Urethral issues
I apologize for the interruption, doctor.
I would like to ask a question.
Recently, I have had sexual intercourse with my girlfriend without using protection, but we are in a committed relationship.
A while ago, I noticed small red spots on the glans.
I applied some ointment, and it seemed to improve.
After a period of abstinence, I had intercourse with my girlfriend again yesterday.
This morning, I noticed a small amount of yellow discharge from the urethral opening, and the area around the urethra appears red and swollen.
After not urinating for a long time, I also noticed a small amount of yellow discharge, but there is no pain.
I would like to ask the doctor if this could be urethritis?
Wu Kuanhao, 20~29 year old female. Ask Date: 2016/06/21
Dr. Chen Jiansheng reply Urology
Hello Mr.
Wu Kuan-Hao: Based on your description, it is possible that you have urethritis.
Please visit the Urology Department at Xinying Hospital for further examination.
Dr.
Chen Jian-Sheng.
Reply Date: 2016/06/21
More Info
It sounds like you are experiencing some concerning symptoms following unprotected sexual activity with your girlfriend. The presence of small red spots on the glans (the head of the penis), along with yellow discharge from the urethra and redness, could indicate a few potential issues, including urethritis or a sexually transmitted infection (STI).
Urethritis is an inflammation of the urethra, which can be caused by infections, including those from bacteria, viruses, or fungi. Common symptoms of urethritis include:
1. Discharge: This can be clear, cloudy, or yellowish, as you described.
2. Pain or burning sensation during urination: While you mentioned that you do not have pain, some individuals may experience discomfort.
3. Redness or swelling at the urethral opening: This is consistent with what you are experiencing.
4. Frequent urge to urinate: You might feel the need to urinate more often, even if little comes out.
Given your symptoms, it is crucial to consider the possibility of an STI, especially since you mentioned having unprotected sex. Common STIs that can cause similar symptoms include gonorrhea and chlamydia. Both of these infections can lead to urethritis and may not always present with severe symptoms, particularly in the early stages.
Here are some important steps you should take:
1. Seek Medical Attention: It is essential to consult a healthcare provider as soon as possible. They can perform tests to determine the exact cause of your symptoms and provide appropriate treatment. This may include urine tests, swabs, or blood tests.
2. Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to refrain from sexual activity to prevent potential transmission of any infection to your partner and to avoid exacerbating your symptoms.
3. Inform Your Partner: It is important to communicate with your girlfriend about your symptoms and the need for both of you to get tested. This helps ensure that both of you receive appropriate care and treatment.
4. Follow Treatment Recommendations: If diagnosed with an infection, follow your healthcare provider's instructions regarding medications and follow-up appointments. Completing the full course of any prescribed antibiotics is crucial to ensure the infection is fully resolved.
5. Practice Safe Sex in the Future: To reduce the risk of STIs and other infections, consider using condoms consistently and correctly during sexual activity, even with a fixed partner. This is an effective way to protect both you and your partner from infections.
In conclusion, while your symptoms may suggest urethritis, only a healthcare professional can provide a definitive diagnosis and treatment plan. It is important to address these symptoms promptly to avoid complications and ensure both your health and that of your partner. Remember, seeking help is a positive step towards maintaining your sexual health and well-being.
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