
infections may occur but most (90 percent) of these infections are
asymptomatic. Some people might have a sore throat.
What is the treatment and
follow up for NGU?
The main treatments for NGU are the antibiotics azithromycin and
doxycycline. Alternative antibiotics are erythromycin and
ofloxacin. A woman who is pregnant, or thinks she might be, should
tell her doctor. This will ensure that a medicine will be used
that will not harm the baby. Take all medications, even if you
start to feel better before you finish the bottle. Inform all
partners. Abstain from sex until all partners are treated. Return
for evaluation by a health care provider if symptoms persist or if
symptoms recur after taking all the prescribed medicine.
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