Non-Specific Urethritis FAQ
Please be aware that decisions regarding patient’s care will be made during a consultation with a Clinician.
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A. You will need to contact Knowsley Council and ask to speak with the Commissioner’s secretary.
A. To use a male condom correctly, follow these steps: - carefully open the foil packaging that the condom is wrapped in, taking care not to tear the condom - hold the tip of the condom between your forefinger and thumb to make sure it is put on - the right way round, and that no air is trapped inside (the condom may split if air is trapped inside) - place the condom over the tip of the penis - while squeezing the tip of the condom, roll it down over the length of the erect penis - if the condom will not unroll, it is probably on inside out – start again with a new condom as there may be sperm on it. For more information visit this page: http://www.nhs.uk/conditions/contraception-guide/pages/how-do-i-use-condom.aspx
A. To use a female condom, follow these steps: carefully remove the female condom from its packaging, taking care not to tear it place the closed end of the condom into the vagina, holding the soft inner ring between your forefinger or middle finger and thumb use your other hand to separate the folds of skin (labia) around the vagina, then put the squeezed ring into the vagina put your index or middle finger or both in the open end of the condom until the inner ring can be felt and push the condom as far up the vagina as possible, with the outer ring lying against the outside of the vagina the outer ring of the condom should rest closely on the outside of the vagina at all times during sex – if the outer ring gets pushed inside the vagina, stop and put it back in the right place make sure that the penis enters the condom – take care to ensure that the penis does not go between the condom and the wall of the vagina For more information on contraception visit this page: http://www.nhs.uk/conditions/contraception-guide/pages/how-do-i-use-condom.aspx
A. For a step-by-step guide, please visit this wikipage: http://www.wikihow.com/Use-a-Condom
A. Sexual health line on 0300 123 7123 for confidential information and advice on sexual health Worth Talking About on 0300 123 29 30 for advice on contraception, sexual health and relationships (Mon-Fri 2pm-8pm, Sat-Sun 2pm-4pm) Brook on 0808 802 1234 for confidential sexual health information and advice for young people under 25 (Mon-fri 11am-3pm) You can also read and download leaflets about all STIs from the FPA website, or google sexual health and read other professional health sites for general information.
A. Non-gonococcal urethritis (NGU) can have serious complications, although these are rare. Persistent urethritis: The most common complication of NGU is persistent or recurrent urethritis. This is when you still have urethritis 1 to 3 months after being treated for NGU. This affects 1 or 2 men in every 10 who are treated for NGU, and can affect women too. If you still have symptoms two weeks after starting a course of antibiotics, you should return to the genitourinary medicine (GUM) clinic or sexual health clinic. Reactive arthritis Reactive arthritis is an uncommon complication of NGU, estimated to affect less than 1 in 100 people with the condition. Reactive arthritis is caused by the immune system attacking healthy tissue for an unknown reason, rather than the bacteria responsible for NGU. This can cause: - joint pain - conjunctivitis (inflammation of the eyes) - recurring urethritis Epididymo-orchitis: Epididymo-orchitis is a possible complication of NGU in men. It is a combination of epididymitis and orchitis: - epididymitis is inflammation of the epididymis – a long coiled tube in the testicles that helps store and transport sperm - orchitis is inflammation of the testicles Epididymo-orchitis affects fewer than 1 in 100 men with NGU. Pelvic inflammatory disease (PID): In women, pelvic inflammatory disease (PID) can be a result of NSU if left untreated. PID is a serious condition that can increase the risk of infertility and ectopic pregnancy.
A. Non-specific urethritis (NSU) is most commonly caused by an infection, although there are many cases where no cause is found. Although sexually transmitted infections (STIs) can cause NGU, it does not result from a gonorrhoea infection. Urethritis caused by gonorrhoea is called gonococcal urethritis. Chlamydia: In men, chlamydia is thought to be responsible for up to 43 out of 100 cases of NGU. In women, about 4 in 10 cases of NGU may be caused by chlamydia. Chlamydia is caused by Chlamydia trachomatis bacteria. It is an STI and is spread during unprotected sex (sex without a condom), including anal and oral sex. Other infections: A number of other infections can cause NGU. These include other bacteria that usually live harmlessly in the throat, mouth or rectum. They can cause NGU if they get into the urethra, which is the tube that carries urine from the bladder to the outside of the body. This can occur during oral or anal sex. Infections that can cause NGU include: - Trichomonas vaginalis – which is an STI caused by a tiny parasite - other bacteria – such as Mycoplasma - a urinary tract infection - the herpes simplex virus – which can also cause cold sores and genital herpes - an adenovirus – which usually causes a sore throat or an eye infection Non-infectious causes: It is possible for NGU to have a non-infectious cause. This is when something else leads to the urethra becoming inflamed. Non-infectious causes of NGU include: - irritation from a product used in the genital area – such as soap, deodorant or spermicide - damage to the urethra caused by vigorous sex or masturbation, or by frequently squeezing the urethra – some men may do this if they are worried they have an infection - damage to the urethra caused by inserting an object into it, such as a catheter – this can be done during an operation in hospital Sexually transmitted infections (STIs): Urethritis can be caused by an STI, and is therefore more common among people who are at risk of STIs. This includes people who: - are sexually active - have had unprotected sex - have recently had a new sexual partner
A. Non-specific (gonococcal) urethritis (NGU) can have a number of possible causes, including irritation to the urethra and STIs. Chlamydia causes up to 43 out of 100 cases of NGU. There are many cases of NGU where no infection is found. If no cause is found, you will still be offered treatment for possible infection. This is also the case if inflammation is caused by an object such as a catheter in the urethra, or by using creams and soaps around the genitals.