What is non gonococcal urethritis? Are the complications of non gonococcal urethritis serious

Urethritis has different classifications due to different bacterial infections, and non gonococcal urethritis is one of them. So what are the symptoms of female non gonococcal urethritis? What complications may occur if not treated in a timely manner? Let's learn about the characteristics and complications of non gonococcal urethritis.

Symptoms of non gonococcal urethritis

The characteristic of female non gonococcal urethritis is that the symptoms are not obvious or asymptomatic. When infection causes urethritis, approximately 50% of cases have frequent urination, burning sensation in the urethra, or difficulty urinating. A small amount of serous or mucopurulent secretion can be found at the urethral opening, but generally there is no or only mild symptoms of urinary pain. The cervix also has inflammation and erosion, and there are many lobulated white blood cells in the cervical secretions (over 10 under high magnification). During the examination, cervical edema, erosion, and increased vaginal discharge were found, often causing itching in the external genitalia or vagina. Female patients with vestibular gland disease may have enlarged and locally reddened vestibular glands, which may also form abscesses and require incision and drainage. Patients with concomitant salpingitis, endometritis, and pelvic inflammatory disease may experience corresponding symptoms.

This disease can be symptomatic or asymptomatic, and subclinical infections can persist for many years. Whether symptomatic or asymptomatic, the consequences are equally serious: in addition to urethritis and conjunctivitis, it can cause inflammation of other reproductive organs, such as epididymitis, prostatitis, vas deferens, cervicitis, vaginitis, salpingitis, and pelvic inflammatory disease, ultimately leading to infertility and ectopic pregnancy, as well as infecting infants and causing conjunctivitis and pneumonia. Male homosexuals can suffer from proctitis and pharyngitis.

Complications of female non gonococcal urethritis

1. Female non gonococcal urethritis causing vestibular macromastitis:

The glandular opening between the labia minora and the hymen is red and swollen, with local pain and, in severe cases, an abscess. Chronic recurrent attacks can form cysts, and examination can contact enlarged glandular ducts and glands.

2. Female non gonococcal urethritis causes pelvic inflammatory disease: acute and chronic.

A. Acute pelvic inflammatory disease: fever, headache, loss of appetite, lower abdominal pain, and may be accompanied by gastrointestinal symptoms such as bloating, nausea, and vomiting. Check for tenderness and rebound pain in the lower abdomen, tenderness in the uterine body, limited mobility, tenderness on both sides and posterior fornix of the uterine body, and sometimes on the hilum and mass.

B. Chronic pelvic inflammatory disease: Due to non gonococcal urethritis in women, systemic symptoms are not obvious, mainly manifested as lower abdominal distension, pain, and increased back pain and vaginal discharge. When ovarian function is affected, menstrual disorders may occur. Endometritis can lead to increased menstrual flow, prolonged or shortened periods, and dull abdominal pain. Check for restricted uterine activity, thickening of one or both fallopian tubes, presenting as a cable shaped or portal cystic mass, and tenderness around them. This complication is prone to recurrence, leading to tubal obstruction and is more common than gonococcal salpingitis.