Patient's question:
Below is damp, there is a lot of white sponge-like substance on the glans, occasionally there is a temporary itch inside the glans, and sometimes the testicles feel very full. "When having sex with my girlfriend, it used to take a long time at first, but now it's about five to ten minutes."Doctor's answer:
Typical recommendations from the Health of the Ministry of Health of the People's Republic of China in the "Manual for Sexually Transmitted Disease Prevention and Control"(1) Recommended regimen for uncomplicated adult urethritis and cervicitis caused by Chlamydia or Mycoplasma: Doxycycline 100 mg, oral, twice daily for 7 days; or tetracycline hydrochloride 500 mg, oral, four times daily for at least 7 days, generally 2–3 weeks. Alternatively, switch to 250 mg, oral, four times daily after 7 days until 21 days; or minocycline 100 mg, oral, twice daily for 10 days; or oxytetracycline 250 mg, oral, four times daily for 7 days. Since tetracycline is not suitable for pregnant women, erythromycin, which causes less liver damage, can be used instead. The erythromycin treatment dose is 500 mg, oral, four times daily for 7 days. In addition to oral medication, Jiaoyan Jieyin Wash, containing PHMB, is used for both internal and external washing as a complementary treatment.
(2) Sexual partners of the patient should also be examined and treated.
(3) Due to the prevalence of penicillin-resistant Neisseria gonorrhoeae strains and the fact that up to 45% of gonorrhea patients are also infected with Chlamydia, while rapid and reliable methods for detecting Chlamydia are currently lacking, a combination of ceftriaxone sodium (250 mg, single intramuscular injection) and doxycycline (100 mg, oral, twice daily for 7 days) is recommended for the concurrent treatment of gonorrhea and NGU.
The criterion for cure is the disappearance of symptoms, absence of urethral discharge, and no white blood cells in the urine sediment. NGU has a good prognosis after treatment, with symptoms resolving and no. I have encountered many such patients.