Urinary Issues: Symptoms and Testing Recommendations - Urology

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Urinary issues


Hello, Doctor.

1.
Last Friday afternoon, I suddenly felt an itch and a strong urge to urinate, but I didn't have much urine.
However, I haven't experienced these symptoms in the past few days.
What could this be?
2.
It has been two years since my last sexual encounter.
I have been tested for HIV and syphilis every six months and once a year, respectively.
Do I need to get tested again?
3.
If I need to get tested, should I also test for chlamydia and gonorrhea?
Thank you for taking the time to respond.

Xiao Di, 20~29 year old female. Ask Date: 2021/02/02

Dr. Li Xinyi reply Urology


The symptoms you described could potentially be a urinary tract infection, neuropathic pain, or the passage of small stones.
Based on your description, it seems you are particularly concerned about persistent urethritis, which is certainly a possibility.
However, it is advisable to consult a urologist for an examination as soon as possible.
Given your description, I do not recommend further testing unless new issues arise.
Should you consider testing for gonorrhea or chlamydia? The symptoms of gonorrhea are quite pronounced, and your situation does not seem to indicate that.
Testing for chlamydia can be challenging, so it might be better to consider treatment directly.
In summary, I still recommend that you see a urologist for a thorough examination before discussing further with your physician.

Reply Date: 2021/02/02

More Info


When it comes to urinary issues, understanding the symptoms and appropriate testing is crucial for effective diagnosis and treatment. Based on your inquiry, let's break down your concerns into manageable parts.

1. Symptoms of Urinary Issues: You mentioned experiencing itching and a strong urge to urinate, but with little output. This could indicate a few potential issues. One common cause is a urinary tract infection (UTI), which can lead to symptoms such as urgency, frequency, and discomfort during urination. However, since you noted that these symptoms have subsided, it might have been a transient irritation or a mild infection that resolved on its own. Other possibilities include irritation from soaps, lotions, or even sexually transmitted infections (STIs). If the symptoms return or worsen, it would be advisable to consult a healthcare provider for further evaluation.

2. Testing for STIs: Given that your last sexual encounter was two years ago and you have been regularly tested for HIV and syphilis, the need for additional testing depends on your current sexual health and any new partners. If you have had any new sexual encounters since your last test, or if you experience any new symptoms, it would be prudent to get tested again. Regular testing is essential for maintaining sexual health, especially if you are sexually active.
3. Testing for Chlamydia and Gonorrhea: If you are considering testing for STIs, it is indeed wise to include tests for Chlamydia and Gonorrhea, particularly if you have had unprotected sex or new partners. These infections can often be asymptomatic, meaning you might not experience noticeable symptoms but could still be infected. Testing for these STIs is typically done via a urine sample or a swab, depending on the site of potential exposure.

In summary, while your recent symptoms may have resolved, it is essential to remain vigilant about your urinary health. If symptoms recur, or if you have concerns about STIs, seeking medical advice and appropriate testing is crucial. Regular screenings, especially for STIs, are a responsible practice for anyone who is sexually active.
Additionally, if you experience any persistent symptoms such as pain during urination, blood in urine, or persistent itching, it is important to seek medical attention promptly. These could be signs of a more serious condition that requires intervention.
Lastly, maintaining good hydration, practicing safe sex, and being aware of your body’s signals can help prevent future urinary issues. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and support.

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