Is it gonorrhea?
Hello Doctor, I have been experiencing mild lower back pain intermittently over the past couple of days.
It's not severe and lasts for a short time, occurring about 2-3 times.
Additionally, I sometimes feel a slight burning sensation at the tip of my urethra, but this is also occasional and mild.
It has been over 50 days since my last sexual encounter (without a condom), and I have not experienced any urethral discharge or burning sensation while urinating.
I would like to know if this could be caused by gonorrhea or if there are other possible explanations.
Thank you, Doctor!
Wen, 30~39 year old female. Ask Date: 2017/11/17
Dr. Du Shixi reply Urology
Hello: If there has been no sexual activity for fifty days, it is unlikely to be gonorrhea.
As for any issues, a proper examination is necessary for diagnosis.
Wishing you good health.
Reply Date: 2017/11/17
More Info
Based on your symptoms and the timeline you've provided, it is understandable to be concerned about the possibility of a sexually transmitted infection (STI) such as gonorrhea. However, there are several factors to consider when evaluating your symptoms.
Gonorrhea typically presents with more pronounced symptoms, especially in males. Common symptoms include a burning sensation during urination, increased urinary frequency, and discharge from the penis. While you mentioned experiencing some mild discomfort at the tip of the urethra and occasional lower back pain, the absence of significant symptoms such as discharge or burning during urination makes gonorrhea less likely.
The mild pain in your lower back and the occasional acidic sensation in the urethra could be attributed to a variety of other factors. For instance, urinary tract infections (UTIs) can cause discomfort and may not always present with the classic symptoms. Additionally, prostatitis, which is inflammation of the prostate gland, can also lead to similar symptoms, including pelvic pain and discomfort during urination.
Another possibility is that your symptoms could be related to anxiety or stress. Psychological factors can manifest physically, leading to sensations of discomfort or pain in various parts of the body, including the lower back and urinary tract.
Given that you have not experienced any significant symptoms such as discharge or burning, it may be prudent to monitor your symptoms for a little while longer. However, if the discomfort persists or worsens, or if you develop new symptoms, it would be wise to consult a healthcare professional for a thorough evaluation. They may recommend tests to rule out STIs or other conditions, such as a urine test or a physical examination.
It is also important to consider your sexual health practices moving forward. Using protection, such as condoms, during sexual activity can significantly reduce the risk of STIs, including gonorrhea. Regular screenings for STIs are also advisable, especially if you have had unprotected sex.
In summary, while your symptoms could potentially be related to gonorrhea, the lack of more typical signs makes it less likely. Other conditions, including UTIs or prostatitis, could be responsible for your discomfort. If you remain concerned or if your symptoms change, seeking medical advice would be the best course of action. Remember, early diagnosis and treatment are key to managing any potential health issues effectively.
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