Urethritis: Symptoms, Treatment, and Sexual Health Concerns - Urology

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Medications for Penile Issues and Related Concerns


Hello Doctor, I am 24 years old and I have some questions that I need your assistance with.

1.
Two days after having intercourse with my girlfriend, she developed a urinary tract infection (UTI), and I also noticed an increase in the frequency of urination.
Is it possible that I also have a urinary tract infection?
2.
Can a urinary tract infection heal on its own? Is taking anti-inflammatory medication effective, or do I need to see a doctor for a prescription?
3.
My girlfriend accidentally caused a minor abrasion on the outer side of my foreskin during oral sex, which is now red.
Will this heal on its own? Can I apply Neosporin ointment to it?
4.
Does a urinary tract infection affect sexual function?
Thank you for your assistance, Doctor.

Yang, 20~29 year old female. Ask Date: 2022/04/05

Dr. Du Shixi reply Urology


Hello:
1.
After having intercourse with my girlfriend, she developed a urinary tract infection (UTI) two days later, and I also noticed an increase in my urinary frequency.
Is it possible that I also have a UTI? -- Yes, it is possible.
2.
Will a urinary tract infection heal on its own? Is taking anti-inflammatory medication effective, or should I see a doctor for a prescription? -- It is generally recommended to drink plenty of water.
You should see a doctor for a urinalysis; if there is inflammation, medication will be necessary.
In mild cases, increasing water intake may help.
3.
My girlfriend accidentally caused a red abrasion on the outer side of my foreskin during oral sex.
Will it heal on its own? Is it okay to apply Neosporin ointment? -- Keep the area clean and dry.
If there is no broken skin, ointment may not be necessary.
If there is broken skin, you should seek medical attention.
4.
Will a urinary tract infection affect sexual function? -- It should not, but pain may affect sensation.
Wishing you good health.

Reply Date: 2022/04/05

More Info


Hello! Thank you for reaching out with your questions regarding urethritis and related sexual health concerns. Let's address each of your questions in detail.

1. Possibility of Urethritis: Given that your girlfriend developed urethritis after sexual intercourse, it is indeed possible that you may also have a urinary tract infection (UTI) or urethritis, especially if you are experiencing increased frequency of urination. Urethritis can be caused by sexually transmitted infections (STIs) or other bacteria, and it can be transmitted between partners. Symptoms such as burning during urination, increased urgency, or unusual discharge can indicate that both partners may need to be evaluated and treated.

2. Self-Healing and Treatment: Urethritis does not always resolve on its own, especially if it is caused by an infection. While some mild cases may improve without treatment, it is generally advisable to seek medical attention. Antibiotics are often necessary to effectively treat bacterial infections. Over-the-counter anti-inflammatory medications may help alleviate discomfort, but they do not address the underlying infection. It is important to consult a healthcare provider for a proper diagnosis and treatment plan.

3. Injury from Oral Sex: If your girlfriend experienced a minor abrasion or redness on the outer part of the foreskin during oral sex, it is likely to heal on its own, provided there is no ongoing irritation or infection. Keeping the area clean and avoiding further irritation is key. Applying a topical antibiotic ointment like Neosporin may help prevent infection, but it is best to consult a healthcare provider before applying any medication to ensure it is appropriate for the situation.

4. Impact on Sexual Function: Urethritis can potentially affect sexual function, particularly if there is pain or discomfort during urination or sexual activity. Inflammation and irritation in the urethra can lead to painful urination, which may cause anxiety or reluctance to engage in sexual activity. It is important to address any symptoms promptly and communicate openly with your partner about any discomfort you may be experiencing.

In addition to addressing your specific questions, here are some general recommendations for managing urethritis and maintaining sexual health:
- Hydration: Drink plenty of water to help flush out bacteria from the urinary tract.

- Avoid Irritants: Stay away from irritants such as caffeine, alcohol, and spicy foods, which can exacerbate urinary symptoms.

- Safe Sex Practices: Use condoms to reduce the risk of STIs and urinary tract infections. This is particularly important if either partner has symptoms of an infection.

- Follow-Up Care: If symptoms persist or worsen, it is crucial to follow up with a healthcare provider for further evaluation and treatment. This may include urine tests or cultures to identify the specific cause of the symptoms.

In conclusion, while it is possible that you may have urethritis, it is essential to seek medical advice for an accurate diagnosis and appropriate treatment. Open communication with your partner and healthcare provider will help ensure both of you receive the care needed to address these concerns effectively. Thank you for your questions, and I wish you both good health!

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