What is non-gonococcal urethritis

Non-gonococcal urethritis is a urethral inflammation caused by a variety of pathogens (such as chlamydia and mycoplasma) or other non-specific infections, which is different from urethritis caused by Neisseria gonorrhoeae. Its main characteristics are urethral irritation, abnormal discharge and dysuria, but in most cases the symptoms are milder than gonorrhea.

The occurrence of non-gonococcal urethritis is usually related to infection caused by bad sexual behavior, but it may also be affected by other factors. Genetic factors are less relevant, while environmental factors play an important role, such as direct transmission of external pathogens, unclean sexual life or increased susceptibility when immunity is reduced. Physiological factors such as poor individual immunity and abnormal urethral structure may also promote infection; if the urethra is traumatic or over-stimulated, the chance of infection may increase. Etiologically, it is mainly caused by bacterial infections such as Chlamydia trachomatis and Mycoplasma hominis. Some cases are related to mixed infections with Trichomonas, fungi and even common bacteria. Symptoms include urethral stinging, burning sensation, and the appearance of transparent or white secretions. Some patients may be completely asymptomatic.

For the treatment of non-gonococcal urethritis, the first choice is antibacterial drugs targeting specific infectious bacteria. For example, azithromycin (1 gram per dose) or doxycycline (twice a day, 7 days of treatment) for chlamydia infection, and new quinolone antibiotics such as moxifloxacin or levofloxacin are often used for mycoplasma infection. If it is a mixed infection, it is necessary to adjust the course of treatment with other anti-infective drugs. Avoid sexual intercourse during treatment to prevent reinfection, and your partner also needs to be screened and treated simultaneously. In terms of diet, you can drink more water, reduce irritating foods, and enhance your immunity. You should pay attention to personal hygiene and avoid sharing towels and other items.

If you experience severe urethral pain or hematuria, you should see a professional urologist as soon as possible to avoid worsening of the condition or complications such as prostatitis and cervicitis in women. For those who frequently relapse, you can consult a physician for personalized treatment evaluation and long-term follow-up management.