Urethritis: Symptoms and Possible STDs After Oral Sex

Q: Urethritis: Symptoms and Possible STDs After Oral Sex

Hello： After observing for a few days and increasing water intake, some cases may just be simple inflammation or injury. <br>If symptoms persist, it is important to seek medical attention. <br>Most of these do not fall under specific sexually transmitted infections (STIs), which

Urethritis caused by oral sex?

I'm not a doctor, but based on your description, it sounds like you may be experiencing symptoms related to inflammation or irritation rather than a sexually transmitted infection (STI), especially since your urine test did not show any bacteria.
The pain in your genital area and occasional itching in the pubic region could be due to a variety of factors, including irritation from the massage or other non-infectious causes.

However, some STIs can present with similar symptoms.
Common STIs that might cause genital pain and itching include:
1.
Chlamydia - Often asymptomatic but can cause pain and discomfort.
2.
Gonorrhea - Similar to chlamydia, it may cause pain and discharge.
3.
Herpes - Can cause painful sores and itching.
4.
Trichomoniasis - Can cause itching and discomfort.
It is important to follow up with a healthcare provider for a thorough evaluation, including possible STI testing, to determine the exact cause of your symptoms and receive appropriate treatment.

Wen, 30~39 year old female. Ask Date: 2022/08/19

Dr. Du Shixi reply Urology

Hello: After observing for a few days and increasing water intake, some cases may just be simple inflammation or injury.
If symptoms persist, it is important to seek medical attention.
Most of these do not fall under specific sexually transmitted infections (STIs), which typically present with urethral discharge, skin rashes, lesions, or bumps.
Wishing you good health.

Reply Date: 2022/08/19

More Info

Urethritis, or inflammation of the urethra, can occur due to various causes, including sexually transmitted infections (STIs). Given your recent sexual encounter and the symptoms you are experiencing, it's important to consider the potential for STIs, particularly after oral sex, which can transmit infections such as gonorrhea, chlamydia, and herpes, among others.

Symptoms of Urethritis
The symptoms of urethritis can vary but commonly include:
- Pain or burning sensation during urination
- Discharge from the urethra (which can be clear, cloudy, or purulent)
- Itching or irritation at the urethral opening
- Pain during sexual intercourse
- Swelling or redness at the tip of the penis
In your case, you mentioned experiencing pain in your genital area and occasional itching in the pubic region. While the absence of visible lesions or discharge may suggest a non-specific irritation or inflammation rather than a classic STI presentation, it does not rule out the possibility of an infection.

Possible STIs from Oral Sex
1. Gonorrhea: This bacterial infection can infect the throat and urethra. Symptoms may include a burning sensation during urination and discharge, but some individuals may remain asymptomatic.

2. Chlamydia: Similar to gonorrhea, chlamydia can cause urethritis. Many people do not exhibit symptoms, but it can lead to complications if left untreated.

3. Herpes Simplex Virus (HSV): Oral herpes can be transmitted through oral sex, leading to genital herpes. Symptoms may include painful sores, but some may experience only mild symptoms or none at all.

4. Trichomoniasis: This is a parasitic infection that can also be transmitted sexually. Symptoms may include irritation and discharge.

Diagnosis and Testing
Since your urine test did not show bacterial infection, it is essential to consider that some STIs may not be detected through a standard urine culture. If you suspect an STI, it is advisable to undergo specific testing for STIs, including:
- Nucleic acid amplification tests (NAATs) for gonorrhea and chlamydia.

- Blood tests for herpes simplex virus.

- Testing for other STIs as indicated based on your sexual history.

Recommendations
1. Follow-Up with a Healthcare Provider: Since your symptoms have not resolved, it is crucial to follow up with a healthcare provider, preferably a urologist or an infectious disease specialist. They can perform a thorough examination and recommend appropriate testing.

2. Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to refrain from sexual activity to prevent potential transmission to partners.

3. Maintain Hygiene: Keep the genital area clean and dry. Avoid irritants such as scented soaps or lotions that may exacerbate your symptoms.

4. Hydration: Drink plenty of fluids to help flush out your urinary system.

5. Monitor Symptoms: Keep track of any changes in your symptoms, including the development of new symptoms, and report these to your healthcare provider.

Conclusion
While your symptoms may not definitively indicate an STI, the recent sexual encounter and the nature of your symptoms warrant further investigation. Early diagnosis and treatment are crucial to prevent complications and the spread of infections. Always practice safe sex to reduce the risk of STIs in the future.

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