Common Specialities
Common Issues
Common Treatments


Change Language

Nongonococcal Urethritis: Treatment, Procedure, Cost and Side Effects

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?

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.

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 cranberr...

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

Can I take 1300 mg paracetamol everyday? 2 divided doses 6 hours apart, it gives relief from urethritis, I have urethritis since 1 month.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Sexologist, Jaipur
That dose is harmful. Take syrup septillin 2tsf twice a day empty stomach. For 15 days. Chandanaasav 4tsf with equal amount of water after meals twice a day regularly for 1 month.
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.

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

Popular Health Tips

A Guide To Chlamydia

MBBS, MCCEE, Fellowship in Sexual Medicine
Sexologist, Jaipur
A Guide To Chlamydia
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. A...
3855 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 towa...
4209 people found this helpful

Frequent Urination & Burning Sensation In Women - Why Does It Happen?

Gynaecologist, Pune
Frequent Urination & Burning Sensation In Women - Why Does It Happen?
Burning urination or painful urination is also called dysuria, and it is one of the most common complaints amongst women. Another common problem is frequent urination. What are the causes of these two conditions? Are they in fact related? Frequent...
4499 people found this helpful
Content Details
Written By
DNB - Urology/GenitoUrinary Surgery
Having issues? Consult a doctor for medical advice