URETHRITIS AND CERVICITIS – CLINICAL MANIFESTATIONS
Urethritis may present with urethral discharge, tingling, itchiness and dysuria. Posterior urethritis may cause frequency and urgency. The discharge may be watery or sticky or thick and pumlent If the discharge is frankly purulent, the infection is more likely to be gonococcal. Meatal inflammation may be present particularly in gonococcal urethritis.
The infection may progress to epididymitis, prostatitis or vesiculitis. Epididymitis is commonly unilateral. Infertility is an important sequel. Persistent or recurrent urethral symptoms may occur, often without discharge or any demonstrable microorganisms.
Most women with cervicitis present as the symptom-free contacts of men with NGU. Cervicitis may, however, present with vaginal discharge, symptoms of urethritis or lower abdominal pain. Speculum examination may reveal a cervical discharge and an inflamed cervix but the cervix commonly appears normal.
The most important complication of gonorrhoea or NGC is the spread to the upper genital tract causing endometritis, salpingitis and pelvic inflammatory disease (see chapter 6). Late sequelae are ectopic pregnancy and infertility.
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