Non-Gonococcal Urethritis (NGU / नॉन-गोनोकोकल यूरेथ्राइटिस) एक urethral inflammation (मूत्रमार्ग की सूजन) है जो Neisseria gonorrhoeae के अलावा किसी अन्य infectious agent के कारण होती है।
- यह sexually transmitted infection (STI) के category में आता है।
- पुरुषों में यह आमतौर पर urethral discharge और dysuria (पेशाब में जलन) के रूप में दिखाई देता है।
- महिलाओं में symptoms mild या absent हो सकते हैं, लेकिन untreated cases में pelvic inflammatory disease (PID) या infertility का risk बढ़ सकता है।
Non-Gonococcal Urethritis क्या है (What is NGU)
- Inflammation of urethra not caused by Gonococcus bacteria
- Common causative organisms:
- Chlamydia trachomatis (most common)
- Mycoplasma genitalium
- Ureaplasma urealyticum
- Symptoms develop 1–3 weeks after exposure
Non-Gonococcal Urethritis कारण (Causes of Non-Gonococcal Urethritis)
1. Bacterial Causes
- Chlamydia trachomatis – responsible for 40–50% cases
- Mycoplasma genitalium – emerging pathogen
- Ureaplasma urealyticum – less common
2. Non-Infectious Causes
- Trauma to urethra (catheterization, instrumentation)
- Chemical irritation (soaps, spermicides)
3. Risk Factors
- Multiple sexual partners
- Unprotected sexual intercourse
- Previous history of STIs
Non-Gonococcal Urethritis लक्षण (Symptoms of Non-Gonococcal Urethritis)
Male Symptoms
- Burning sensation during urination (dysuria)
- Clear or cloudy urethral discharge
- Itching or irritation at the urethral opening
- Rarely, pain in lower abdomen or testicles
Female Symptoms
- Often mild or asymptomatic
- Vaginal discharge or burning sensation
- Pain during urination or intercourse
- Lower abdominal discomfort
Untreated NGU can lead to urethral strictures, epididymitis, PID, infertility।
Non-Gonococcal Urethritis कैसे पहचाने (Diagnosis of NGU)
- Physical Examination – check urethral discharge and tenderness
- Microscopy of Discharge – look for WBCs (≥5 WBCs/HPF indicates NGU)
- NAAT (Nucleic Acid Amplification Test) – detects Chlamydia, Mycoplasma
- Urine Test – first-void urine for pathogen detection
- Sexual History – recent exposure to STI
Accurate diagnosis important for appropriate antibiotic therapy।
Non-Gonococcal Urethritis इलाज (Treatment of Non-Gonococcal Urethritis)
1. Antibiotic Therapy
- Azithromycin 1g single dose or Doxycycline 100mg twice daily for 7 days – first-line treatment
- For Mycoplasma genitalium, use moxifloxacin if resistant
2. Partner Treatment
- Sexual partners should be tested and treated to prevent reinfection
3. Symptomatic Relief
- Pain or burning: analgesics and hydration
- Avoid sexual activity until completion of treatment
4. Follow-up
- Re-test after 3 months to ensure eradication
- Persistent symptoms may require repeat testing for resistant strains
रोकथाम (Prevention)
- Consistent condom use
- Limit number of sexual partners
- Early testing after exposure to STI
- Regular screening in high-risk individuals
- Partner notification and treatment
सावधानियाँ (Precautions)
- Avoid unprotected sex until treatment is complete
- Do not self-medicate; complete prescribed antibiotics course
- Inform sexual partners for simultaneous treatment
- Follow-up testing for persistent or recurrent symptoms
FAQs (अक्सर पूछे जाने वाले प्रश्न)
Q1. NGU contagious है?
हाँ, यह sexually transmitted infection है।
Q2. क्या untreated NGU serious हो सकता है?
हाँ, पुरुषों में urethral strictures, महिलाओं में PID और infertility हो सकती है।
Q3. क्या NGU का इलाज आसानी से होता है?
हाँ, उचित antibiotics से आमतौर पर cure possible है।
Q4. क्या महिलाओं में symptoms हमेशा दिखाई देते हैं?
नहीं, अक्सर mild या asymptomatic होती है।
निष्कर्ष (Conclusion)
Non-Gonococcal Urethritis (नॉन-गोनोकोकल यूरेथ्राइटिस) एक common sexually transmitted infection है।
Early diagnosis, proper antibiotic treatment, partner management और safe sexual practices से complications और reinfection से बचा जा सकता है।
अगर किसी को dysuria, urethral discharge या unexplained urinary symptoms हो, तो तुरंत urologist या sexual health specialist से consultation जरूरी है।