Redness and Discharge: Is It Urethritis or STD? - Urology

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I would like to ask the doctor about the redness and swelling on my glans, along with some yellow-green discharge.
I also experience a stinging sensation when urinating.
I'm not sure if this is urethritis or a sexually transmitted infection.

Xiao Yu, 20~29 year old female. Ask Date: 2006/06/10

Dr. Chen Xiuyi reply Urology


Hello: Based on your description, you may have urethritis.
It is best to seek medical attention for examination to rule out gonorrhea as a cause.
Sincerely, Dr.
Chen Hsiu-Yi, Urology.

Reply Date: 2006/06/10

More Info


The symptoms you are describing, including redness and swelling of the glans (the head of the penis), along with yellow-green discharge and painful urination, are concerning and could indicate urethritis, which is inflammation of the urethra. Urethritis can be caused by a variety of factors, including sexually transmitted infections (STIs) such as gonorrhea and chlamydia, as well as non-sexually transmitted infections or irritants.

In your case, the presence of yellow-green discharge is particularly suggestive of a bacterial infection, often associated with STIs. Gonococcal urethritis, caused by Neisseria gonorrhoeae, typically presents with purulent (pus-like) discharge and can cause significant discomfort during urination. Chlamydial urethritis, caused by Chlamydia trachomatis, may also present with similar symptoms but can sometimes be asymptomatic.

It is important to note that urethritis can also be caused by non-infectious factors, such as irritation from soaps, lotions, or other chemicals, as well as trauma or injury to the area. However, given your symptoms, it is crucial to consider the possibility of an STI.

To accurately diagnose your condition, it is essential to seek medical attention from a healthcare provider. They will likely perform a physical examination and may recommend laboratory tests, including a urine test or swabs of the discharge, to identify the causative organism. This will help determine whether you have an STI or another form of urethritis.

If an STI is confirmed, treatment typically involves antibiotics. It is also important to inform any sexual partners, as they may need to be tested and treated as well to prevent reinfection and further spread of the infection.

In addition to seeking treatment, it is advisable to avoid sexual activity until you have been evaluated and treated, as this can help prevent complications and the spread of infection.

In summary, your symptoms are concerning for urethritis, potentially due to an STI. Prompt medical evaluation is necessary to determine the cause and appropriate treatment. Remember, early diagnosis and treatment are key to preventing complications and ensuring a full recovery.

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