Distress
Hello, Doctor! I have a few questions to ask you.
1.
Recently, I have noticed that my scrotum is very itchy, to the point where it's almost unbearable, and I also feel a bit of a stinging sensation.
This is quite bothersome for me.
2.
I constantly feel the urge to urinate and have frequent urination, but the amount of urine is not much, which is also troubling me.
3.
If I want to go to the hospital to check whether I have any sexually transmitted infections, how long after having sexual intercourse would be appropriate to get tested?
A Jie, 20~29 year old female. Ask Date: 2005/09/03
Dr. Xu Weikai reply Urology
Ajie: Hello, here are the responses to your questions: 1.
Itching of the scrotum? Does it become more intense with an increase in body temperature? Please check carefully for any small white moving organisms or any scars on the skin, as these can serve as diagnostic clues.
Common causes include localized infections, such as fungal infections or pubic lice.
2.
There are many causes of frequent urination: urinary tract infections, kidney stones, anxiety, medications, etc., all of which can lead to increased urination.
Treatment should be based on the underlying cause.
3.
There are many types of sexually transmitted infections (STIs), some of which have very obvious clinical symptoms while others may be mild.
It is generally recommended to have blood tests done 6-8 weeks later, primarily to confirm HIV infection.
Department of Urology, Taitung Hospital, Ministry of Health and Welfare, Taiwan.
Director Xu Weikai.
Reply Date: 2005/09/03
More Info
Dear patient,
Thank you for reaching out with your concerns. It sounds like you are experiencing a combination of symptoms that can be quite distressing. Let’s break down your issues one by one.
1. Itching and Pain in the Scrotum: The itching and pain you are experiencing in your scrotum could be due to several reasons. Common causes include fungal infections (like jock itch), bacterial infections, or even irritations from soaps or laundry detergents. Additionally, sexually transmitted infections (STIs) such as herpes or gonorrhea can also cause similar symptoms. It is essential to consult a healthcare provider for a proper examination and diagnosis. They may perform a physical examination and possibly take a swab for laboratory testing to determine the exact cause of your symptoms.
2. Frequent Urination: The sensation of needing to urinate frequently, accompanied by a small volume of urine, can be indicative of several conditions. This could be a sign of a urinary tract infection (UTI), which is common and can cause urgency and frequency. Other potential causes include prostate issues in men, such as benign prostatic hyperplasia (BPH), or even overactive bladder syndrome. Again, a healthcare provider can help determine the underlying cause through a urinalysis and possibly other tests.
3. Testing for STIs: If you are concerned about STIs, it is advisable to get tested. The timing for testing after potential exposure can vary depending on the specific infection. Generally, for most STIs, it is recommended to wait about 1 to 2 weeks after exposure for accurate results. However, some infections may require a longer window period. For example, HIV testing is often recommended at 3 months post-exposure for conclusive results. It is best to consult with your healthcare provider about your specific situation, as they can guide you on the appropriate tests and timing based on your sexual history and any symptoms you may be experiencing.
In summary, it is crucial to seek medical attention for your symptoms. A healthcare provider can perform the necessary examinations and tests to diagnose your condition accurately. Early diagnosis and treatment can help alleviate your symptoms and prevent any potential complications. Please do not hesitate to reach out to a healthcare professional for further assistance.
Take care, and I wish you the best in your health journey.
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