Continuation #118721
I am a top in a same-sex relationship, and since I have a fixed partner, we do not use condoms.
I experience symptoms such as redness and pain during oral sex, but I do not have these symptoms when I masturbate; however, my partner has no symptoms.
If this is caused by sexual activity, is it primarily due to a bacterial infection? Should I pause sexual activity until I heal, and then use condoms when we resume sexual activity? If I need to seek medical attention, should I see a dermatologist or a urologist?
AC, 20~29 year old female. Ask Date: 2017/02/09
Dr. Du Shixi reply Urology
Hello: In this situation, it may be advisable to use condoms for the time being.
You should consult a urologist for an examination, and a blood test may be unavoidable, as it appears that this issue has not occurred before but is happening now, indicating that there may be some underlying problem.
Skin issues can be difficult to diagnose; sometimes they are simply caused by bacteria or fungi, but it is best to have a doctor evaluate them.
(When seeing the doctor, be sure to explain your symptoms in detail; don't be embarrassed to speak up, as doctors are trained to be empathetic.)
Reply Date: 2017/02/09
More Info
When it comes to understanding urological symptoms, particularly in the context of sexual health, it is crucial to recognize the potential causes and appropriate actions to take. Based on your description, it seems you are experiencing symptoms such as redness and pain after oral sex with your partner, while your partner remains asymptomatic. This situation raises several important considerations.
Firstly, the symptoms you are experiencing could indeed be indicative of a sexually transmitted infection (STI) or another form of bacterial infection. Common STIs such as gonorrhea, chlamydia, or herpes can present with symptoms like redness, swelling, and pain in the genital area. However, it is also possible that the irritation could be due to non-infectious causes, such as friction, allergic reactions to lubricants or condoms, or even a skin condition. Since your partner does not exhibit any symptoms, it is less likely that the infection is being transmitted between you, but it is still essential to consider the possibility of asymptomatic infections.
Given these symptoms, it is advisable to temporarily abstain from sexual activities, particularly those that could exacerbate the irritation, such as oral sex. This will allow your body to heal and help prevent further irritation or potential transmission of an infection. When you do resume sexual activity, using protection such as condoms is a wise decision. Condoms can significantly reduce the risk of transmitting STIs and can also help prevent irritation caused by friction.
As for seeking medical help, the choice between a dermatologist and a urologist depends on the nature of your symptoms. If the primary concern is related to the genital area and potential infections, a urologist would be the more appropriate specialist to consult. Urologists specialize in the urinary tract and male reproductive system, making them well-equipped to diagnose and treat conditions related to your symptoms. They can perform necessary tests, such as urine analysis or swabs, to identify any infections and recommend appropriate treatments.
On the other hand, if the symptoms appear to be more skin-related, such as rashes or irritation that might suggest a dermatological issue, then a dermatologist could also be consulted. However, given the context of your symptoms following sexual activity, starting with a urologist would likely be the most effective route.
In summary, it is essential to take your symptoms seriously and seek medical advice. Temporary abstinence from sexual activities, particularly those that cause discomfort, is advisable until you can consult a healthcare professional. When you do seek help, a urologist would be the most appropriate choice to address your concerns regarding potential infections and to provide guidance on safe sexual practices moving forward. Remember, open communication with your partner about these symptoms is also crucial for both your health and theirs.
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