Urethral Itching in Men: Causes and When to Seek Help

Itching in the male urethra?

After my girlfriend performed oral sex on me, I noticed a slight itch under the glans of my penis the next morning.
She didn't brush her teeth that night.
Currently, there are no visible abnormalities, and I don't experience burning or sharp pain.
However, it's been a week, and I still occasionally feel a slight itch.
I'm worried about the possibility of a sexually transmitted infection (STI) or something else.
I would like to ask for a doctor's advice on how to determine if this is an STI and how to handle it.
If I need to go to the hospital, which department should I see? Thank you!

SC, 20~29 year old female. Ask Date: 2021/01/30

Dr. Li Xinyi reply Urology

You should see a urologist or an infectious disease specialist for an examination to determine if there is an infection.

Reply Date: 2021/01/30

More Info

Urethral itching in men can be a concerning symptom, especially following sexual activity. It's understandable to feel anxious about the possibility of a sexually transmitted infection (STI) or other underlying issues. Let's explore the potential causes of your symptoms, when to seek medical help, and what steps you can take.

Potential Causes of Urethral Itching
1. Irritation: The most common cause of urethral itching is irritation. This can occur due to various factors, including:
- Hygiene Products: Soaps, lotions, or other products that come into contact with the genital area can cause irritation.

- Friction: Sexual activity can lead to minor abrasions or irritation of the urethra, especially if there was a lack of lubrication.

2. Infections: While your symptoms do not include burning or discharge, infections can still be a possibility:
- Urinary Tract Infection (UTI): UTIs can cause itching and discomfort, although they typically present with other symptoms such as burning during urination or frequent urges to urinate.

- Sexually Transmitted Infections (STIs): Certain STIs, such as chlamydia or gonorrhea, can cause urethral itching. However, they often present with additional symptoms like discharge or pain.

3. Allergic Reactions: Allergies to latex (from condoms) or other materials can also lead to itching.

4. Skin Conditions: Conditions such as eczema or psoriasis can affect the genital area and cause itching.

When to Seek Help
Given that your symptoms have persisted for over a week without improvement, it is advisable to seek medical attention. Here are some signs that indicate you should see a doctor:
- Persistent itching that does not resolve.

- Development of additional symptoms, such as discharge, burning, or pain during urination.

- Any visible changes in the genital area, such as redness, swelling, or lesions.

Which Specialist to See
For urethral itching, you should consider visiting a urologist. Urologists specialize in male reproductive health and urinary tract issues, making them well-suited to diagnose and treat your condition. If you suspect an STI, you may also consider visiting a sexual health clinic, where they can provide testing and treatment for STIs.

What to Expect During Your Visit
When you visit a healthcare provider, be prepared to discuss:
- The duration and nature of your symptoms.

- Any recent sexual activity, including the use of protection.

- Any other symptoms you may have experienced.

- Your medical history and any medications you are currently taking.

The doctor may perform a physical examination and may recommend tests such as:
- Urinalysis to check for signs of infection.

- Swabs to test for STIs.

Conclusion
While urethral itching can be caused by various factors, it is essential to take your symptoms seriously, especially given the context of recent sexual activity. Seeking medical advice from a urologist or a sexual health clinic will help you determine the underlying cause of your symptoms and receive appropriate treatment. Remember, early intervention is key to managing any potential issues effectively.

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