Is It Gonorrhea or Just Irritation from Rough Handling? - Urology

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Is it gonorrhea?


On January 5th, I had sexual relations with a partner.
On January 6th, due to my girlfriend's menstrual period, I asked her to help me with masturbation.
However, her technique was not very good, and she was quite forceful.
During the process, there were a few moments of significant pain.
About half an hour after finishing, when I went to urinate, I felt a burning sensation and sharp pain in my urethra.
I would like to know if this could be gonorrhea or if it was due to excessive force during masturbation.
Thank you, doctor.

Xiao Zhang, 20~29 year old female. Ask Date: 2021/01/07

Dr. Li Xinyi reply Urology


It is advisable for you to promptly visit a urologist for an examination and discuss your situation with the physician.
Relying on information from the internet is not sufficient!

Reply Date: 2021/01/07

More Info


When it comes to the symptoms you are experiencing, it is important to consider both the context of your recent sexual activity and the nature of the symptoms themselves. The burning and stinging sensation in the urethra after vigorous handling could be attributed to a few different factors, including irritation from rough handling or a potential sexually transmitted infection (STI) such as gonorrhea.

Gonorrhea is a common STI caused by the bacterium Neisseria gonorrhoeae. It can lead to symptoms such as a burning sensation during urination, increased urinary frequency, and discharge from the penis. However, these symptoms do not typically appear immediately after exposure; they usually develop within 1 to 14 days after infection. If you engaged in sexual activity on January 5th and are experiencing symptoms the following day, it is less likely that these symptoms are due to gonorrhea, especially if you have not had any other partners or risk factors that would increase your likelihood of exposure.

On the other hand, rough handling during sexual activity can lead to irritation of the urethra, especially if there was excessive force or friction involved. This irritation can manifest as a burning sensation when urinating, and it may also be accompanied by mild swelling or discomfort. If the symptoms are mild and resolve within a few days, it is likely that they are due to irritation rather than an infection.

To further assess your situation, consider the following:
1. Duration and Severity of Symptoms: If the burning sensation persists for more than a few days, worsens, or is accompanied by other symptoms such as discharge, fever, or swelling, it would be advisable to seek medical attention.

2. Self-Examination: Look for any visible signs of irritation or injury around the urethral opening. If you notice any unusual discharge or sores, this could indicate an infection.

3. Testing for STIs: If you are concerned about the possibility of gonorrhea or any other STI, it is prudent to get tested. Many clinics offer confidential testing, and early detection can lead to more effective treatment.

4. Avoid Further Irritation: Until you have a clearer understanding of your symptoms, it may be wise to avoid any activities that could further irritate the area, such as vigorous sexual activity or masturbation.

5. Hydration and Comfort Measures: Drinking plenty of water can help dilute your urine, which may alleviate some of the burning sensation. Additionally, using a warm compress on the area may provide comfort.

In summary, while it is possible that your symptoms are due to irritation from rough handling, it is essential to monitor your symptoms closely. If they persist or worsen, or if you develop additional symptoms, seeking medical evaluation is the best course of action. A healthcare provider can perform the necessary tests to rule out infections and provide appropriate treatment if needed.

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