Study participant inclusion and exclusion flowchart
Participants were excluded from this analysis if they had urethral discharge, tested positive for C. trachomatis, M. genitalium, N. gonorrhoeae, T. vaginalis, or urethrotropic Neisseria meningitidis strain US_NmUC, exhibited >1 polymorphonuclear leukocytes per high-power field (PMN/HPF) on their urethral Gram stain smear, reported antibiotic use in the past month, had genitourinary tract symptoms, or genital skin conditions.