Penis Itching: Causes, Testing, and Safety Concerns - Urology

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Itchy penis?


Hello, doctor: Since mid-July, I have engaged in sexual activities with sex workers a total of four times, and I confirmed that condoms were used throughout each encounter.
The last encounter was on August 30, during which I only received oral sex (also with a condom).
Recently, for the past two days, I have experienced some itching on my penis, and upon retracting the foreskin, I noticed a small red area.
There is no pain during urination.
I had an HIV test in early July, which was negative.

I would like to ask:
1.
Do I have a sexually transmitted infection (STI)?
2.
If I get tested for STIs within the next week, will the results be conclusive?
3.
Can I transmit anything to my family through normal living? Should I consider renting a place to live separately?

A Yuan, 20~29 year old female. Ask Date: 2016/09/07

Dr. Sun Hongshun reply Urology


Hello: 1.
Sexually transmitted infections cannot be ruled out, but the likelihood of balanitis is higher.
2.
There are many types of STI screenings; please consult an infectious disease specialist for evaluation.
3.
Daily life is generally not affected, but it is advisable to avoid using public restrooms to prevent any potential transmission of infectious bodily fluids to family members with open wounds.
It is recommended to visit an infectious disease outpatient clinic as soon as possible, and I would like to emphasize the importance of practicing safe sex.

Reply Date: 2016/09/07

More Info


It sounds like you're experiencing some concerning symptoms, and it's important to address your questions regarding penis itching, potential sexually transmitted infections (STIs), and safety concerns.
1. Is this an STI?
The itching and redness you describe could be caused by several factors, including irritation, an allergic reaction, or a sexually transmitted infection (STI). Common STIs that can cause itching include genital herpes, chlamydia, and gonorrhea, but these typically present with additional symptoms such as discharge or pain during urination. Since you mentioned that you have been using condoms consistently, the risk of contracting an STI is significantly reduced, but not entirely eliminated. It's also possible that the irritation could be due to friction, soap, or other irritants rather than an infection.

2. Can I get tested for STIs within the next week?
Yes, you can get tested for STIs, and many tests can provide results within a week. However, the timing of the test is crucial. For some infections, such as HIV, it may take a few weeks after exposure for the virus to be detectable. Since your last sexual encounter was on August 30, you should consult with a healthcare provider about the appropriate timing for testing based on the specific STIs you are concerned about. They may recommend testing for chlamydia, gonorrhea, syphilis, and HIV, among others.

3. Will I transmit anything to my family?
In general, STIs are transmitted through sexual contact, and the risk of transmission through casual contact (like sharing a bathroom or living space) is extremely low. If you are experiencing symptoms of an STI, it is advisable to avoid sexual contact until you have been evaluated and treated by a healthcare professional. If you are concerned about your symptoms, it may be wise to temporarily avoid close physical contact with others until you have more information.

Additional Considerations:
- Hygiene: Maintaining good hygiene is essential. Ensure that you are cleaning the genital area gently and thoroughly, and avoid using harsh soaps or products that could cause irritation.

- Consult a Healthcare Provider: Given your symptoms, it is advisable to see a healthcare provider for a proper examination. They can provide a diagnosis and recommend appropriate treatment if necessary.

- Mental Health: Experiencing symptoms and worrying about STIs can be stressful. It may be helpful to talk to someone about your concerns, whether it's a healthcare provider or a trusted friend.

In summary, while your symptoms could be indicative of an STI, they could also be due to non-infectious causes. Getting tested and consulting with a healthcare provider will give you the best chance of understanding your situation and receiving appropriate care. Remember, early detection and treatment are key in managing any potential health issues.

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