Urethritis
Synopsis
Urethritis is the inflammation of the urethra—the tube that carries urine from the bladder to the outside of the body. It can result from infections (most commonly sexually transmitted bacteria like Chlamydia trachomatis or Neisseria gonorrhoeae), irritation from chemical exposures, or trauma. Both men and women can be affected, though symptoms may vary by sex. Urethritis often causes burning during urination, urinary frequency, discharge, or pelvic discomfort. While acute cases typically resolve with antibiotics, untreated infections can lead to complications such as bladder or reproductive tract involvement.
Types:
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Gonococcal urethritis: Caused by Neisseria gonorrhoeae
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Nongonococcal urethritis (NGU): Most often due to Chlamydia trachomatis, but also Mycoplasma, Ureaplasma, or viral causes
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Non-infectious urethritis: Caused by chemical irritants (e.g., soaps, spermicides) or physical trauma
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Recurrent or chronic urethritis: Persistent symptoms, may be due to inadequate treatment or reinfection
Common Causes:
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Unprotected sexual contact with an infected partner
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Bacterial infections from the gastrointestinal tract
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Chemical irritants (e.g., douches, spermicides, harsh soaps)
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Catheter use or injury to the urethra
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Viral infections (e.g., herpes simplex virus)
Severity Causes:
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Untreated STIs or repeated reinfection
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Coexisting bladder or prostate infection
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Suppressed immune function
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Delayed diagnosis or self-treatment without antibiotics
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Poor hydration or hygiene practices
When to See a Doctor:
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Burning or pain while urinating
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Urethral discharge (especially cloudy, yellow, or green)
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Frequent or urgent urination with pelvic discomfort
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Pain during intercourse or ejaculation
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Fever or back pain indicating deeper urinary tract involvement
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Symptoms that persist beyond a few days or worsen
Natural Remedies
Probiotics: Restore microbial balance and may reduce recurrence of urethral infections, especially in those with prior antibiotic use.
Aloe vera: Soothes urinary tract inflammation and may ease irritation during urination.
Vitamin C: Acidifies urine and supports immune function; may help inhibit bacterial growth in mild cases.
Zinc: Promotes immune response and mucosal tissue repair, helpful during active infection and recovery.
Hydration: Drinking plenty of water helps flush bacteria from the urinary tract and reduces discomfort during urination.
Avoid irritants: Refrain from using perfumed soaps, douches, or spermicides that can worsen urethral irritation.
Warm compress: Applying gentle heat to the pelvic area may ease discomfort and reduce inflammation.
Urinate after intercourse: Helps prevent bacterial entry into the urethra, especially in women.