Urethral Redness: Causes and Treatment Options - Urology

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Understanding urethral redness and its potential causes is crucial for effective diagnosis and treatment. Based on your description, it appears that you have experienced a series of symptoms following an episode of unprotected sexual intercourse, which included the appearance of red spots on the glans, urethral redness, and occasional discharge. These symptoms can be indicative of several conditions, including but not limited to urethritis, balanitis, or even sexually transmitted infections (STIs).

Urethritis, which is inflammation of the urethra, can be caused by infections, irritants, or trauma. In your case, the timing of the symptoms following unprotected sexual activity raises the possibility of a sexually transmitted infection, even if initial tests did not confirm this. Common STIs that can cause urethral symptoms include gonorrhea and chlamydia, but other infections can also present similarly. The presence of red spots and discharge could suggest an inflammatory response, possibly due to an infection or irritation.

Balanitis, which is inflammation of the glans penis, can also occur and may present with redness, swelling, and discomfort. This condition can be caused by infections (bacterial or fungal), irritants (such as soaps or lotions), or poor hygiene. The fact that you have experienced some relief from symptoms but also have intermittent discomfort suggests that there may be an underlying issue that has not yet been fully addressed.

The treatment for urethral redness and associated symptoms typically involves identifying the underlying cause. If an infection is suspected, a healthcare provider may recommend urine tests, swabs, or other diagnostic procedures to identify the specific pathogen involved. Antibiotics or antifungal medications may be prescribed based on the findings. If the symptoms are due to irritation or an allergic reaction, topical treatments or changes in hygiene products may be recommended.

Given that you have already consulted with a physician who prescribed antihistamines without improvement, it may be beneficial to seek a second opinion or request further testing. A urologist or dermatologist specializing in genital conditions may provide more targeted insights. In some cases, a urethral swab or a cystoscopy may be warranted to rule out more serious conditions, including urethral strictures or tumors.

In the meantime, it is essential to maintain good hygiene, avoid irritants, and refrain from sexual activity until the symptoms have resolved and a definitive diagnosis has been made. If you notice any worsening of symptoms, such as increased pain, swelling, or discharge, or if you develop fever or systemic symptoms, seek medical attention promptly.

In summary, while your symptoms may not currently indicate a severe condition, they warrant further investigation to ensure appropriate treatment and to rule out any underlying infections or other issues. It is essential to advocate for your health and seek further evaluation if your symptoms persist or worsen.