Non-specific urethritis - Diagnosis 

Diagnosing non-specific urethritis 

Chlamydia test

In this dramatisation, teenage couple Ben and Rosie get tested for sexually transmitted infections, including chlamydia.

What happens at a sexual health clinic?

  • Some clinics are walk-in clinics and at some you need to book an appointment. Phone the clinic to find out. You do not need a referral from your GP.
  • When you attend a clinic, you will be asked to fill in a form with your name and contact details. Any details you give will be confidential. 
  • You will be asked why you have attended the clinic. 
  • You will be asked about your sexual history, for example, when you last had sex, whether you used condoms and whether you have had an STI before.
  • If you are attending the clinic for non-specific urethritis (NSU), you will be offered tests for STIs. You do not have to agree, although it is recommended. Tests can only be done with your consent.
  • You will need to give a urine or blood sample for some STI tests. 
  • The results of some tests will be available straight away. Others need to be sent to a laboratory and will take a week or two.
  • If you need any treatment, this will be discussed with you. 
  • If you have an STI, your partner (and any recent partners) will need to be tested and, if necessary, treated to prevent the infection being passed on to anyone else.  
  • Staff at the sexual health clinic will be able to advise you about the sexual partners who will need to be contacted, and may be able to contact them on your behalf. If you wish, your anonymity will be protected when contacting your previous sexual partners.

If you think you have non-specific urethritis (NSU), you should visit your local genitourinary medicine (GUM) clinic or sexual health clinic. These clinics have access to specialist diagnostic equipment that is probably not readily available to your GP.

You can use the Find services directory to find sexual health services in your area. Sexual health services are free and available to everyone regardless of sex, age, ethnic origin and sexual orientation.

Possible tests

There are two tests that are often used to diagnose NSU. Either test can be used, although both may be carried out to ensure that the diagnosis is correct.

It is recommended that you are also tested for gonorrhoea and chlamydia at the same time as NSU. These are two sexually transmitted infections (STIs) that often cause urethritis.

You may also be offered tests for other STIs, including HIV. It is up to you whether to have these or not, but a test for all infections is recommended. You can discuss this with the healthcare professionals at the clinic if you wish. 

Swab test

A swab test involves taking a small sample of cells from your urethra, which is the tube that carries urine from the bladder to the outside of the body. The cells can then be examined under a microscope to look for evidence of inflammation or bacteria known to cause NSU.

The cells are taken using a swab, which is like a small cotton bud with a plastic loop at the end. The swab is not painful but can feel a little uncomfortable for a few seconds.

Urine test

Men will be asked to provide a urine sample so that this can be tested for bacteria known to cause NSU, for example chlamydia and gonorrhoea.

You will be asked not to urinate for around two hours before providing a urine sample, because this can help improve the reliability of the test results. Ideally, you should hold your urine for at least 4 hours before having the tests done.

Results

Clinics that have microscope facilities will be able to give you some initial results the same day. Other clinics may need to send the samples to a laboratory for testing, in which case the test results may not be available for a week or two.

The healthcare professionals at the clinic will tell you how and when you will receive your test results and will arrange your treatment.

Last reviewed: 04/11/2010

Next review due: 04/11/2012

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