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Overview

Nongonococcal Urethritis: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Urethritis is the inflammation of the urethra (the tube which runs from the bladder to the penis in males and the labia in females through which the urine discharges) due to bacterial conditions. On the other hand, nongonococcal urethritis is known as the infection of the urethra that is not caused by gonorrhea. This infection is caused due to multiple different organisms. Frequently, a germ called Chlamydia, which is a sexually transmitted disease (STD) is the source. It is mostly found in men, the reason being that this infection is caused due to sexual transmission and females during intercourse are seldom infected.

If nongonococcal urethritis is suspected a person need to take a few tests. Even if the symptoms go away after a point, he needs to reassure whether there is anything still wrong or not. A local genitourinary clinic (GUM) will carry out all the tests needed. A urine specimen must be provided to identify the cause. There may also be a requirement of a tiny swab (sample) from the blood tests. Medications like antibiotics usually clear the infection. The antibiotics prescribed are usually dependent on germs (bacteria) like Chlamydia or conditions when other infections are also present. Even if there are no bacteria found after tests, the individual may still be suggested to take antibiotics if he has shown the symptoms. Antibiotic treatment will more likely make a person better if taken in a continuous course and completed properly.

How is the treatment done?

Firstly, men with urethral symptoms must be examined for urethral discharge, ulcers, or inguinal lymphadenopathy. Serial palpation should be used to gently ‘’milk’’ the urethra down the penis shaft towards the urethra. Currently, urethritis is tested by a positive leukocyte esterase test result in first-void urine. In case there is no discharge present, first-void urine should be examined to document pyuria. A DNA test for Chlamydia is also recommended. The doctor does a digital rectal examination of the prostate.

Patients with confirmed nongonococcal urethritis receive the primary treatment of a combination of 100 mg of oral doxycycline (for chlamydia) or a single 1-g dose of oral azitrhomycin (Zithromax) twice per day for a week. Both of these medications have similar cure rate. It is a possibility that doxycline has a higher clearance rate than azithromycin. There has been a caution expressed by doctors about single-doze azithromycin 1g involving macrolide resistance in genitalium, despite compliance and successful treatment cases of nongonococcal urethritis in which the test results are mostly negative for Chlamydia, ureaplasma and mycoplasma species. Because of the concern for induced macrolide resistance of genitalium after the intake of single-dose azithromycin 1g, some doctors recommend treatment of doxycycline 100 mg orally a couple of times, per day for a week.

Who is eligible for the treatment? (When is the treatment done?)

Patients who haven’t used antibiotics in the past month are eligible for the treatment. Also, patients with chlamydial infections (detected by urine assay) are included.

Who is not eligible for the treatment?

Patients who have taken antibiotics in the previous month are ineligible for treatment. Also, patients with gonococcal infections (detected by urine assay) are precluded from receiving the treatment.

Are there any side effects?

The side effects of the antibiotics include nausea, diarrhea, vomiting, stomach ache and many more.

What are the post-treatment guidelines?

A healthcare professional or a doctor will need to know regularly if the treatment has worked or not. It is normal to be reviewed two or three weeks after the treatment has been started on a patient, to keep a check on the symptoms. Once in a while, re-testing and a second anti-toxin medication are needed if the symptoms or side effects persist. A patient must wear a condom during anal or oral sex as it prevents the spreading of STIs (sexually transmitted infection). The risk associated with STIs increase with multiple changes of sexual partner. After ruling out all the infections, the doctors suggest the patients to use lubricants, fragrance-free soaps, and other products. Carbonated beverages should be avoided and water intake should be increased. Discontinuation of spermicide use is necessary.

How long does it take to recover?

It takes about 2 weeks to recover from nongonococcal urethritis. In case a patient doesn’t get better by then, he should return to the sexual health clinic and be given a new drug prescription.

What is the price of the treatment in India?

The price of treatment ranges between Rs. 2,828 to Rs. 5,000.

Are the results of the treatment permanent?

The results of the treatment are not permanent as a person with untreated nongonococcal urethritis can pass the infection to the previously infected person again.

What are the alternatives to the treatment?

It is necessary for a patient to include garlic in his meals as garlic cloves are rich in anti-microbial agents like allacin. In order for the body to fight infection a garlic tonic must be prepared and had every day. Chopping and mashing two or three pods of garlic, putting it in a glass of boiling water and having it daily will help rule out the infection.

Safety: High Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range: Rs 2,828 to Rs 5,000

Popular Health Tips

Foul Odour And Vaginal Discharge - Know The Reasons Behind Them!

MBBS, DNB - Obstetrics & Gynecology, DGO
Gynaecologist, Pune
Foul Odour And Vaginal Discharge - Know The Reasons Behind Them!

Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.

Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don’t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor’s clinic.

What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-

  1. Yeast Infection: Vaginal yeast infection is by far the most common cause of vaginal discharge. This relatively common condition is caused by fungus. This factor is characterised by itchiness, irritation and swelling.
  2. UrethritisAnother cause influencing excessing vaginal discharge includes Urethritis. This condition is influenced by the inflammation and irritation in the tube carrying urine, also referred to as the urethra.
  3. GonorrheaGonorrhea is an alarming cause of vaginal discharge. This disease is sexually transmitted and affects warm and wet areas of the body.

Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-

  1. InfectionFungal infection is a major cause of vaginal odor.
  2. Sweat: Accumulation of sweat in wet and humid areas of the body leads to a certain amount of odor. The same goes for the vagina.
  3. Hormonal change: Change in hormone and discharges also lead to a foul-smelling vagina.
  4. Overused tampon: Using a tampon for a longer period than prescribed can also lead to accumulation of periodical blood and bacteria, leading to foul smell from the vagina.

Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a doctor before starting a specific treatment or medication, etc. In case you have a concern or query you can always consult an expert & get answers to your questions!

3885 people found this helpful

Reasons Behind Vaginal Discharge And Foul Odour!

MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Delhi
Reasons Behind Vaginal Discharge And Foul Odour!

Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.

Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don’t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor’s clinic.

What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-

  1. Yeast Infection: Vaginal yeast infection is by far the most common cause of vaginal discharge. This relatively common condition is caused by fungus. This factor is characterised by itchiness, irritation and swelling.
  2. UrethritisAnother cause influencing excessing vaginal discharge includes Urethritis. This condition is influenced by the inflammation and irritation in the tube carrying urine, also referred to as the urethra.
  3. GonorrheaGonorrhea is an alarming cause of vaginal discharge. This disease is sexually transmitted and affects warm and wet areas of the body.

Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-

  1. InfectionFungal infection is a major cause of vaginal odor.
  2. Sweat: Accumulation of sweat in wet and humid areas of the body leads to a certain amount of odor. The same goes for the vagina.
  3. Hormonal change: Change in hormone and discharges also lead to a foul-smelling vagina.
  4. Overused tampon: Using a tampon for a longer period than prescribed can also lead to accumulation of periodical blood and bacteria, leading to foul smell from the vagina.

Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a gynaecologist before starting a specific treatment or medication, etc.

2589 people found this helpful

Vaginal Discharge and Foul Odour - Know the Reason Why?

MD, MBBS, Advanced Infertility
Gynaecologist, Jalandhar
Vaginal Discharge and Foul Odour - Know the Reason Why?

Vaginal discharge or odor is one of the most common conditions in women, yet the least talked about or taken help for. It is of vital importance that more and more women become aware of the condition and stop neglecting it. It is this neglect towards the condition that leads to some ancillary side effects and the increase in the complexity of the situation. Before things take a turn for the bad, it is imperative that you take help from concerned medical specialists and fight the condition during its initial days itself.

Why consult a specialist?
Treating the condition as soon as you notice it leads you to stem other diseases and infections that may be caused as a side effect. Also, vaginal discharge and foul odor can become not only the cause of discomfort for your day to day life, but also a great hindrance in your private life. Don’t let a curable condition hamper your personal life and most importantly your conjugal life. Visiting a doctor will help you get rid of both the excessive discharge and foul order. All you have to do is shred that mental neglect and confining attitude, step out of the home and make way to the doctor’s clinic.

What causes vaginal discharge?
Some of the most common causes of vaginal discharge include-

  1. Yeast Infection: Vaginal yeast infection is by far the most common cause of vaginal discharge. This relatively common condition is caused by fungus. This factor is characterised by itchiness, irritation and swelling.
  2. UrethritisAnother cause influencing excessing vaginal discharge includes Urethritis. This condition is influenced by the inflammation and irritation in the tube carrying urine, also referred to as the urethra.
  3. GonorrheaGonorrhea is an alarming cause of vaginal discharge. This disease is sexually transmitted and affects warm and wet areas of the body.

Other causes of vaginal discharge include pregnancy, anxiety, cervix inflammation, cervical cancer or history of the same.
Causes of vaginal foul odor:
Some of the most common causes of vaginal odor are-

  1. InfectionFungal infection is a major cause of vaginal odor.
  2. Sweat: Accumulation of sweat in wet and humid areas of the body leads to a certain amount of odor. The same goes for the vagina.
  3. Hormonal change: Change in hormone and discharges also lead to a foul-smelling vagina.
  4. Overused tampon: Using a tampon for a longer period than prescribed can also lead to accumulation of periodical blood and bacteria, leading to foul smell from the vagina.

Treating vaginal discharge and foul odor:
In case that vaginal discharge and a foul odor is becoming a major concern in your life and making things uncomfortable for you, it is the time that you make your way to a medical specialist. Other preventive practices often suggested by doctors include- wearing loose clothes, not wearing a tampon for a long time, losing weight, consulting a gynaecologist before starting a specific treatment or medication, etc.

4184 people found this helpful

Chlamydia - How It Affects Men & Women Differently?

MBBS Bachelor of Medicine and Bachelor of Surgery, Fellow of The Royal Society of Health, Certification In Sexologist
Sexologist, Delhi
Chlamydia - How It Affects Men & Women Differently?

Chlamydia is caused by the bacteria Chlamydia trachomatis and doesn't have any defined symptoms and hence, most people who suffer from it are not even aware of their status. Of all the sexually transmitted diseases, Chlamydia is the most common.

And, since it doesn't have any defined symptoms, it is transmitted unknowingly from one person to another. Chlamydia can also be passed on from mother to child, if the mother suffers from Chlamydia while she is pregnant. Here are a few things you should know about this sexually transmitted disease.

Symptoms: Symptoms of Chlamydia are noticeable within 1-3 weeks of unprotected intercourse. The symptoms of Chlamydia are different in men and women. 

Symptoms in Men

  • Clear or cloudy discharge from the penis
  • Painful urination
  • Burning and itching around the penis head
  • Painful swelling of the testicles

Symptoms in Women

A simple urine test or lab test can be used to diagnose Chlamydia. For the lab test, the doctor will take a sample swab from a man's urethra or a woman's cervix.

Once diagnosed, Chlamydia can be easily treated. In most cases, oral antibiotics will cure the patient in a week or two. It is important to complete the antibiotic course even if the symptoms disappear early. In some cases, women with severe Chlamydia may need to be hospitalized for intravenous treatment.

With Chlamydia, it is important not only for you to get yourself treated, but to also get your partner treated. This will eliminate the chances of the disease recurring. You must also test yourself after three months to ensure that the disease has been completely cured.

Chlamydia can affect your health badly, if left untreated. It can cause pelvic inflammatory disease in women, which may make the woman infertile by affecting her fallopian tubes. It could also increase the risk of an ectopic pregnancy and premature birth. Further, remember that Chlamydia can also be passed on from mother to child if left untreated. This can cause the newborn to have an eye infection or pneumonia at the time of birth. If left untreated in men, Chlamydia can cause nongonococcal urethritisepididymitis and proctitis. The first is an infection of the urethra; the second, an infection of the tube that carries the sperm from the testis and the third is an inflammation of the rectum.

Like all STDs, Chlamydia can be prevented by the use of a condom and fidelity between sexual partners.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5308 people found this helpful

Chlamydia And its Symptoms!

MBBS, DMRD, MD - General Medicine, MHS (Sexual and Reproductive Medicine, Ph.D in Reproductive medicine
Sexologist, Chennai
Chlamydia And its Symptoms!

Chlamydia is caused by the bacteria Chlamydia trachomatis and doesn't have any defined symptoms and hence, most people who suffer from it are not even aware of their status. Of all the sexually transmitted diseases, Chlamydia is the most common.

And, since it doesn't have any defined symptoms, it is transmitted unknowingly from one person to another. Chlamydia can also be passed on from mother to child, if the mother suffers from Chlamydia while she is pregnant. Here are a few things you should know about this sexually transmitted disease.

Symptoms: Symptoms of Chlamydia are noticeable within 1-3 weeks of unprotected intercourse. The symptoms of Chlamydia are different in men and women. 

Symptoms in Men

  • Clear or cloudy discharge from the penis
  • Painful urination
  • Burning and itching around the penis head
  • Painful swelling of the testicles

Symptoms in Women

  • Abnormal vaginal discharge
  • Painful menstruation
  • Bleeding between menstrual cycles
  • Abdominal pain and fever
  • Painful urination
  • Itching and burning around vagina
  • Pain during intercourse

A simple urine test or lab test can be used to diagnose Chlamydia. For the lab test, the doctor will take a sample swab from a man's urethra or a woman's cervix.

Once diagnosed, Chlamydia can be easily treated. In most cases, oral antibiotics will cure the patient in a week or two. It is important to complete the antibiotic course even if the symptoms disappear early. In some cases, women with severe Chlamydia may need to be hospitalized for intravenous treatment.

With Chlamydia, it is important not only for you to get yourself treated, but to also get your partner treated. This will eliminate the chances of the disease recurring. You must also test yourself after three months to ensure that the disease has been completely cured.

Chlamydia can affect your health badly, if left untreated. It can cause pelvic inflammatory disease in women, which may make the woman infertile by affecting her fallopian tubes. It could also increase the risk of an ectopic pregnancy and premature birth. Further, remember that Chlamydia can also be passed on from mother to child if left untreated. This can cause the newborn to have an eye infection or pneumonia at the time of birth. If left untreated in men, Chlamydia can cause nongonococcal urethritis, epididymitis and proctitis. The first is an infection of the urethra; the second, an infection of the tube that carries the sperm from the testis and the third is an inflammation of the rectum.

Like all STDs, Chlamydia can be prevented by the use of a condom and fidelity between sexual partners. If you wish to discuss about any specific problem, you can consult a sexologist.

3785 people found this helpful

Popular Questions & Answers

I have urethritis, burn sensation at tip of penis. It hurts alost specially after urination.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello- Standardized cranberry extracts may improve the health of your kidneys, while green tea possesses strong antioxidant and immune-enhancing effects. Cat's claw possesses antibacterial and anti-fungal action, while uva ursi, or upland cranberry, and bromelain may treat urethritis. These herbs should be used in conjunction with conventional treatment methods for urethritis.

I have CH URETHRITIS WITH BALANITIS last from 10 months. medicines were taken but no result found yet? What should I do to cure this? Inflammation is increasing around penis glance.

MD - Alternate Medicine, BHMS
Homeopath, Surat
Take sulphur 200 1 dose daily for 3 days and then revert to me back with changes after that. And drink more water.
7 people found this helpful

My penis opening is red. Dr. diagnosed it as urethritis. Symptoms were burning after sex snd masturbating. Urine test is found ok. Is it urethritis or something else?

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Zirakpur
Redness, burning may be local inflammations. May be urethritis. Stop sex or masturbation for few days. Take chandanasav 20 ml + water twice a day. Gokshar guggul 1 and chanderprabha vati 1 twice a day both. Take for two weeks. Drink mx water.
1 person found this helpful

I have a symptom of urethritis for the last 8 days. I did’t identify this but one of my colleague told me that this may be urethritis. What is the cause of this symptom? Can this disease be cured naturally? What is the differences between urethritis and gonorrhoea? I am worried please suggest me as soon as possible.

MBBS
General Physician, Mumbai
Avoid spicy food items and not to eat junk food and we also need to avoid peanuts and potatoes in our daily diet and take a course of antibiotics after clinical examination.
1 person found this helpful

My age is 24. I have urethritis (urethra infection) for last 2 months. I feel burning irritation in urethra but I have not sex yet. I feel some time unable to erect but after touching figure on penis I got hard erection. But I have no morning erection from last 2 months. Can it is due to urethritis?

MBBS
General Physician, Chandigarh
There is no such thing as morning erection you get erection when you are sexually excited whatever time it is get your urine tested if you feel you have infection only then take the treatment in the meantime drink lots of water.
1 person found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice