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Non-gonococcal urogenitis can be caused by other bacteria (e.g. staphylococci, streptococci, other bacteria), chlamydia, yeast or trichomoniasis. Symptoms of the ailments are similar to those of gonorrhea. There is leakage of mucous or mucopurulent discharge from the urinary tract, and pain and burning when urinating. The correct diagnosis is made based on the symptoms of the disease, but also on the basis of specialist additional tests in the form of smears and cultures of the secretion. This is very important for choosing the right treatment.
A few words about non-gonococcal urogenital inflammation …
It is a condition that affects the genitourinary tract, which, in addition to gonococci, is also caused by other bacteria such as chlamydia, yeast, trichomoniasis and staphylococci, streptococci and other bacteria. The disease is sexually transmitted and is the most common infection of its kind. In patients with the disease, burning and pain during micturition are observed, as well as vaginal discharge in women, and urethral discharge in men.
Non-gonococcal urogenital inflammation – causes
Inflammation of the genitourinary tract should be first classified according to the bacteria that cause the ailment. Thus, we isolate:
- Gonococcal gonococcal urogenitis (caused by gonorrhea bacteria);
- nongonococcal non-gonococcal urogenital inflammation (caused by bacteria other than gonorrhea).
NGU, or non-gonococcal urogenital inflammation, is caused mainly by chlamydia, less often it is vaginal trichomoniasis, mycoplasma or ureoplasma. The disease affects both men and women, but it is much more common in the female sex. This is mainly due to the shorter urethra in women and the location of the urethral opening.
Inflammation-causing bacteria are transmitted during sexual intercourse through contact with mucous membranes. People who change sexual partners frequently and who do not use condoms to protect against sexually transmitted diseases have a higher risk of infection. It is estimated that about 10 percent. men and 5 percent. women are asymptomatic carriers of the disease.
Perform tests from the urogenital package for intimate diseases – 7 pathogens and take appropriate treatment.
Symptoms of non-gonococcal urogenital inflammation
1. Symptoms in women
– burning sensation in the genital area
– vaginal discharge (most often yellow in color, resembling cheese; may have an unpleasant smell)
– pressure on the bladder
Pain felt when urinating
– the need to urinate frequently
Chlamydia infection can also cause cervicitis in women. The coexistence of these two ailments additionally causes menstrual disorders and bleeding during sexual intercourse.
Chlamydia, in addition to urethritis in women, causes cervicitis. Both of these diseases most often coexist.
2. Symptoms in men
– itching around the urethra
– burning during micturition
Pain when urinating
– white-colored mucopurulent discharge from the urethra; men usually notice it only on underwear or after pressing the urethra
– the need to urinate frequently
– problem with morning urination (after the night, the urethra may be clumped with dried purulent discharge)
A common systemic symptom of non-gonococcal urogenital inflammation in men and women is fever. The first symptoms of the disease usually appear 4 to 14 days after sexual contact with a sick partner.
Diagnosis and treatment of non-gonococcal urogenital inflammation
In men who come to the urologist with symptoms of the disease, a urethral swab is taken. On the other hand, in women, during a gynecological visit, a cervical smear is taken (preferably 5-6 days before the expected menstruation). Other tests indicated in the diagnosis of non-gonococcal urinary tract infection include urine culture (urine donated all day in the morning) and tests for other ailments transmitted through sexual contact, e.g. HIV, syphilis and hepatitis B and C.
In the treatment of non-gonococcal inflammation of the urogenital tract, antibiotic treatment (usually 10 days) is implemented. During therapy, it is recommended to stop sexual intercourse to avoid spreading the disease. Remember that your partner should also see the doctor. The exclusion of the disease is also important in these people as a prophylaxis of recurrent infections. Particularly female partners should undergo treatment, because in more than half of the cases the disease is completely asymptomatic.
In order to avoid non-gonococcal urogenital inflammation, avoid accidental sexual contact with unknown partners, especially without the use of a condom.
After the treatment is finished, you should visit your doctor to check the results of the tests.
Non-gonococcal urogenital inflammation and complications
Complications in untreated non-gonococcal urogenital inflammation will vary slightly between men and women.
1. Complications in men:
- infertility (due to changes in the seminal tubes and epididymides);
- proctitis (due to anal contact of both infected partners);
- pharyngitis (may appear due to oral contact with an infected person);
- conjunctivitis (self-infection);
- epididymitis;
- Reiter’s syndrome (joint pain, conjunctivitis and skin changes).
2. Complications in women:
- proctitis;
- Reiter’s syndrome;
- conjunctivitis;
- pharyngitis;
- infertility (due to inflammation of the pelvic minor: the lining of the uterus, fallopian tubes and appendages); in women, the risk of infertility is much greater than in men;
- obstruction of the fallopian tubes leading to: miscarriage, ectopic pregnancies;
- hepatic abscess;
- appendicular abscess;
- peritonitis (due to contact with inflamed appendages).
In addition, non-gonococcal urogenitis in women can lead to an infection of the baby during delivery. It may be asymptomatic and may cause conjunctivitis and pneumonia in the first three months of life. Interestingly, chlamydia is the most common cause of pneumonia in children today. Therefore, it is important to test for chlamydia while still pregnant.
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