Finger Injury and Pain After Safe Sex: What You Need to Know - Urology

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The fingernail is injured, and the day after sexual intercourse, the finger starts to hurt?


Hello, Doctor Du.
Two weeks ago, I accidentally injured my finger during lunch; it was a minor injury without bleeding.
That night, I engaged in safe sexual activity with a female online friend.
During the process, my finger did not hurt, and it came into contact with her saliva and bodily fluids.
The next morning, I noticed that my finger started to hurt, but there was no redness or swelling on the surface.
It has been painful for two weeks now.
I would like to ask the doctor what might have happened.
If I need to seek medical attention, which specialty should I consult: urology, infectious diseases, or dermatology? Thank you, doctor.

Niming, 30~39 year old female. Ask Date: 2019/11/08

Dr. Du Shixi reply Urology


Hello: I have been experiencing finger pain for two weeks, with no redness or swelling.
There are no issues with bending, and the nails are intact.
If you suspect it may be related to sexual activity, it might be best to consult a urologist first.
It's really difficult to determine the cause.
Wishing you good health.

Reply Date: 2019/11/08

More Info


When it comes to finger injuries and the potential for pain after engaging in safe sex, there are several important factors to consider. Based on your description, it appears that you sustained a minor injury to your finger, which did not result in bleeding. However, you are experiencing persistent pain two weeks after the incident, and you are concerned about the implications of this injury in relation to your sexual activity.

First and foremost, it is essential to understand that minor injuries, such as a small cut or scrape, can sometimes lead to discomfort or pain, especially if the injury is located near a joint or if there is any underlying inflammation. The fact that you did not experience any bleeding at the time of the injury is a positive sign, but it does not completely rule out the possibility of irritation or inflammation developing later on.

In terms of the potential for infection, it is important to note that any break in the skin can introduce bacteria, which may lead to an infection. However, since you mentioned that there was no visible redness or swelling, it is less likely that you are dealing with an infection. That said, the pain you are experiencing could be due to a variety of factors, including:
1. Soft Tissue Injury: Even minor injuries can cause inflammation in the surrounding tissues, leading to pain that may persist for a while.

2. Nerve Irritation: If the injury affected a nerve, it could result in ongoing pain or discomfort.

3. Referred Pain: Sometimes, pain in one area of the body can be felt in another area, which may complicate the diagnosis.

4. Psychological Factors: Anxiety or stress related to the injury or the sexual encounter could also contribute to the perception of pain.

Given that your pain has lasted for two weeks without improvement, it would be advisable to seek medical attention. In terms of which specialty to consult, you have a few options:
- Urology: If you suspect that the pain may be related to your sexual activity or if you have any concerns about urinary function or reproductive health, a urologist would be a suitable choice.

- Infectious Disease: If there is any concern about potential infections, particularly if you have symptoms such as fever or systemic illness, an infectious disease specialist could provide insight.

- Dermatology: If you believe the issue is primarily related to the skin or soft tissue, a dermatologist may be able to assess the injury and provide appropriate treatment.

In conclusion, while minor finger injuries can lead to discomfort, persistent pain warrants a medical evaluation. It is important to communicate all relevant details to your healthcare provider, including the nature of the injury, the timeline of symptoms, and any associated activities. This information will help them determine the most appropriate course of action and provide you with the care you need. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek help if you are concerned about your symptoms.

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