Red Spots and Painful Symptoms: Urology Concerns

Prepuce issues

The foreskin has multiple red sores (with a stinging sensation during urination) and there are red spots on the glans.
Could this be a sexually transmitted infection? Where should I seek medical attention in the Taoyuan area?

Chen, 20~29 year old female. Ask Date: 2023/03/22

Dr. Chen Jiansheng reply Urology

Please seek medical attention.

Reply Date: 2023/03/22

More Info

When it comes to urological concerns, particularly those involving red spots and painful symptoms, it is essential to approach the situation with a comprehensive understanding of potential causes and appropriate actions to take. Based on the symptoms you've described—red spots on the glans (the head of the penis), painful urination, and the presence of multiple red lesions—there are several possible explanations, including infections, inflammatory conditions, or sexually transmitted infections (STIs).

Possible Causes
1. Infections: One of the most common causes of red spots and painful urination is a urinary tract infection (UTI) or a sexually transmitted infection (STI) such as gonorrhea or chlamydia. These infections can lead to inflammation of the urethra (urethritis), which may cause pain during urination and the appearance of red spots.

2. Inflammatory Conditions: Conditions such as balanitis (inflammation of the glans) or posthitis (inflammation of the foreskin) can also result in redness and pain. These conditions can be caused by irritants, poor hygiene, or infections.

3. Allergic Reactions: Sometimes, an allergic reaction to soaps, lotions, or latex (from condoms) can cause irritation and redness in the genital area.

4. Sexually Transmitted Infections (STIs): As mentioned, STIs can present with similar symptoms. It is crucial to consider recent sexual activity and whether protective measures were used.

Recommended Actions
Given the symptoms you are experiencing, it is advisable to seek medical attention promptly. Here are steps you can take:
1. Consult a Urologist: Since you are experiencing specific urological symptoms, visiting a urologist would be the best course of action. They can perform a thorough examination, including a physical exam and possibly laboratory tests (urinalysis, cultures, or STI screenings) to determine the underlying cause of your symptoms.

2. Avoid Self-Diagnosis: While it may be tempting to search for answers online, self-diagnosing can lead to unnecessary anxiety and may delay appropriate treatment. A healthcare professional can provide a proper diagnosis and treatment plan.

3. Maintain Hygiene: In the meantime, ensure that you maintain good genital hygiene. Gently clean the area with mild soap and water, and avoid any irritants that may exacerbate the condition.

4. Avoid Sexual Activity: Until you have been evaluated by a healthcare provider, it is wise to refrain from sexual activity to prevent potential transmission of infections and to avoid further irritation.

Where to Seek Treatment
In the Taoyuan area, you can visit a local hospital or a specialized urology clinic. Look for facilities that have a good reputation for treating urological conditions. You may also consider visiting a sexual health clinic, which can provide confidential testing and treatment for STIs.

Conclusion
In summary, the presence of red spots and painful urination can indicate a variety of conditions, some of which may require prompt medical intervention. It is essential to consult with a healthcare professional who can provide a thorough evaluation and appropriate treatment. Remember, early diagnosis and treatment are key to managing urological health effectively.

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