Urological Concerns: Pain, Blood Flow, and STD Risks

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

Hello： 1) If symptoms persist, it is advisable to seek medical attention at a hospital. <br>While there may not be a direct correlation with varicocele, it is generally not significantly related, and varicocele does not always present with symptoms. <br>2) The erection of the pen

Some questions) 2

Hello Doctor: I previously asked a question, but after reviewing your response, I still feel that some points are unclear.
I will summarize my concerns again and would appreciate a detailed explanation.
1) Three weeks ago, I used a metal ring to constrict the base of my penis and then placed my testicles inside, but the ring was a bit small.
Now, I still experience slight discomfort and pain in my testicles.
What is the likelihood of developing issues such as varicocele? Could this affect other organs, such as the blood vessels of the heart, leading to other problems? If I do not see a doctor, is it acceptable to let the organs heal on their own? Additionally, when my penis is about to erect, I notice from the back that a small section at the base does not rise as quickly as the front, suggesting that blood flow may be obstructed there.
After erection, my penis bends to the right and sometimes curves downward at 180 degrees before slowly returning to its normal position.
It also seems that the blood vessels extending from the base of the penis have shifted to the right, and the vessels feel thicker since I used the ring.
Furthermore, my right testicle seems to have shrunk a bit, making the size difference between the two testicles more noticeable.
You mentioned that this could indicate a circulation issue.
If that is the case, would special treatment be necessary? What is the likelihood of having varicocele or similar issues given the differences in blood vessels and testicle sizes? Would special treatment be required, or is it sufficient to let the organs heal on their own?
2) Three years ago, I had contact with an online friend and used his semen for masturbation.
What is the likelihood of contracting a sexually transmitted infection (STI) from this behavior? Once semen is exposed to air, does its infectious potential decrease significantly? If I currently have no symptoms, what is the likelihood that I have contracted something? However, considering that the incubation period for HIV can be up to 10 years, is the risk not as low as one might think?

Ni, 20~29 year old female. Ask Date: 2021/03/28

Dr. Du Shixi reply Urology

Hello: 1) If symptoms persist, it is advisable to seek medical attention at a hospital.
While there may not be a direct correlation with varicocele, it is generally not significantly related, and varicocele does not always present with symptoms.
2) The erection of the penis is indeed related to blood vessels; however, a physician's examination is necessary to determine whether it is due to natural causes, a constricting ring, or other reasons.
In my opinion, there are generally no specific treatments for such conditions.
As for the size difference between the testicles, it is common and often difficult to identify the underlying cause.
It can only be speculated whether it is related to issues with the spermatic vein, which would require an assessment of the degree of varicocele.
There is no inherent relationship between the two.
3) Any contact with bodily fluids carries a risk, though the level of risk may vary.
Generally, I recommend undergoing sexually transmitted infection (STI) testing three months after engaging in unprotected sexual activity, as symptoms alone cannot determine if an STI is present.
No physician can definitively state that a particular type of unprotected sexual behavior will not result in an STI without testing.
Wishing you good health.

Reply Date: 2021/03/28

More Info

When addressing your concerns regarding urological issues, it is essential to consider both the physical symptoms you are experiencing and the potential risks associated with your past behaviors. Let's break down your questions for clarity.

1. Concerns about Pain and Blood Flow
You mentioned experiencing mild discomfort in the testicles after using a metal ring on the base of the penis. This discomfort could be related to several factors, including the possibility of varicocele, which is an enlargement of the veins within the scrotum. While varicocele is common and can cause discomfort, it typically does not directly affect other organs like the heart. However, if left untreated, it could potentially lead to complications such as infertility.

The symptoms you describe, such as the uneven blood flow during an erection and the curvature of the penis, may indicate issues with blood circulation. The fact that you feel a difference in size between your testicles could also be a sign of a condition that warrants further investigation. While some minor issues may resolve on their own, persistent pain or changes in size or shape should not be ignored. It is advisable to consult a urologist who can perform a physical examination and possibly recommend an ultrasound to assess blood flow and check for any abnormalities.

2. Risk of Sexually Transmitted Diseases (STDs)
Regarding your past encounter where you came into contact with someone else's semen, it is important to understand the transmission dynamics of STDs. While it is true that exposure to semen outside the body reduces the likelihood of transmission due to environmental factors (like air exposure), it does not eliminate the risk entirely. Certain STDs, including HIV, can be transmitted through bodily fluids, and the risk is present even if symptoms are not immediately apparent.

HIV, in particular, has a long incubation period, and while the risk of transmission through contact with dried semen is lower than through direct sexual contact, it is not zero. If you are concerned about potential exposure to STDs, it is advisable to get tested. Many STDs can be asymptomatic, and regular testing is a responsible practice, especially if you have had unprotected sexual encounters.

Conclusion
In summary, your symptoms warrant a thorough evaluation by a healthcare professional, particularly a urologist, to rule out conditions like varicocele or other vascular issues. It is crucial to address any persistent pain or changes in your anatomy to prevent complications in the future. Additionally, regarding your concerns about STDs, getting tested is a proactive step to ensure your health and peace of mind. Regular check-ups and open communication with healthcare providers about your sexual health are vital components of maintaining overall well-being.

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