Urethral Discharge: Risks and Symptoms Explained - Urology

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Urethral discharge


Hello, I am #152587.
I would like to ask: 1.
If the condom breaks, is the risk of HIV infection high? (Even though water-based lubricant was used afterward) 2.
This morning, I noticed that the glans is dry; does this mean there is no issue? 3.
If there is still clear discharge, is it more likely to be from chlamydia or gonorrhea? 4.
Previously, I experienced groin pain and chills for several days, which eventually resolved.
The doctor tested my urine and diagnosed me with urethritis but could not identify the specific bacteria (I had no sexual experience at that time).
The doctor mentioned the possibility of kidney stones, and an ultrasound confirmed a few small stones.
Are my current symptoms related to the issues mentioned above?

Xiao Yan, 20~29 year old female. Ask Date: 2020/02/07

Dr. Du Shixi reply Urology


Hello: 1) If the partner is HIV positive, there is certainly a risk.
Based on the following judgments, the risk can be categorized as low to moderate: Low risk activities include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with condom use.
Moderate risk activities include deep kissing, oral sex, and withdrawal before ejaculation.
High-risk activities involve unprotected sexual intercourse that causes wounds or bleeding.
2) If urination is asymptomatic, it can be monitored.
3) Gonorrhea typically presents with yellow-green discharge.
4) There is no relationship, but if water intake is low, it increases the risk of infection.
Wishing you good health.

Reply Date: 2020/02/07

More Info


Understanding urethral discharge can be complex, especially when considering the potential risks and symptoms associated with sexually transmitted infections (STIs) and other urological conditions. Let's address your questions one by one.

1. Risk of HIV Infection from a Broken Condom: The risk of HIV transmission increases significantly if a condom breaks during intercourse, especially if there is exposure to bodily fluids. While using water-based lubricants can help reduce friction and the likelihood of a condom breaking, it does not eliminate the risk entirely. If you are concerned about potential HIV exposure, it is advisable to consult a healthcare provider for testing and possible post-exposure prophylaxis (PEP) if within 72 hours of the incident.

2. Dry Glans and Urethral Discharge: If you woke up to find your glans (the head of the penis) dry and without any discharge, this is generally a good sign. It suggests that there may not be an active infection at that moment. However, the absence of discharge does not rule out the possibility of an underlying condition. If you notice any changes in your symptoms or the appearance of discharge, it is essential to seek medical advice.

3. Transparent Discharge: Chlamydia or Gonorrhea?: Transparent discharge can be associated with several conditions, including urethritis caused by infections like Chlamydia or Gonorrhea. While both infections can present with similar symptoms, Chlamydia often results in a more watery discharge, whereas Gonorrhea typically produces a thicker, yellowish discharge. If you are experiencing any discharge, it is crucial to get tested for STIs, as early diagnosis and treatment can prevent complications.

4. Previous Symptoms and Current Concerns: Your history of groin pain and chills, along with the diagnosis of urethritis and kidney stones, may be relevant to your current symptoms. Urethritis can occur due to various factors, including bacterial infections or irritation. The presence of kidney stones can also lead to urinary symptoms, including pain and discomfort. If you are experiencing similar symptoms now, it is essential to follow up with your healthcare provider to determine if there is a connection between your past and current conditions.

In summary, if you are experiencing any unusual symptoms, such as urethral discharge, pain, or changes in urinary habits, it is vital to seek medical attention. A healthcare provider can perform the necessary tests to diagnose any underlying conditions accurately and recommend appropriate treatment. Additionally, practicing safe sex, including the consistent use of condoms, can significantly reduce the risk of STIs and other complications. Regular check-ups and open communication with your healthcare provider are essential for maintaining sexual health and addressing any concerns promptly.

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