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Re-occuring NGU Questions
Several months ago I was having symptoms of Urethritis. Was tested and Diagnosed with NGU, non-chlamydial. Was prescribed one dose of Zithromax. The clinic also gave me a second dose of Zithromax as well for my GF. Everything went away.
Fast forward, a week ago, had unprotected oral and vaginal sex with the same GF (completely monagamous). 2-3 days later, start the same symptoms from before, buring and itching during urination and had a clear discharge one day, almost a week after the sex. Went to a clinic and after giving a urine sample, was told right then (seemed really quick) that my urine was free of bacteria and was diagnosed w/ NGU, non-chlamydial, and given the single dose of Z-max. This time, the Dr., did not seem concerned about my GF or treating her.
(1) Am I right in assuming that my NGU is safe? Meaning, because I have/had it, there is no potential harm to my GF?
(2) Should she be treated for NGU as well? She is currently travelling alot and the day that I can trace the NGU to is the only sexual contact we have had in weeks. Meaning, she performed oral (assuming thats how I got it) and then we had sex.
(3) Does the fact she has an IUD (Which I can occasionally feel, depending on position) change any recomendations?
(4) How reliable are those quick tests? I am not concerned about Chlamydia or other STD's because of the nature of my realtionship but am curious.
Fast forward, a week ago, had unprotected oral and vaginal sex with the same GF (completely monagamous). 2-3 days later, start the same symptoms from before, buring and itching during urination and had a clear discharge one day, almost a week after the sex. Went to a clinic and after giving a urine sample, was told right then (seemed really quick) that my urine was free of bacteria and was diagnosed w/ NGU, non-chlamydial, and given the single dose of Z-max. This time, the Dr., did not seem concerned about my GF or treating her.
(1) Am I right in assuming that my NGU is safe? Meaning, because I have/had it, there is no potential harm to my GF?
(2) Should she be treated for NGU as well? She is currently travelling alot and the day that I can trace the NGU to is the only sexual contact we have had in weeks. Meaning, she performed oral (assuming thats how I got it) and then we had sex.
(3) Does the fact she has an IUD (Which I can occasionally feel, depending on position) change any recomendations?
(4) How reliable are those quick tests? I am not concerned about Chlamydia or other STD's because of the nature of my realtionship but am curious.
MEDICAL PROFESSIONAL
About 10-20% of men with nonchlamydial NGU have a relapse after threatment, so you are pretty typical. The usual approach (and the CDC recommendation) is to treat with the alternate recommended drug: doxycycline if originally treated with azithromycin (Zithromax) or the reverse if initially given doxy. There are no good data on whether it matters if men's female partners also are treated. Nonchlamydial NGU has never been proved to be harmful to women, so she likely is not at risk of a serious health outcome. However, it is unknown whether treating her might help prevent another recurrence of your symptoms.
1,2) It is uncertain whether your partner is at risk. See above.
3) There are no data on this, but I doubt your partner's IUD makes a difference.
4) I don't know what 'quick test' was done. Most likely it was a look under the microscope for gonorrhea, confirming your recurrent problem indeed was NGU and not gonorrhea.
At this point, I suggest you just see what happens in the next 1-2 weeks, and don't have sex during that time. Or if you just can't stand it, use condoms for either oral or vaginal. After a couple of weeks, resume unprotected sex. If the problem recurs yet again, then you and your partner both should be treated with doxycycline.
In the meantime, don't lose a lot of sleep over this. Nonchlamydial NGU has never been known to cause an important health outcome in men or women--no infertility, no urethral stricture, no cancer, etc--it's an inconvenience but probably not a serious health risk.
Good luck-- HHH, MD
1,2) It is uncertain whether your partner is at risk. See above.
3) There are no data on this, but I doubt your partner's IUD makes a difference.
4) I don't know what 'quick test' was done. Most likely it was a look under the microscope for gonorrhea, confirming your recurrent problem indeed was NGU and not gonorrhea.
At this point, I suggest you just see what happens in the next 1-2 weeks, and don't have sex during that time. Or if you just can't stand it, use condoms for either oral or vaginal. After a couple of weeks, resume unprotected sex. If the problem recurs yet again, then you and your partner both should be treated with doxycycline.
In the meantime, don't lose a lot of sleep over this. Nonchlamydial NGU has never been known to cause an important health outcome in men or women--no infertility, no urethral stricture, no cancer, etc--it's an inconvenience but probably not a serious health risk.
Good luck-- HHH, MD
Ive had persistent and reoccurring NGU for over a year now and most doctors are wrong about what a patient shold do while on the meds. The all say you can have protected sex which is wrong. I have been on meds and have had my symptoms almost completely gone but as soon as I had protected sex my symptoms came back in one or two days. Ive also heard that you can cosume alcohol while your body is fight of this superbug but I have donr that also and gotten the same results, after a night of drinking all symptoms returned and I was back on Dox yet again. IM still to this day tring to beat this thing but coincidently today my symptoms returned after a day of drinking and playing contact sports. I believe that the only way to beat this thing is to refrain from sex for at least a month and a half while on meds because a doc once told me that there are scars inside that need time to heal meaning no ejaculation or rough contact with the groing area
You are reading content posted in the STDs Forum
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