Urinary Issues: Concerns About STIs and Anxiety

Q: Urinary Issues: Concerns About STIs and Anxiety

Hello： 1) If the test results are negative, it is considered normal. <br>2) No, it will not. <br>3) You need to get tested to know; it's not something to be taken lightly. <br>4) If you have symptoms, you should go to the urology department, and the infectious disease department

Urinary issues, as well as gonorrhea and chlamydia concerns?

Hello, Doctor.
I had unprotected oral sex with a sex worker on April 7 for less than a minute, and I immediately wiped myself with a wet tissue afterward.
A month later, I went to a private health laboratory for testing, and the RT-PCR results were normal.
I also had a full STD screening (HIV, syphilis, herpes, chlamydia, gonorrhea), and all results were normal.
Then, on May 12 and May 17, I had sexual intercourse with a sex worker.
On May 12, I only had protected oral sex, and on May 17, I had protected oral sex and kissing, which involved my tongue entering her mouth, so it should be considered deep kissing.
Additionally, she performed manual stimulation on me without touching her vaginal secretions first.
After the encounter, I spat out saliva several times, rinsed my mouth with water, and brushed my teeth (with toothpaste), and I also washed my genitals with water.
Recently, I have been feeling anxious and have a sensation of something stuck in my throat.
Both Western and Traditional Chinese Medicine doctors suggested it might be a slight throat inflammation caused by post-nasal drip.
From May 21 to May 25, I only took Chinese medicine, and today, May 25, I switched to taking both Chinese and Western medicine (I take Chinese medicine first and wait an hour before taking Western medicine).
On May 24 and 25, I experienced some frequency in urination; there were a few instances where I felt the urge to urinate about half an hour after finishing, but there were also times when it was one or two hours apart.
The volume of urine is generally quite substantial, and I usually don't finish in just 8 seconds.
Then, on May 25, I noticed a phenomenon at the urethral opening of the glans (it seems to be red), and I am unsure if this is normal or something I hadn't noticed before.
Here is the photo: http://imgur.com/vJprfYW1.
1.
Do I have some strange disease, or is this just a normal phenomenon?
2.
Could it be due to my recent anxiety or from drinking too much water while taking Chinese and Western medicine?
3.
Is there a possibility of chlamydia or gonorrhea infection? (Currently, there is no discharge, but I am unsure if there will be any discharge tomorrow morning, May 26.)
4.
Is it necessary to see a urologist or an infectious disease specialist? If needed, should I go to a urology clinic or the outpatient department of a large hospital for urology or infectious diseases?

Yu, 10~19 year old female. Ask Date: 2018/05/25

Dr. Du Shixi reply Urology

Hello: 1) If the test results are negative, it is considered normal.
2) No, it will not.
3) You need to get tested to know; it's not something to be taken lightly.
4) If you have symptoms, you should go to the urology department, and the infectious disease department is also an option.
Wishing you good health.

Reply Date: 2018/05/25

More Info

It sounds like you are experiencing a combination of anxiety and urinary symptoms following your recent sexual encounters. Let's break down your concerns and provide some clarity on each aspect.

1. Anxiety and Urinary Symptoms: Anxiety can significantly impact physical health, including urinary function. The feeling of needing to urinate frequently, especially after a stressful event, can be a common response. This is often referred to as "nervous bladder" or "anxiety-induced urinary frequency." Your heightened anxiety about potential STIs (sexually transmitted infections) could exacerbate these symptoms. When people are anxious, they may become hyper-aware of bodily sensations, which can lead to a cycle of worry and increased urgency to urinate.

2. Urinary Symptoms and Possible Infections: The symptoms you describe, such as frequent urination and a red appearance at the urethral opening, could be indicative of a urinary tract infection (UTI) or irritation. However, since you have tested negative for STIs and have not experienced any discharge, it is less likely that you have a sexually transmitted infection like chlamydia or gonorrhea. The redness you observed could be due to irritation from anxiety, excessive cleaning, or even the use of certain soaps or products.
3. Need for Medical Evaluation: Given your symptoms, it would be prudent to consult a healthcare provider, particularly a urologist or an infectious disease specialist. They can perform a thorough examination, possibly including a urinalysis, to rule out any infections or other underlying conditions. If you are experiencing significant anxiety, it may also be beneficial to speak with a mental health professional who can help you manage these feelings.

4. Next Steps: If you decide to seek medical attention, you can visit either a urology clinic or an infectious disease department. A urologist will be able to address your urinary symptoms directly, while an infectious disease specialist can provide insights into any potential infections. Given your recent sexual history, it may be wise to mention all your concerns during your appointment, including your anxiety and any physical symptoms you are experiencing.

5. Self-Care and Monitoring: In the meantime, try to monitor your symptoms. Keep track of how often you feel the need to urinate, any changes in the color or clarity of your urine, and any other symptoms that may arise. Reducing stress through relaxation techniques, such as deep breathing or mindfulness, may also help alleviate some of your anxiety and urinary urgency.

In summary, while your symptoms may be related to anxiety, it is essential to rule out any potential infections or medical conditions. Seeking professional medical advice will provide you with the best course of action and peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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