Concerns About Urological Symptoms: Do I Have an STD? - Urology

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When it comes to concerns about urological symptoms, particularly in the context of potential sexually transmitted diseases (STDs), it is essential to approach the situation with a comprehensive understanding of the symptoms, medical history, and the results of previous tests.

From your description, it appears that you have undergone thorough testing for STDs two months ago, which returned normal results. This is a positive sign, as it indicates that there were no detectable infections at that time. However, the emergence of new symptoms, such as the white spots on the glans and urethral area, warrants further investigation.

The presence of white spots, especially if they are not painful or itchy, could be indicative of several conditions. One possibility is pearly penile papules, which are small, benign growths that are common and not associated with any disease. Another possibility could be a condition known as lichen sclerosus, which can cause white patches on the skin but is typically associated with other symptoms. Additionally, while you mentioned that there was no discharge or odor, it is still important to consider other dermatological conditions or infections that may not present with typical symptoms.

Given your history of prostatitis (inflammation of the prostate) and balanitis (inflammation of the glans), it is crucial to follow up with your urologist. The fact that you have been treated for these conditions suggests that there may be underlying issues related to inflammation or infection that need to be addressed. The white spots you are observing could potentially be related to these previous conditions, especially if there was any irritation or inflammation in the area.

It is also important to note that while you have tested negative for STDs, some infections may not be immediately detectable or could have been contracted after your last test. If you have had any new sexual encounters since your last testing, it would be prudent to discuss this with your healthcare provider, as they may recommend retesting or additional examinations.

In terms of management, it is advisable to avoid any irritants, such as harsh soaps or lotions, and to maintain good hygiene. If the spots continue to persist, change in appearance, or if you develop any new symptoms (such as pain, itching, or discharge), you should seek medical attention promptly.

In summary, while your previous STD tests were normal, the new symptoms you are experiencing should be evaluated by a healthcare professional. It is essential to communicate openly with your urologist about your concerns, including the history of prostatitis and any recent changes in your symptoms. They may recommend further diagnostic tests, such as a biopsy of the spots if necessary, or provide treatment options based on their findings. Remember, early intervention and clear communication with your healthcare provider are key to addressing any potential health issues effectively.