the Risks of STIs: Symptoms and When to Seek Help - Urology

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Risk of sexually transmitted infections (STIs)


Hello Doctor, thank you for taking the time to answer my questions, I appreciate it.
My issue is that I have a female fixed partner (I'm not sure if she has other partners), and we have had intercourse using condoms, without kissing or oral sex.
However, recently, one week after having intercourse with her, I experienced pain at the urethral opening accompanied by clear mucus and increased urinary frequency.
Subsequently, I developed red rashes on my chest that feel like they have pus inside, as well as flat lesions.
I also have swollen lymph nodes, oral ulcers, a sore throat, skin abrasions in the groin area that are bleeding, and folliculitis on my thighs.
Should I get tested? Will non-gonococcal urethritis resolve on its own? When should I go for testing? Which department should I consult? Thank you again, Doctor, for taking the time to answer my questions, I am very grateful.

A Di, 20~29 year old female. Ask Date: 2020/09/30

Dr. Du Shixi reply Urology


Hello: 1) A medical examination is necessary, 2) Either a urologist or an infectious disease specialist can be consulted, 3) Non-gonococcal urethritis or general urinary tract infections require treatment to prevent worsening of symptoms.
Wishing you good health.

Reply Date: 2020/09/30

More Info


It's important to address your concerns regarding potential sexually transmitted infections (STIs) and the symptoms you are experiencing. Based on the symptoms you've described—urethral pain, clear discharge, frequent urination, chest rashes, swollen lymph nodes, oral ulcers, throat pain, and skin issues in the groin area—it is advisable to seek medical attention promptly.


Understanding Your Symptoms
1. Urethral Pain and Discharge: The pain in your urethra, along with the clear discharge, could indicate a non-gonococcal urethritis (NGU), which is often caused by infections such as Chlamydia or Mycoplasma. While some cases of NGU can resolve on their own, it is not guaranteed, and untreated infections can lead to more severe complications.

2. Skin Rashes and Lymphadenopathy: The red rashes on your chest, especially if they feel like they have pus, combined with swollen lymph nodes, could suggest a systemic infection or an allergic reaction. These symptoms warrant further investigation, as they may indicate a more serious condition.

3. Oral Ulcers and Throat Pain: These symptoms can be associated with viral infections, including herpes simplex virus, or other STIs. They can also be a sign of systemic illness, so it’s crucial to have them evaluated.

4. Skin Issues in the Groin Area: The bleeding and irritation in your groin could be due to a variety of causes, including friction, infection, or an allergic reaction to products used in that area.


When to Seek Help
Given the range of symptoms you are experiencing, it is highly recommended that you seek medical evaluation as soon as possible. Delaying treatment could lead to complications, especially with STIs, which can have long-term health implications if left untreated.


Where to Go for Help
You should consider visiting a healthcare provider who specializes in infectious diseases or a urologist, as they can provide a comprehensive evaluation of your symptoms. Additionally, a visit to a sexual health clinic can be beneficial, as they are equipped to handle STIs and related concerns.

What to Expect During Your Visit
During your appointment, the healthcare provider will likely:
- Take a detailed medical history, including your sexual history and any potential exposures.

- Perform a physical examination to assess your symptoms.

- Order laboratory tests, which may include urine tests, blood tests, and swabs from affected areas to identify any infections.

- Discuss treatment options based on the diagnosis.


Conclusion
In summary, your symptoms are concerning and warrant immediate medical attention. While some infections may resolve on their own, the risk of complications and the potential for transmission to others make it crucial to seek help. Early diagnosis and treatment are key to managing STIs effectively and maintaining your overall health. Don’t hesitate to reach out to a healthcare professional to discuss your symptoms and get the care you need.

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