Non-Specific Genital Infections

Non-specific infections include non-specific urethritis in males and mucopurulent cervicitis in females.

 

Non-specific Urethritis (NSU)

 

This is inflammation of the urethra (the tube through which the urine passes). NSU can be caused by:

·                                                            Sexually Acquired Infections

·                                                            Other organisms such as Mycoplasma genitalium and Ureaplasma urealyticum, bacteria that live in the rectum, mouth and throat that can be passed during intercourse

·                                                            Infections from the kidney or Bladder that can track down to the Urethra

·                                                            Damage to the Urethra such as through vigorous sex or masturbation

Common symptoms include:

·                                                            Discharge at the tip of penis

·                                                            Difficulty, pain or burning sensation when passing urine

·                                                            The feeling to pass urine frequently

·                                                            Itching or Irritation at the end of the Urethra

The condition can be diagnosed by taking a swab from the male urethra.

Assessment of all sexual partners should be carried out as  such tests may reveal possible causes. Avoid sexual intercourse even with condoms until you and your partner/s have finished all the treatment and symptoms have subsided. Suggested partner notification periods are 4 weeks for symptomatic male patients up to six months for asymptomatic male patients.   Screening for all SAIs including HIV should be encouraged.

 

Mucopurulent cervicitis (MPC)

 

This is the inflammation of the cervix (the end of the uterus), caused by infection. The cervix may appear inflamed and friable with a yellowish green discharge. Infections of the cervix can be caused by bacteria, viruses, fungi and parasites.  Some of these can be sexually transmitted such as Chlamydia, gonorrhoea, syphilis and herpes. It can also be caused by devices inserted into the pelvic area such as a cervical cap or diaphragm, an allergic reaction to spermicides or latex condoms, therefore before using these objects you must consult with your doctor.

Symptoms may include abnormal vaginal bleeding, (i.e. bleeding after menopause, during sex, and between periods), vaginal discharge, pain during sex and pelvic pain. Infections of cervix can lead to pelvic inflammatory disease, post-partum endometritis, spontaneous abortions, premature delivery, chori ammonites, still birth and pneumonia of the new born. Antibiotics as prescribed by the doctor should be taken.

Avoid sexual intercourse even with condoms until you and your partner/s have finished all the treatment and symptoms have subsided.  Partners of females with MPC are offered treatment as well.  Screening for all SAIs including HIV should be encouraged.