Suspected urethritis, experiencing discomfort during masturbation?
Hello Doctor, since it is a holiday, the hospital is closed, but I have some questions.
About a month ago, I started experiencing symptoms of urethritis (itching and slight pain during urination).
I didn't seek medical attention at that time and just kept drinking water and urinating.
Now, I occasionally feel a bit of itching in the urethra when urinating, but my bigger concern is that during masturbation, I noticed a decrease in pleasure.
When I squeeze the midsection of my penis, I feel a spot that itches, and I also can't ejaculate as forcefully as before.
Could urethritis be affecting this area more significantly? I also feel like my libido is affected...
It seems like the urethra inside my penis is more swollen than before, as it used to feel soft and elastic when squeezed.
Could this be urethral inflammation? Thank you.
Alan, 20~29 year old female. Ask Date: 2020/08/15
Dr. Lin Wenxu reply Urology
Hello Alan: Based on your description, the likelihood of urethritis is low, but I still recommend that you visit the urology clinic for a detailed examination to determine if there is an infection.
Dr.
Lin Wen-Hsu, Urology Department, Nantou Hospital.
Reply Date: 2020/08/15
More Info
Urethritis, or inflammation of the urethra, can significantly impact both sexual pleasure and urination. Your symptoms, including itching and slight pain during urination, suggest that you may indeed be experiencing urethritis. This condition can arise from various causes, including bacterial infections, sexually transmitted infections (STIs), or even irritation from chemicals in soaps or lubricants.
The discomfort you feel during urination, as well as the changes in your sexual experience, can be attributed to the inflammation in the urethra. When the urethra is inflamed, it can lead to increased sensitivity and discomfort during sexual activities, which may explain the reduced pleasure you are experiencing during masturbation. The sensation of a "point" that feels itchy or uncomfortable when you squeeze the shaft of your penis could indicate localized inflammation or irritation in the urethra.
In terms of ejaculation, urethritis can also affect the force and distance of your ejaculate. The inflammation may cause swelling or blockage in the urethra, which can lead to a weaker stream during ejaculation. This is not uncommon in cases of urethritis, as the urethra's ability to function properly is compromised by the inflammation.
Moreover, urethritis can influence sexual desire. Pain or discomfort during sexual activities can lead to anxiety or apprehension, which may diminish your libido. It’s essential to address these symptoms not only for your physical health but also for your mental well-being.
To manage your symptoms, it is crucial to seek medical attention as soon as possible. A healthcare provider can perform tests to determine the underlying cause of your urethritis, whether it be a bacterial infection or another issue. Treatment typically involves antibiotics if a bacterial infection is present. Additionally, it is advisable to avoid sexual activity until you have been evaluated and treated, as engaging in sexual activities can exacerbate your symptoms and potentially spread an infection to your partner.
In the meantime, here are some self-care tips 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 reduce irritation during urination.
2. Avoid Irritants: Stay away from potential irritants such as soaps, lotions, or lubricants that may aggravate your symptoms. Opt for gentle, unscented products.
3. Warm Compress: Applying a warm compress to the genital area may provide some relief from discomfort.
4. Rest: Ensure you are getting adequate rest to help your body recover.
5. Avoid Sexual Activity: Until you have been evaluated and treated, it is best to refrain from sexual activities to prevent further irritation and potential transmission of any infection.
6. Monitor Symptoms: Keep track of any changes in your symptoms, including the severity of pain, changes in urination, or any new symptoms that may arise.
In summary, urethritis can indeed affect both your sexual pleasure and urination. It is essential to seek medical evaluation to determine the cause and appropriate treatment. Addressing these symptoms promptly can help restore your sexual health and overall well-being.
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