Penile Discharge and Pain After Oral Sex: What to Do?

Q: Penile Discharge and Pain After Oral Sex: What to Do?

Hello： General urethral discharge may not be completely cured with your method. <br>The topical treatment you suggested is not entirely appropriate; instead of using mentholated ointments, an anti-inflammatory cream is necessary. <br>Maintaining cleanliness and dryness is crucial

Purulent discharge from the penis, with redness and swelling of the glans?

Hello doctor, three days ago I engaged in oral sex with significant force.
The next day, I noticed redness and swelling of the glans, along with a burning sensation, itching, and even pain during urination.
The area around the glans and foreskin is also somewhat red.
This morning, I found yellow pus on my underwear.
I have been using Betadine for disinfection, applying Mentholatum for inflammation, taking vitamin C, and drinking plenty of water, but there has been no improvement.
I would like to know if I might have a bacterial infection, and if oral sex can transmit HIV.
Is there a treatment direction I should consider? I live in a remote area without access to a hospital and hope to find some answers.

Xiao Xin, 20~29 year old female. Ask Date: 2018/01/25

Dr. Du Shixi reply Urology

Hello: General urethral discharge may not be completely cured with your method.
The topical treatment you suggested is not entirely appropriate; instead of using mentholated ointments, an anti-inflammatory cream is necessary.
Maintaining cleanliness and dryness is crucial, and it is important to drink plenty of water while avoiding spicy foods and alcohol.
If there is no hospital available, at least you should visit a clinic to get medication for a better chance of recovery.
Wishing you good health.
If you experience a fever, you should go to the hospital.
(If the other person has HIV, there is a risk, but your current symptoms do not indicate HIV.) Please practice safe sex.

Reply Date: 2018/01/25

More Info

It sounds like you're experiencing some concerning symptoms following oral sex, and it's understandable to feel anxious about potential infections. Let's break down your situation and address your questions.

Understanding Your Symptoms
1. Symptoms: The redness, swelling, burning sensation during urination, itching, and the presence of yellow discharge are indicative of a possible infection. This could be due to a sexually transmitted infection (STI) or a non-STI-related condition, such as a yeast infection or bacterial infection.

2. Oral Sex and STIs: Oral sex can transmit certain STIs, including gonorrhea, chlamydia, syphilis, and herpes. While the risk of contracting HIV through oral sex is lower compared to vaginal or anal sex, it is still possible, especially if there are cuts or sores in the mouth or on the genitals.

What to Do Next
1. Seek Medical Attention: Since you are experiencing significant symptoms, it is crucial to seek medical attention as soon as possible. Even if you are in a remote area, consider visiting a nearby clinic or health center. A healthcare professional can perform a physical examination, take a detailed history, and conduct necessary tests to determine the cause of your symptoms.

2. Testing for STIs: You should ask for tests for common STIs, including gonorrhea, chlamydia, syphilis, and herpes. A urinalysis may also be helpful to check for urinary tract infections (UTIs) or other issues.

3. Treatment: If an infection is confirmed, treatment will depend on the specific pathogen identified. Bacterial infections are typically treated with antibiotics, while viral infections may require antiviral medications.
4. Home Care: While waiting for medical attention, continue to maintain good hygiene. Avoid using harsh soaps or irritants on the genital area. Drinking plenty of fluids can help flush out your urinary system, and over-the-counter pain relievers may help alleviate discomfort.

Addressing Your Concerns
1. HIV Risk: As mentioned, the risk of HIV transmission through oral sex is lower than through other forms of sexual activity, but it is not zero. If you are concerned about HIV, consider getting tested for it as well.

2. Self-Medication: While you mentioned using iodine and topical treatments, it's important to be cautious with self-medication. Some products can irritate the skin further or mask symptoms without addressing the underlying issue.

3. Psychological Impact: It's common to feel anxious or worried after experiencing symptoms following sexual activity. Remember that many STIs are treatable, and early intervention can lead to better outcomes.

Conclusion
In summary, your symptoms warrant a medical evaluation to determine the cause and appropriate treatment. While it's understandable to have concerns about STIs, many conditions can be effectively treated with the right medical care. Don't hesitate to seek help, as addressing these issues promptly can help alleviate your symptoms and anxiety. Remember, your health is important, and taking proactive steps is the best way to ensure your well-being.

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