| Download the amazing global Makindo app: Android | Apple | |
|---|---|
| MEDICAL DISCLAIMER: Educational use only. Not for diagnosis or management. See below for full disclaimer. |
Non gonococcal urethritis
Related Subjects: |Treponema |Bejel (Endemic syphilis) |Pinta |Yaws (Frambesia) |Syphilis |Non gonococcal urethritis |Gonococcal urethritis |Lymphogranuloma Venereum (LGV) |Chancroid |Donovanosis
📖 About
- 🧬 Urethritis = inflammation of the urethra, most often caused by Chlamydia trachomatis.
- 🦠 Other pathogens: Ureaplasma urealyticum, Mycoplasma genitalium, Trichomonas vaginalis.
- 🔬 C. trachomatis is a small gram-negative bacterium and a leading cause of STIs worldwide.
🩺 Clinical Presentation
- Men: Dysuria (painful urination) + urethral discharge (clear or mucoid; less purulent than gonorrhoea).
- Women: Often asymptomatic or mild dysuria, but can ascend → cervicitis, salpingitis, pelvic inflammatory disease (PID) → infertility risk.
- ⚠️ Untreated infections → infertility, chronic pelvic pain, ectopic pregnancy (in females).
🔎 Investigations
- 🧫 Microscopy: >5 WBCs per high-power field (hpf) on Gram stain = diagnostic of urethritis.
- 💻 NAAT / PCR (first-void urine): Gold standard for detecting Chlamydia & Mycoplasma.
- 🔗 Partner notification / contact tracing is essential to prevent reinfection & reduce transmission.
💊 Management
- 👨⚕️ First-line (uncomplicated): Doxycycline 100 mg PO twice daily × 7 days.
- 🤰 Pregnancy: Azithromycin 1 g PO single dose (safe, effective).
- ⏱️ Abstain from sex until treatment course complete + partners treated.
- 🧪 Re-test in 3 months (reinfection common).
| The content on this website is provided for educational and informational purposes only to support exam preparation (e.g., MLA, MRCP, USMLE) and learning. This is NOT medical advice, diagnosis, treatment, or professional guidance. It does not replace consultation with a qualified healthcare professional, official guidelines (e.g., NICE, GMC, BNF), or supervised clinical practice. Always verify information with current, authoritative sources. Makindo and its contributors accept no liability for any reliance on this content, including errors, omissions, or any resulting harm, loss, or consequences. By using this site, you agree to these terms. |
|
|
Categories
- A Level
- About
- Acute Medicine
- Anaesthetics and Critical Care
- Anatomy
- Anatomy and Physiology
- Biochemistry
- Book
- Cardiology
- Collections
- CompSci
- Crib Sheets
- Crib sheets
- Dental
- Dermatology
- Differentials
- Drugs
- ENT
- Education
- Electrocardiogram
- Embryology
- Emergency Medicine
- Endocrinology
- Ethics
- Foundation Doctors
- GCSE
- Gastroenterology
- General Practice
- Genetics
- Geriatric Medicine
- Guidelines
- Gynaecology
- Haematology
- Hepatology
- Immunology
- Infectious Diseases
- Infographic
- Investigations
- Lists
- Mandatory Training
- Medical Students
- Microbiology
- Nephrology
- Neurology
- Neurosurgery
- Nutrition
- OSCE
- OSCEs
- Obstetrics
- Obstetrics Gynaecology
- Oncology
- Ophthalmology
- Oral Medicine and Dentistry
- Orthopaedics
- Paediatrics
- Palliative
- Pathology
- Pharmacology
- Physiology
- Procedures
- Psychiatry
- Public Health
- Radiology
- Renal
- Respiratory
- Resuscitation
- Revision
- Rheumatology
- Statistics and Research
- Stroke
- Surgery
- Toxicology
- Trauma and Orthopaedics
- USMLE
- Urology
- Vascular Surgery