Do I Need to See a Doctor for Urological Concerns? - Urology

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Do I need to go to the hospital for this?


Hello, Dr.
Hsu.

Question 1: My girlfriend recently visited a gynecologist because she has been experiencing itching in her genital area and has some discharge.
The doctor diagnosed her with a bacterial infection.
My girlfriend suspects that I might have infected her, but I always use a condom during intercourse, and I have no symptoms such as pain or itching.
Should I visit a clinic? P.S.
I had sexual relations with another woman recently, but I also used a condom.
Could this be my issue?
Question 2: I have a condition where my penis is covered by foreskin.
I understand that most people would recommend circumcision.
Will circumcision be painful? If I choose not to have it done, will it affect my fertility? Are there any other potential impacts? Thank you.

308104, 20~29 year old female. Ask Date: 2008/08/05

Dr. Xu Weikai reply Urology


Regarding the first question: Sometimes, bacterial infections are not necessarily due to sexually transmitted infections (STIs) in men.
Occasionally, certain bacteria or fungi in the perineal area can be transferred into the vagina during sexual intercourse due to movements that carry bacteria from the skin or hair.
This does not always relate to STIs but is more closely associated with personal hygiene practices, such as bathing or local cleaning (for both partners) before engaging in sexual activity.
As for the second question: Circumcision is not painful because anesthesia is administered.
It does not affect fertility but may lead to an increased risk of harboring bacteria, which can contribute to cervical cancer in women.
Long-term inadequate cleaning can also increase the risk of developing penile or foreskin cancer.
If you have further questions or need more detailed information, feel free to ask, and we can discuss and research together.

Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology, Taitung Hospital, Ministry of Health and Welfare

Reply Date: 2008/08/05

More Info


When it comes to urological concerns, it is essential to understand that seeking medical advice is often the best course of action, especially when symptoms arise that could indicate an underlying issue. In your case, there are two primary concerns: the potential for a sexually transmitted infection (STI) and the condition of your foreskin.


Question 1: Do I Need to See a Doctor for Urological Concerns?
Regarding your girlfriend's bacterial infection, it is crucial to recognize that while you may not exhibit any symptoms, it is still possible for you to be a carrier of an infection. Many STIs can be asymptomatic in males, meaning that you might not experience any noticeable symptoms even if you are infected. Since your girlfriend has been diagnosed with a bacterial infection, it would be prudent for you to see a urologist or your primary care physician for a thorough evaluation. They may recommend tests such as urine analysis or swabs to check for infections, including STIs like chlamydia or gonorrhea, which can sometimes be transmitted even with condom use if there is contact with infected areas.

Moreover, it is essential to communicate openly with your partner about your sexual history and any concerns you both may have. This transparency can help both of you make informed decisions about your sexual health and any necessary treatments.


Question 2: Concerns About Foreskin and Circumcision
Regarding your second question about circumcision, it is a common procedure, and many men choose to undergo it for various reasons, including medical, hygiene, or personal preference. The procedure itself is typically performed under local anesthesia, and while there may be some discomfort during recovery, most men report that the pain is manageable and subsides within a few days.
As for the implications of not undergoing circumcision, it generally does not affect fertility or the ability to conceive. However, some men may experience issues such as recurrent infections or inflammation of the foreskin (a condition known as balanitis) if proper hygiene is not maintained. If you are experiencing any discomfort or recurrent issues related to your foreskin, it would be wise to discuss these with a urologist who can provide tailored advice based on your specific situation.


Conclusion
In summary, it is advisable for you to see a doctor for both concerns. For your girlfriend's bacterial infection, you should get tested to rule out any STIs, even if you are asymptomatic. Regarding your foreskin, consulting a urologist can help you understand the benefits and risks of circumcision and whether it is the right choice for you. Remember, maintaining open communication with your partner and healthcare providers is key to managing your sexual health effectively. Taking proactive steps now can help prevent complications and ensure both you and your partner remain healthy.

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