Prostatitis: When to See a Urologist for Symptoms - Urology

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Prostatitis


I visited the doctor on Tuesday and mentioned that I was experiencing discomfort in my lower abdomen.
The doctor diagnosed me with intestinal inflammation and prescribed antibiotics.
However, I forgot to tell the doctor that I experienced a burning sensation during ejaculation on Sunday, as I hadn't ejaculated in the past two days.
When I masturbated again on Thursday, I noticed that the burning sensation during ejaculation persisted.
Can I wait until next Tuesday to see the doctor again, since it would only be three days after starting the antibiotics, or should I see a urologist immediately? I'm concerned that the examination might not be accurate.

Qun, 10~19 year old female. Ask Date: 2023/03/23

Dr. Jian Weihong reply Urology


Hello: If you have time, I recommend seeing a doctor right away.
Wishing you good health.

Reply Date: 2023/03/23

More Info


When it comes to understanding prostatitis and when to see a urologist, it's essential to recognize the symptoms and their implications. Prostatitis is an inflammation of the prostate gland, which can manifest in various ways, including pain in the lower abdomen, discomfort during urination, and pain during ejaculation. Your experience of a burning sensation during ejaculation, especially after a recent history of discomfort in the lower abdomen, is significant and warrants attention.

Given that you have already consulted a physician who prescribed antibiotics for what was suspected to be an intestinal inflammation, it is crucial to consider the possibility that your symptoms may be related to prostatitis rather than solely gastrointestinal issues. The burning sensation during ejaculation can be indicative of prostatitis, particularly if it persists despite antibiotic treatment.
In your case, waiting until your next scheduled appointment may not be advisable. While it is understandable to want to give the antibiotics time to work, the presence of a burning sensation during ejaculation suggests that there may be an underlying issue that needs to be addressed sooner rather than later. Prostatitis can sometimes be complicated by bacterial infections, and if left untreated, it can lead to chronic pain or other complications.

Here are some points to consider:
1. Symptom Monitoring: Keep track of your symptoms, including any changes in the burning sensation, frequency of urination, or any new symptoms that may arise. This information will be valuable for your healthcare provider.

2. Timing of Symptoms: Since you mentioned that the burning sensation occurs specifically during ejaculation, this symptom is particularly relevant to prostatitis. It is important to communicate this to your urologist.

3. Antibiotic Treatment: While antibiotics can be effective for bacterial prostatitis, they may not address non-bacterial forms of prostatitis. If your symptoms do not improve with the current antibiotic regimen, further evaluation may be necessary.

4. When to Seek Help: If your symptoms worsen, or if you experience additional symptoms such as fever, chills, or severe pain, it is crucial to seek medical attention immediately. These could be signs of a more severe infection or complication.

5. Urologist Consultation: Given your symptoms, it would be prudent to consult a urologist sooner rather than later. They can perform specific tests, including a prostate exam, urine tests, and possibly imaging studies, to determine the cause of your symptoms.

In summary, while it may be tempting to wait until your next appointment, the burning sensation during ejaculation is a symptom that should be evaluated promptly. Prostatitis can have various causes and implications, and early intervention can help prevent complications and improve your quality of life. Don't hesitate to reach out to your healthcare provider or a urologist to discuss your symptoms and concerns. Your health and comfort are paramount, and timely medical advice is essential in managing your condition effectively.

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