Urethral Treatment: Symptoms, Medications, and Concerns - Urology

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Urethral treatment


Hello, I had unprotected oral sex with a stranger on December 31, and protected intercourse on January 4.
On January 5, I experienced some mild abdominal pain and a slight swelling and pain in my scrotum.
I started to notice increased urinary frequency.
On the evening of January 6, after a DIY session, I suddenly felt a sharp, burning sensation for a brief moment, which then subsided.
After showering, I felt something unusual in my urethra, like a slight itch, but I wasn't sure if it was psychological.
That night, I went to the hospital for an examination, and the doctor prescribed Borymycin capsules and Fucole Paran tablets.
After taking them, I still felt something odd in my urethra, but it wasn't itching, burning, or sharp pain.
It wasn't particularly painful or unbearable; I just felt an indescribable sensation in my urethra.
Urination and erections didn't cause pain, but I still felt something strange in my urethra.
Currently, I have no significant sensations in my scrotum or abdomen, but I suspect it might be gonorrhea.
I would like to ask what the side effects of these medications are, and whether they are effective in treating gonorrhea or other possible STDs.
Additionally, can I engage in DIY activities while on medication? Will it affect the treatment? Thank you.

r, 30~39 year old female. Ask Date: 2017/01/07

Dr. Du Shixi reply Urology


Hello: Your condition may need to be examined and explained by your physician.
Generally, medications have few side effects.
Please drink plenty of water, avoid alcohol, and limit your intake of irritating foods.
Do not attempt to adjust your medication schedule on your own to prevent any discomfort.

Reply Date: 2017/01/07

More Info


It sounds like you are experiencing some concerning symptoms following recent sexual encounters, and you have been prescribed medications to address these issues. Let's break down your situation, the medications you've been given, and the potential implications for your health.


Understanding Your Symptoms
You mentioned experiencing lower abdominal pain, a sensation of swelling in the scrotum, increased frequency of urination, and a peculiar feeling in the urethra. These symptoms can be indicative of a urinary tract infection (UTI), sexually transmitted infections (STIs) such as gonorrhea or chlamydia, or even prostatitis. The sudden sharp pain and burning sensation you experienced could also suggest an acute inflammatory response in the urethra or surrounding tissues.


Medications Prescribed
You were prescribed Borymycin (likely a form of antibiotic) and Fucole Paran (which may be a combination medication for treating infections). These medications are typically used to treat bacterial infections, including those caused by STIs.
1. Borymycin: This is an antibiotic that can be effective against certain bacterial infections, including those caused by gonorrhea. However, its effectiveness will depend on the specific bacteria involved in your infection. Common side effects of antibiotics can include gastrointestinal upset, allergic reactions, and, in some cases, yeast infections due to disruption of normal flora.

2. Fucole Paran: This medication may contain ingredients that help alleviate symptoms associated with infections or inflammation. The specific side effects would depend on its formulation, but common side effects could include nausea, dizziness, or allergic reactions.


Effectiveness Against STIs
While the medications you are taking may be effective against certain STIs, it is crucial to have a proper diagnosis. If you suspect you have gonorrhea or another STI, it is essential to follow up with your healthcare provider for testing. Some STIs require specific antibiotics, and self-treatment without a confirmed diagnosis can lead to complications or ineffective treatment.


Concerns About Sexual Activity During Treatment
Regarding your question about engaging in sexual activity (referred to as "DIY" in your message) while on medication: it is generally advised to avoid sexual activity until you have completed your course of antibiotics and have been cleared by your healthcare provider. Engaging in sexual activity during treatment can potentially spread an infection to a partner or exacerbate your symptoms. Additionally, if you are experiencing discomfort or unusual sensations, it is best to refrain from sexual activity until you have fully recovered.


Conclusion and Recommendations
1. Follow Up: It is crucial to follow up with your healthcare provider, especially if your symptoms persist or worsen. They may recommend further testing or a different course of treatment based on your symptoms and any test results.

2. Avoid Sexual Activity: Until you have completed your treatment and received clearance from your doctor, it is advisable to avoid sexual activity to prevent complications and protect your partner's health.

3. Monitor Symptoms: Keep track of any changes in your symptoms, and report these to your healthcare provider. If you experience severe pain, fever, or other concerning symptoms, seek medical attention promptly.

4. Educate Yourself: Understanding STIs and their symptoms can help you make informed decisions about your sexual health. Consider discussing safe sex practices with your partner to reduce the risk of future infections.

By taking these steps, you can ensure that you are addressing your health concerns effectively and responsibly.

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