What is NGU?
Non-gonococcal urethritis (NGU) is inflammation of the urethra caused by infections other than gonorrhea. It's one of the most common sexually transmitted infections in men.
Common Causes
- Chlamydia trachomatis (responsible for 15-40% of cases)
- Mycoplasma genitalium
- Trichomonas vaginalis
- Ureaplasma urealyticum
- Viral infections (HSV, adenovirus)
Symptoms
Common signs include:
- Discharge from the penis (usually clear or white)
- Burning or pain during urination
- Itching or irritation at the urethral opening
- Redness around the urethral opening
Note: Some people may have no symptoms at all
Diagnosis
- Physical examination
- Urethral swab testing
- Urine tests
- STI screening
Treatment
Primary Treatment
- Antibiotics (typically azithromycin or doxycycline)
- Complete full course of prescribed medication
- Abstain from sexual activity during treatment
Follow-up Care
- Return for evaluation if symptoms persist
- Partner notification and treatment
- Repeat testing after treatment completion
Prevention
- Use condoms consistently and correctly
- Regular STI screening
- Limit sexual partners
- Open communication with sexual partners
When to Seek Medical Care
- New urethral discharge
- Burning during urination
- After potential exposure to STIs
- If symptoms return after treatment
Complications if Untreated
- Epididymitis
- Reactive arthritis
- Chronic urethral problems
- Fertility issues
Important Notes
- NGU can recur even after successful treatment
- All sexual partners should be tested and treated
- Regular follow-up is important for complete cure