Urinary Issues: Symptoms and Concerns After Unprotected Sex - Urology

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Urinary issues


Previously, I had unprotected anal intercourse with a male partner for an extended period, and he did not have sexual relations with anyone else.
After some time, I developed the following symptoms: 1.
A red, itchy rash encircling the inner thighs, which has since subsided, but I still experience occasional itching in other areas of the genital region.
2.
I experienced a burning sensation during urination (though infrequent, it has almost resolved now).
3.
My urine appears cloudy, with small floating particles and an unusual odor, along with persistent bubbles.
However, health checks show that urine protein, glucose, occult blood, and pH levels are all normal.
I regret my previous actions.
Now, I am concerned that these symptoms may be caused by a sexually transmitted infection (STI).
I am just a student and feel embarrassed to seek treatment at a hospital.
I hope the doctor can help me analyze my situation.
Thank you for taking the time to read my message and answer my questions.
I appreciate it.

Chen Tongxue, 10~19 year old female. Ask Date: 2018/10/14

Dr. Du Shixi reply Urology


Hello: It is recommended that if everything is fine, you should get tested for syphilis and HIV after one hundred days.
If you experience urethral pain, skin lesions, blisters, or lumps, seek medical attention immediately.
Wishing you good health.

Reply Date: 2018/10/14

More Info


It's understandable to feel concerned about your symptoms following unprotected sexual activity, especially when they involve discomfort and changes in urinary function. Based on your description, several factors could be contributing to your symptoms, and it's essential to approach this situation with a clear understanding of potential causes and necessary actions.

Firstly, the red, itchy bumps on your inner thighs and the occasional itching in your genital area could indicate a skin reaction or infection. Conditions such as folliculitis, contact dermatitis, or even a sexually transmitted infection (STI) could be responsible. Since you mentioned that the bumps have subsided but itching persists, it might be worth considering whether any new products (like soaps or detergents) could be causing irritation.

The burning sensation during urination, although infrequent now, is a common symptom associated with urinary tract infections (UTIs) or STIs. While you noted that your health check showed normal results for protein, glucose, blood, and pH levels in your urine, the presence of cloudy urine with floating particles and an unusual odor could still suggest an underlying infection or another issue. It's important to remember that even if initial tests come back normal, infections can sometimes be missed, especially if they are in the early stages or if the sample was not collected properly.

Given your concerns about STIs, it's crucial to consider getting tested specifically for these infections, as many can be asymptomatic initially. Common STIs that can cause urinary symptoms include chlamydia, gonorrhea, and trichomoniasis. Testing for these infections typically involves a urine sample or swab, which is relatively straightforward and can provide peace of mind.

In terms of self-care, here are some recommendations that may help alleviate your symptoms:
1. Hydration: Drink plenty of water to help flush out your urinary system. This can dilute your urine and may help reduce irritation.

2. Avoid Irritants: Steer clear of potential irritants such as scented soaps, bubble baths, and douches. These can exacerbate itching and discomfort.

3. Wear Breathable Fabrics: Opt for cotton underwear and loose-fitting clothing to reduce moisture and irritation in the genital area.

4. Practice Good Hygiene: Ensure that you clean the genital area gently and thoroughly, especially after sexual activity. This can help prevent infections.

5. Avoid Sexual Activity: If you're experiencing symptoms, it may be wise to refrain from sexual activity until you have a clearer understanding of your condition and have consulted with a healthcare provider.

6. Seek Medical Attention: While it may feel daunting, visiting a healthcare provider is essential for proper diagnosis and treatment. Many clinics offer confidential services, and some may even provide telehealth options, which can be more comfortable for students or those concerned about privacy.

In conclusion, while your symptoms may be concerning, they are not uncommon, and many potential causes can be addressed effectively with proper medical care. It's important to prioritize your health and seek the necessary evaluations to ensure that any underlying issues are identified and treated appropriately. Remember, early intervention can prevent complications and lead to better health outcomes.

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