Urethral Pain: Symptoms, Risks, and Transmission Concerns

Pain at the urethral opening?

Hello, doctor.
I have a few questions:
1.
I had sexual intercourse with a woman the day before yesterday while using a condom, but I performed oral sex without a condom.
The next afternoon, I suddenly started feeling a sharp pain at the urethral opening, but there is currently no discharge or redness.
Could this be a precursor to gonorrhea, or does gonorrhea always present with discharge as soon as symptoms appear?
2.
Additionally, after having a bowel movement, I always use toilet paper to wipe the residual urine from the urethral opening before wiping my anus.
Since last night, I've also felt a slight sting around the anal area.
If I do have gonorrhea, could it be transmitted to the anus in this manner?
3.
When I wash my underwear, I do not mix them with my family members' clothes, but I use the same washing machine for washing, drying, and spinning.
However, I always dry them for more than an hour.
Is there a risk of transmitting the infection to my family, or is it necessary to avoid using the same machine altogether?

ting, 40~49 year old female. Ask Date: 2021/03/17

Dr. Cai Zhuorong reply Urology

1.
Although the likelihood is low, gonorrhea can indeed be transmitted through oral sex.
Most cases present with yellowish-white discharge, but this is not an exclusionary factor for diagnosis.
If there are concerns, it is advisable to seek medical attention.

2.
The chances are very low.

3.
The risk of indirect transmission is extremely low.

Reply Date: 2021/03/17

More Info

Urethral pain can be a concerning symptom, especially following sexual activity. Based on your description, let’s address your questions regarding potential causes, transmission risks, and concerns about sexually transmitted infections (STIs) like gonorrhea.

1. Symptoms of Gonorrhea: Gonorrhea is a common STI caused by the bacterium Neisseria gonorrhoeae. Symptoms can vary significantly among individuals. While many people experience noticeable symptoms such as purulent discharge (pus) and painful urination, some may have mild symptoms or none at all. The initial symptoms of gonorrhea can include a burning sensation during urination and discomfort at the urethral opening. However, it is important to note that not everyone will present with discharge, especially in the early stages. Therefore, the absence of pus does not rule out the possibility of gonorrhea or other STIs. If you are experiencing a sudden onset of urethral pain, it is advisable to seek medical evaluation and testing for STIs, including gonorrhea and chlamydia.

2. Transmission to the Anal Area: Gonorrhea can indeed be transmitted to the anal area through oral or anal sex. If you have an active infection, it is possible for the bacteria to spread to the rectum, leading to symptoms such as pain or discomfort. The fact that you are experiencing a stinging sensation around the anus could indicate irritation or an infection. It is crucial to consult a healthcare provider for a thorough examination and appropriate testing to determine the cause of your symptoms.

3. Laundry and Transmission Risks: Regarding your concerns about laundry, gonorrhea is primarily transmitted through sexual contact and is not typically spread through clothing or shared laundry facilities. The bacteria do not survive long outside the human body, especially in a dry environment. Washing clothes separately and using a dryer, as you mentioned, significantly reduces any risk of transmission through clothing. However, it is always a good practice to maintain good hygiene and wash your hands after handling potentially contaminated items.

In summary, your symptoms warrant a medical evaluation to rule out STIs, including gonorrhea. It is essential to be proactive about your sexual health, especially if you have engaged in activities that may expose you to infections. A healthcare provider can perform the necessary tests and provide guidance on treatment options if needed. Additionally, practicing safe sex, including the use of condoms, can help reduce the risk of STIs in the future. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and support.

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