Hormones 2016

Urethritis
Treatment failure
If the symptoms of NGU do not get better two weeks after you start to take
antibiotics, you should return to the GUM clinic or sexual health clinic.
You will be asked if you took the medication correctly and whether anyone
who may have NGU that has not been treated could have passed the
infection back to you.
You may need further tests to confirm your diagnosis and to check for any
STI’s.
In some cases you may be given a new prescription for some different
antibiotics to treat the NGU (NHS, 2014j).
Complications
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 GUM clinic or sexual health clinic (NHS, 2014j).
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 (NHS, 2014j).
Epididymo-orchitis
Epididymo-orchitis is a possible complication of NGU in men.
combination of epididymitis and orchitis -
It is a
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