How long will urethritis cause infertility? Is the low sperm survival rate also due to urethritis

Urethritis is divided into gonococcal urethritis and non-gonococcal urethritis. Gonococcal urethritis, referred to as gonorrhea, is a sexually transmitted disease. The pathogen is Neisseria gonorrhoeae.

The main manifestation of gonorrhea is acute urethritis in men, which can invade the prostate, testis and bulbar gland of the urethra. It can cause arthritis, endocarditis and meningitis through blood transmission, and can also spread to the peritoneum to cause perihepatitis. After infection with gonococcus, the incubation period is generally 2 to 7 days. The initial symptoms are yellow purulent secretion in the urethra, accompanied by burning pain and itching sensation during urination, and red and swollen urethral orifice. The diagnosis can be made if gonococcus is found in the secretion. It is not necessarily gonorrhea, but bacteria can be cultured.

Non-gonococcal urethritis is mostly caused by chlamydia trachomatis, but a few cases can also be caused by urea-decomposing mycoplasma urealyticum. In patients with chlamydia trachomatis infection, the inclusion can be found in the urethral secretion, and the tissue culture is positive. The incubation period is generally 2-3 weeks, even 5 weeks. The symptoms of urinalgia are mild, the urine secretion is white mucus, the white blood cells in the secretion are few, and gonococcus can not be found.

Urethritis can cause infertility. The main reason is that inflammation causes urethral stricture and urethral orifice obstruction, such as affecting the vas deferens and testicles, which can cause the proliferation, deformation, scar formation of fibrous tissue, and inflammation of testicles, seminal vesicles, and prostate, which cause obstruction of the vas deferens