Urethral Pain: Causes and Concerns After Sexual Activity

Urethral pain

Hello, Doctor Tsai.
Two weeks ago, I had sexual intercourse with my partner twice in a short period (both times with a condom), and afterward, I started experiencing urethral pain.
After observing the symptoms for three days, I went to the hospital and was prescribed medication (Uroprin).
During my second follow-up appointment ten days later, I had a urinalysis done, but no other tests were performed.
The urinalysis results were normal.
(By the way, does the medication mentioned affect the urinalysis results?) However, it has been over two weeks now, and I still experience sharp pain in the urethra when I wake up in the morning.
It feels somewhat better after using the restroom, and there is not much pain during urination.
My semen is a deep yellow, watery consistency, and the volume is low and not thick (I couldn't resist and did a DIY once during an 11-day rest).
Currently, I have a dull ache at the base and sides of the penis, and the sharp pain in the urethra persists in the morning.
When I slightly squeeze the urethra, there are painful areas.
When not taking medication, the urine color is normal.
I would like to ask the doctor what could be the possible causes...
This has been a significant concern for a long time.
Could congestion and fatigue lead to not recovering even after more than two weeks of rest?

Ryan, 20~29 year old female. Ask Date: 2020/09/02

Dr. Cai Zhuorong reply Urology

Based on the symptoms you described, the more common possible diagnoses include: gonococcal or chlamydial urethritis, bacterial acute cystitis, ureteral stones, chronic prostatitis, among others.
If symptoms do not improve, it is advisable to seek further evaluation and testing.

Reply Date: 2020/09/02

More Info

Urethral pain after sexual activity can be a concerning and uncomfortable experience. Based on the symptoms you've described, there are several potential causes for your urethral pain, and understanding these can help you address the issue more effectively.

Firstly, it's important to consider the possibility of a urinary tract infection (UTI). UTIs can occur after sexual activity, especially if there is any irritation or trauma to the urethra. Symptoms of a UTI typically include a burning sensation during urination, frequent urge to urinate, and sometimes lower abdominal pain. However, since your urine tests came back normal, this may not be the primary issue.
Another potential cause of your symptoms could be urethritis, which is inflammation of the urethra. This can be caused by infections (bacterial or viral), sexually transmitted infections (STIs), or even non-infectious factors such as irritation from soaps, lotions, or condoms. Given that you mentioned using condoms, it's worth considering whether you might have a sensitivity or allergic reaction to the latex or other materials used in the condom.

The fact that you experienced pain after engaging in sexual activity twice in a short period could also indicate that your urethra was irritated or inflamed due to the frequency of activity. Overexertion or excessive friction during sexual activity can lead to soreness and discomfort, which may take time to resolve. The symptoms you describe, such as the yellowish, watery semen and the pain at the base of the penis, could suggest that your body is still recovering from the previous activities.

Additionally, the medication you mentioned, Uroprin, is typically used to relieve symptoms of urinary tract discomfort. While it can help alleviate pain, it may not address the underlying cause of your symptoms. It's also important to note that certain medications can affect urine color and consistency, but Uroprin is not known to significantly alter urine test results.

Given that your symptoms have persisted for over two weeks, it would be advisable to follow up with a healthcare provider for further evaluation. They may recommend additional tests, such as a urine culture, to rule out any lingering infections or other underlying conditions. It's also essential to discuss your symptoms in detail, including any changes in your sexual activity, hygiene practices, and any other relevant health information.

In the meantime, consider practicing good hygiene, staying well-hydrated, and avoiding any irritants that could exacerbate your symptoms. If you experience any worsening of your symptoms, such as fever, chills, or increased pain, seek medical attention promptly.

In conclusion, urethral pain after sexual activity can arise from various causes, including infections, irritation, or overexertion. Since your symptoms have persisted, it is crucial to consult with a healthcare professional for a thorough evaluation and appropriate management. Taking these steps can help you find relief and ensure your sexual health is maintained.

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