Urethral Discharge: Symptoms, Causes, and Treatment Options - Urology

More Info

---

Urethral discharge can be a concerning symptom, especially following unprotected sexual intercourse. The presence of greenish discharge, along with pain in the glans and base of the penis, raises the suspicion of a sexually transmitted infection (STI), most commonly gonorrhea or chlamydia. The medications prescribed, Doxycycline and Scanol, are antibiotics that target bacterial infections, including those caused by these STIs.


Symptoms and Causes
1. Symptoms: The symptoms you are experiencing—greenish discharge, blood-streaked fluid, and localized pain—are indicative of urethritis, which is inflammation of the urethra. This condition can be caused by various pathogens, including Neisseria gonorrhoeae (gonorrhea) and Chlamydia trachomatis (chlamydia). The pain during movement, such as transitioning from lying down to sitting, may suggest irritation or inflammation in the urethra or surrounding tissues.

2. Causes: The primary causes of urethral discharge include:
- Gonorrhea: Often presents with purulent (pus-like) discharge and can be accompanied by pain during urination.

- Chlamydia: May cause a milder discharge and is often asymptomatic in the early stages.

- Other infections: Other bacterial infections, including those caused by Mycoplasma or Ureaplasma, can also lead to similar symptoms.


Treatment Options
The treatment you are currently undergoing with Doxycycline is appropriate for both gonorrhea and chlamydia. Doxycycline is effective against a range of bacterial infections, and Scanol (which typically contains an anti-inflammatory component) may help alleviate some discomfort.
1. Follow-up: It is crucial to follow up with your healthcare provider, especially if symptoms persist or worsen. The presence of blood in the discharge is concerning and warrants further evaluation. Your doctor may recommend additional tests, such as a urine test or swabs, to confirm the diagnosis and rule out other potential infections.

2. Potential Complications: If left untreated, STIs can lead to serious complications, including pelvic inflammatory disease (PID) in women and epididymitis in men. These conditions can cause chronic pain and fertility issues.


Fever and Gonorrhea
Regarding your question about fever: Gonorrhea can cause systemic symptoms, including fever, especially if the infection spreads beyond the urethra. However, not all patients with gonorrhea will experience fever. If you develop a fever, chills, or other systemic symptoms, it is essential to seek medical attention promptly, as this may indicate a more severe infection.


Conclusion
In summary, the symptoms you are experiencing are consistent with urethritis, likely due to a sexually transmitted infection. The antibiotics prescribed should help, but it is essential to monitor your symptoms closely. If you notice any worsening of your condition, such as increased pain, fever, or changes in discharge, return to your healthcare provider for further evaluation. Additionally, consider discussing safe sex practices with your partner to prevent future infections. Regular STI screenings are also recommended for sexually active individuals, especially after unprotected intercourse.