Unexplained Symptoms After Safe Sex: Urological Concerns

Q: Unexplained Symptoms After Safe Sex: Urological Concerns

Hello： It is possible that it is just a skin inflammation. <br>Take good care of your skin by keeping it clean and dry. <br>As for the yellow coating near the throat on your tongue, it seems to have some bumps, while the area near the teeth is very white with some small spots. <b

No viruses were detected, but there are some symptoms present?

Hello, doctor! I engaged in sexual activities on June 6, including unprotected oral sex and protected vaginal intercourse, but I remember there was some unprotected rubbing of the vulva.
Afterward, I didn't wash immediately but waited until I got home, which took about 30 minutes.
I went to a large hospital for an HIV blood test in mid-July, and the result was negative.
Starting in August, I began to feel a dryness in my mouth, and I developed a bit of eczema on my chest.
By the end of August, I noticed some skin irritation on my penis, which was painful but not itchy, and I experienced a burning sensation while urinating, along with an unusual feeling in my urethra.
On September 2, I visited a urologist who diagnosed me with balanitis and prescribed antibiotics and ointment.
That day, I also underwent 13 tests for STIs, including HIV, and when I received the results on September 6, there were no abnormal values.
I also took an HIV test at the health department that day, and the result was negative on September 12.
However, my balanitis has not improved.
On September 25, I went to another urologist who also diagnosed me with balanitis.
Since the September tests showed no issues, it was concluded that it was not an STI, and I was given more ointment and antibiotics.
To this day, while I feel somewhat better, I still have an odd sensation in my urethra, and there seems to be a small blister at the junction of my glans and penis.
Additionally, the coating on my tongue near the throat has turned yellow and appears to have small bumps, while the area near my teeth is very white with tiny spots.
I haven't seen any ulcers, but I still feel dry.
I want to ask why, despite having undergone so many tests with no issues, I still have so many symptoms that resemble a disease? Could it simply be that I am under a lot of stress, leading to an immune system imbalance? Also, I always wear tight underwear.
Thank you for taking the time to read this!

liù yuè yǒu qù piáo, 20~29 year old female. Ask Date: 2017/09/29

Dr. Du Shixi reply Urology

Hello: It is possible that it is just a skin inflammation.
Take good care of your skin by keeping it clean and dry.
As for the yellow coating near the throat on your tongue, it seems to have some bumps, while the area near the teeth is very white with some small spots.
Currently, there are no signs of ulceration, but it still feels quite rough.
--> It is advisable to seek medical examination.
Wishing you good health.

Reply Date: 2017/09/29

More Info

It sounds like you’ve been through a lot of stress and uncertainty regarding your sexual health, and I commend you for being proactive in seeking medical advice and testing. Based on your description, it seems you have experienced a range of symptoms following a sexual encounter, and despite multiple tests returning negative results for sexually transmitted infections (STIs), you are still experiencing discomfort and other symptoms.

First, let’s address the symptoms you’ve mentioned. The burning sensation during urination, the discomfort in the glans (head of the penis), and the skin issues you described could indeed be related to a condition known as balanitis, which is inflammation of the glans. This can occur for various reasons, including irritation from soaps, detergents, or even friction during sexual activity. It’s also possible that the symptoms could be exacerbated by tight-fitting underwear, which can trap moisture and create an environment conducive to irritation or infection.

The yellow coating on your tongue and the white patches near your teeth could indicate oral thrush or another oral condition, which might not be directly related to STIs but could be a sign of an imbalance in your oral flora or even stress affecting your immune system. Stress can indeed have a significant impact on your overall health, including your immune response, potentially making you more susceptible to infections or irritations.

Given that you have tested negative for STIs multiple times, it is less likely that your symptoms are due to an STI, especially considering the timing of your tests and the nature of your symptoms. However, it is essential to continue monitoring your symptoms and maintain open communication with your healthcare provider. If your symptoms persist or worsen, further evaluation may be necessary. This could include a referral to a dermatologist for skin issues or an ENT specialist for your oral symptoms.

In terms of self-care, here are some recommendations:
1. Hygiene: Maintain good genital hygiene, but avoid over-washing, which can lead to irritation. Use mild, unscented soap and ensure the area is thoroughly dried after washing.

2. Clothing: Consider wearing loose-fitting underwear and clothing to reduce friction and allow for better airflow.

3. Diet and Hydration: Stay hydrated and maintain a balanced diet rich in fruits, vegetables, and probiotics, which can support your immune system and overall health.

4. Stress Management: Engage in stress-reducing activities such as exercise, meditation, or hobbies that you enjoy. Managing stress can help improve your overall well-being and may alleviate some of the symptoms you’re experiencing.

5. Follow-Up: Continue to follow up with your healthcare provider if symptoms persist. They may consider additional tests or treatments based on your ongoing symptoms.

Lastly, it’s crucial to communicate with any sexual partners about your health status and any concerns you may have. Open dialogue can help ensure that everyone involved is informed and can take appropriate precautions.

In summary, while your symptoms are concerning, the negative STI tests suggest that they may not be related to an infection. It’s essential to continue working with your healthcare provider to explore other potential causes and to manage your symptoms effectively. Remember, taking care of your mental health is just as important as your physical health, so don’t hesitate to seek support if you’re feeling overwhelmed.

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