Urological Concerns: Pain, Blood Flow Issues, and STD Risks

Q: Urological Concerns: Pain, Blood Flow Issues, and STD Risks

Hello： 1) There shouldn't be a major issue, but it may affect circulation. <br>Personally, I do not recommend using a metal ring. <br>Should I see a doctor to check for issues like varicocele? --> Yes, if there is no rapid engorgement --> It is advisable to seek medical attention

Some questions?

1) Two weeks ago, I used a metal ring to constrict the base of my penis and then attempted to fit my testicles through it.
However, the ring was a bit small, and it took almost an hour to try to fit my testicles in, but I was unable to do so.
Since then, I have been experiencing some pain in my testicles, alternating between the right and left sides, and occasionally pain at the site of a hernia surgery I had on the left side a year ago.
Should I see a doctor to check for issues such as varicocele? Additionally, when my penis is about to become erect, I notice that a small section at the base does not rise as quickly as the rest, suggesting that blood flow may be obstructed there.
After erection, my penis bends slightly to the right, and the blood vessels extending from the base seem to shift to the right.
I also feel that the blood vessels have appeared enlarged since I wore a cock ring two years ago, with some bruising in the middle, and the right testicle seems to have shrunk, making the size of my testicles unequal.
Is this normal, or does it require treatment?
2) Three years ago, I engaged in sexual activity with an online acquaintance and used his semen for masturbation.
What is the likelihood of contracting a sexually transmitted infection (STI) from this behavior? If testing is necessary, is anonymity important? If the hospital does not offer anonymous testing and it is out-of-pocket, what are the implications of not being anonymous?

Ni, 20~29 year old female. Ask Date: 2021/03/21

Dr. Du Shixi reply Urology

Hello: 1) There shouldn't be a major issue, but it may affect circulation.
Personally, I do not recommend using a metal ring.
Should I see a doctor to check for issues like varicocele? --> Yes, if there is no rapid engorgement --> It is advisable to seek medical attention to see if there are any circulation problems.
2) It doesn't make much difference, it's just a personal feeling of privacy.
Most larger hospitals can accommodate this, and you can check online for more information.
Wishing you good health.

Reply Date: 2021/03/21

More Info

When discussing urological concerns, particularly in the context of pain, blood flow issues, and potential risks for sexually transmitted diseases (STDs), it is essential to approach the matter with a comprehensive understanding of the anatomy, physiology, and potential complications involved.

1. Pain and Discomfort in the Testicles: The pain you are experiencing in your testicles after using a metal ring may indicate several issues. The prolonged constriction of the area can lead to conditions such as testicular torsion, which is a medical emergency, or it could exacerbate existing conditions like varicocele (enlarged veins within the scrotum) or even lead to trauma. Given your history of a previous hernia surgery, it is also possible that the pain could be related to scar tissue or nerve irritation in that area. It is advisable to consult a urologist to evaluate the pain, especially if it persists or worsens. They may perform a physical examination and possibly an ultrasound to assess for any abnormalities such as varicocele or other vascular issues.

2. Erectile Function and Blood Flow: The concerns regarding the blood flow to your penis, particularly the unevenness in the erection and the sensation of blood flow being obstructed, could indicate vascular issues. Conditions such as Peyronie's disease, which involves the development of fibrous scar tissue inside the penis, can cause curvature and pain during erections. Additionally, the sensation of a "blocked" feeling could suggest issues with the blood vessels supplying the penis. A urologist can conduct tests to evaluate blood flow and determine if there are any underlying vascular conditions that need to be addressed.

3. Risk of STDs: Regarding your sexual history, engaging in sexual activities with bodily fluids, such as using someone else's semen, does carry a risk of transmitting STDs. The risk varies depending on the specific infections present. It is crucial to get tested if you have concerns about potential exposure to STDs. Many clinics offer anonymous testing, which can help alleviate concerns about privacy. If a facility does not provide anonymous testing, it is essential to understand that your medical information is typically protected under privacy laws, but there may be limitations depending on local regulations. Testing for STDs is vital not only for your health but also for the health of any future partners.

4. Next Steps: Given the complexity of your symptoms and concerns, I recommend scheduling an appointment with a urologist. They can provide a thorough evaluation, including a physical examination and necessary imaging or laboratory tests. This will help clarify the nature of your pain, assess any potential vascular issues, and address your concerns about STDs.
In summary, your symptoms warrant professional evaluation to rule out serious conditions and to ensure appropriate management. Maintaining open communication with your healthcare provider about your symptoms and concerns is crucial for effective treatment and peace of mind.

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