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Non-Gonococcal Urethritis (NGU)
NGU is often caused by a bacterial infection (like chlamydia), but it can also be caused by a virus or protozoa. Bacterial infections can be treated and cured with antibiotics. To find out if you have NGU, you need to be examined by a health care provider and have lab tests done.
NGU is usually passed by exchanging body fluids during unprotected sex (including oral sex).
Symptoms may include burning when urinating, itching inside the urethra, or a clear to creamy white fluid (discharge) from the urethra. Some people with NGU show no symptoms, or mild symptoms that may be unnoticeable. Usually, the symptoms are seen or experienced more in the morning.
If NGU not treated, they can lead to pain and swelling in one or both gonads (called epididymitis) and may result in infertility.The bacteria or virus that causes urethritis can also cause complications in people of all genders. Sexual partners of people diagnosed with urethritis also require testing and treatment.
Tests and Diagnosis
Diagnosis of NGU requires an exam and testing by your health care provider.
NGU is treated with antibiotics, which usually work very well to cure the infection. It is important to take all the medication as directed, even if you start to feel better. Go back to your health care provider if you still have symptoms after you finish your medication.
Treatment for Partners
If you have NGU, you will be asked who you had sex with in the past 2 months (60 days). Anyone you have had sex with in the past two months will need to be tested and treated. Partners are almost always treated whether they have symptoms or not. If you have not had sex in the past two months, your last partner should be tested.
There are a few ways you can tell partners about STI testing. Some people want to tell partners in person, others want to tell partners anonymously. You can talk to your health care provider about what ways might work best for you.
Avoid re-infection or prolonging infection
It takes time for an infection to be cleared from the body, so it is important that you do not have any penetrative sex (including oral sex) for 7 days after you and your partners start the antibiotic treatment. If you or your partner(s) do not finish the treatment or miss pills, the infection may be passed back to you or your partners and may cause problems later on. If that happens, talk with your health care provider to see if you or your partners need more treatment.
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