Symptoms: White Discs on Penis and Possible STDs - Urology

More Info

---

When it comes to symptoms such as white discs on the penis and potential sexually transmitted diseases (STDs), it is crucial to approach the situation with caution and seek medical advice. Based on your description, you recently engaged in unprotected oral sex and protected vaginal intercourse, and now you are experiencing pain in the urethra and glans, along with a white discharge. These symptoms can indeed be indicative of a sexually transmitted infection (STI), with gonorrhea being a strong possibility given your recent sexual history.

Gonorrhea is a common bacterial infection caused by Neisseria gonorrhoeae, which can affect various mucosal surfaces, including the urethra, throat, and rectum. The symptoms you are experiencing, such as urethral pain and discharge, align with typical presentations of gonorrhea. However, it is important to note that not all individuals with gonorrhea will exhibit symptoms, and some may have mild or atypical presentations.

The white discs you mentioned on the foreskin could represent a few different conditions. While they are not a classic symptom of gonorrhea, they could be related to other infections or dermatological conditions. Here are some possibilities:
1. Pearly Penile Papules: These are small, benign, white or flesh-colored bumps that can appear around the corona of the glans. They are normal anatomical variations and are not associated with STIs.

2. Fordyce Spots: These are small, painless, pale bumps that are sebaceous glands that are visible through the skin. They are also harmless and not related to any disease.

3. Genital Warts: Caused by the human papillomavirus (HPV), these can appear as small, flesh-colored or white bumps. They can be flat or raised and may vary in size.

4. Balanitis or Posthitis: Inflammation of the glans or foreskin can lead to symptoms such as redness, swelling, and discharge. This condition can be caused by infections, irritants, or poor hygiene.

5. Other STIs: Other sexually transmitted infections, such as herpes or syphilis, can also present with lesions or discharge.
Given the complexity of your symptoms and the potential for STIs, it is essential to follow up with your healthcare provider for further evaluation. The urine culture you are awaiting will help confirm or rule out gonorrhea. In the meantime, it is advisable to refrain from sexual activity until you have received a definitive diagnosis and treatment plan.

If the lesions persist or change in appearance, or if you develop additional symptoms such as fever, swelling, or increased pain, you should seek medical attention promptly. Treatment for gonorrhea typically involves antibiotics, and it is important to inform any sexual partners so they can also be tested and treated if necessary.

In summary, while your symptoms may suggest gonorrhea, the white discs on the penis could be due to various benign conditions. A thorough examination by a healthcare professional, along with appropriate testing, will provide clarity and guide you toward the right treatment. Always prioritize your sexual health and seek timely medical advice when experiencing concerning symptoms.