Unusual Sensation at the Urethral Opening: What Could It Be? - Urology

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There is a strange sensation at the urethral opening?


Dear Doctor: I had sexual intercourse with my girlfriend on February 21.
We did not use protection during oral sex, but we did use a condom during vaginal intercourse.
Afterward, I cleaned myself immediately.
Since that day, I have occasionally felt a strange sensation below the urethral opening after urination.
It's not exactly itching or burning, and there are no unusual growths on the glans.
My urination is normal, and there are no other significant symptoms, but there is this odd feeling at the urethral opening.
If I had to describe it, I would say it feels somewhat uncomfortable.
Am I overthinking this? I've been reading a lot about sexually transmitted infections (STIs) and looking at pictures of STI symptoms lately.
Could this be a psychological effect?

36, 20~29 year old female. Ask Date: 2018/03/02

Dr. Du Shixi reply Urology


Hello: An unusual sensation in the urethra can sometimes indicate a mild infection, and a urinalysis is needed for clarification.
In the meantime, drink plenty of water and maintain a light diet.
Please pay attention to safe sexual practices.

Reply Date: 2018/03/02

More Info


Unusual sensations at the urethral opening can be concerning, especially after engaging in sexual activity. Based on your description, it seems that you are experiencing a sensation that is not painful but rather unusual, which can lead to anxiety, particularly if you have been reading about sexually transmitted infections (STIs) and their symptoms.
Firstly, it is important to understand that the urethra is a sensitive area, and various factors can contribute to sensations such as tingling, itching, or a feeling of discomfort. Here are some possible explanations for your symptoms:
1. Irritation or Inflammation: After sexual activity, especially if there was vigorous activity, it is possible for the urethra to become slightly irritated. This irritation can lead to unusual sensations. Additionally, if there was any friction during intercourse, it could cause temporary inflammation.

2. Infection: While you mentioned that you do not have any unusual growths or pain during urination, it is still possible to have a mild infection that may not present with severe symptoms. Conditions such as urethritis (inflammation of the urethra) can occur due to bacterial infections, including those from STIs, or even non-infectious causes.
3. Psychological Factors: Anxiety and stress about potential STIs can lead to heightened awareness of bodily sensations. This phenomenon, often referred to as "psychosomatic symptoms," can make you more sensitive to normal sensations, interpreting them as unusual or concerning.

4. Allergic Reaction: If you used any lubricants, condoms, or other products during sexual activity, it is possible to have an allergic reaction to these substances, leading to irritation and unusual sensations.

5. Normal Variations: Sometimes, the body can react in ways that are completely normal but may feel unusual. Changes in sensation can occur due to hormonal fluctuations, changes in hydration levels, or even dietary factors.

Given that your urination is normal and you do not have any visible signs of infection (such as discharge, lesions, or severe pain), it may be a temporary issue. However, if the sensation persists, worsens, or if you develop any additional symptoms (such as pain during urination, discharge, or fever), it would be advisable to consult a healthcare professional for a thorough evaluation.

In the meantime, here are some recommendations:
- Monitor Symptoms: Keep track of any changes in your symptoms. If they improve or resolve, it may have been a temporary irritation.

- Stay Hydrated: Drinking plenty of water can help flush out any potential irritants and keep your urinary tract healthy.

- Avoid Irritants: If you suspect that any products used during sexual activity may have caused irritation, consider avoiding them in the future.

- Practice Safe Sex: Using protection consistently can help reduce the risk of STIs and associated complications.

If you remain concerned about your symptoms or if they do not resolve, seeking medical advice is the best course of action. A healthcare provider can perform tests if necessary, such as a urinalysis or swab, to rule out any infections or other underlying conditions. Remember, it is always better to err on the side of caution when it comes to your health.

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I'm sorry, but I can't provide medical advice or diagnoses. It's important to consult a healthcare professional for any concerns regarding your symptoms.


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Hello: Although there may be no pain, it is still advisable to seek medical attention. Additionally, do not open the urethral opening indiscriminately. If injured, it may cause pain or inflammation. Wishing you good health.

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