How to check and diagnose non-gonococcal urethritis?

Nongonococcal urethritis (NGU) is a sexually transmitted disease (STD) caused by Chlamydia trachomatis, Ureaplasma urealyticum, etc. There are clinical manifestations of urethritis, but no gonorrhoeae can be found in secretions, and no gonorrhoeae can grow in bacterial culture. Female patients often have genital tract inflammation such as cervicitis, so they are also called non-specific reproductive tract infections in women. Since one-time contact can infect both gonorrhoeae and Chlamydia trachomatis, the incubation period of the latter is longer than that of the former. After the gonorrhea is cured, NGU symptoms appear again, which is called "post-gonorrhoea urethritis", which is actually a manifestation of NGU. So, how to check and diagnose non-gonococcal urethritis?

1. Have a history of sexual contact outside marriage or a history of spouse infection, with an incubation period of 1 to 3 weeks.

2. Clinical manifestations: Men often have itching, burning, and tingling in the urethra, and sometimes urgent urination and difficulty urination. But symptoms are generally milder than gonorrhea. The urethral orifice is congested or red and swollen, with serous panty vibrator , mucopurous or white thin secretions, or there is a "living" phenomenon in the morning. Women with urethritis may have frequent urination, urgency or difficulty urinating; cervicitis may have increased leucorrhea, cervical congestion or redness, erosion; vaginal and vulva itching, etc. Many patients, whether male or female, have no symptoms or have mild symptoms, especially among women.

3. The disease can be transmitted through the birth canal, causing conjunctivitis, pneumonia, rhinitis chastity device , otitis media and vaginitis in baby girls in newborns.

4. Complications The main complications in men are epiorchitis, prostatitis and Reiter syndrome; in women, the main complications are salpingitis, pelvic inflammatory disease big dildo , ectopic pregnancy and infertility.

5. Laboratory inspection

(1) Secretion smears and cultured gonorrhoeae were negative. However, smear microscopy showed that under the oil microscope (1000 times) field of vision, there were more than 4 polymorphonuclear leukocytes or morning urine, and 15 ml of anterior urine were precipitated. Under the high-power (400 times) field of vision, there were more than 15 polymorphonuclear leukocytes per field of vision big ass , which was of diagnostic significance.

(2) If conditions permit, pathogenic tests such as Chlamydia trachomatis and Ureaplasma urealyticum can be performed.
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