How is nongonococcal urethritis treated?

NGU is usually treated with antibiotics, which kill the germs that are causing the infection. The antibiotics most commonly used to treat NGU are doxycycline, which is taken twice a day for a week, or macrolide antibiotics, such as azithromycin, given as a single dose. This treatment cures the infection about 90% of the time. If you are allergic to doxycycline, or if doxycycline does not cure your infection, other medicines may be used.

What should I do after being treated for nongonococcal urethritis?

  • Make sure you take all of the medicine you have been given. Do not stop taking the medicine, even if your symptoms go away. Do not share your medicine with others.
  • Do not have sex until you have taken all of the medicine and you are sure that the discharge is gone.
  • You can check yourself for discharge by gently squeezing the penis. The best time to do this is when you get up in the morning before you urinate. Clear fluid from the penis is normal. A discharge that looks like milk or pus means that you still have an infection. Don't check for discharge more than once a day. Squeezing the penis more often may cause irritation and discharge even when there is not an infection.
  • Avoid re-infection by always using condoms for vaginal, oral and anal sex.
  • Contact all of the people with whom you have had sex during the last three months and advise them to get treated. Remember that there are other causes of NGU besides chlamydia. Even if your partner has a negative chlamydia test, he or she may still have given you the infection.
  • If the discharge doesn't go away, or if it goes away and then comes back, contact to your healthcare provider for further treatment.

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