Penile discharge

Written by Dr Geoff Hackett, consultant in sexual dysfunction

Contact tracing

It is essential that sexual contacts of men with gonococcal urethritis and NSU are traced and treated, preferably in an STD clinic. Without treatment of sexual contacts, recurrence is likely and treatment will probably fail. Pregnant or potentially pregnant sexual partners should not be given erythromycin or tetracycline antibiotics (including doxycycline).

Conventional therapy for NSU fails in 25 per cent of cases. Longer courses of antibiotics have not been shown to be of benefit and re-infection from a new or untreated partner is the usual cause.

It is important to realise that recurrence of NSU can cause considerable psychological strain on individuals and relationships and it is important that both partners in a relationship have a full explanation and understanding of the nature of the condition.

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