Symptoms: Could This Be an STI or Other Urological Issue?

Doctor, could these symptoms be a sexually transmitted infection? Will this delay the treatment time?

I'm not a doctor, but based on your symptoms and concerns, it is possible that you may be experiencing a sexually transmitted infection (STI) or another condition such as balanitis (inflammation of the glans) or urethritis (inflammation of the urethra).
The pain you felt after sexual activity, along with the itching and the appearance of your glans, could indicate an infection, but the absence of yellow or white discharge makes it less likely to be a classic STI.
The white area you mentioned at the urethral opening could be a sign of irritation or a mild infection.
The redness and itching in the groin area, especially if you are in a humid environment, could suggest a fungal infection or dermatitis rather than an STI.
It is important to consult a healthcare professional for a thorough examination and appropriate testing, including blood tests for STIs.
They can provide a more accurate diagnosis based on your symptoms and medical history.
Treatment and recovery time will depend on the specific diagnosis.
Please seek medical attention to clarify your condition and receive the appropriate treatment.

Yang, 20~29 year old female. Ask Date: 2001/12/12

Dr. Pan Zhenqin reply Urology

Based on your description, it should not be a sexually transmitted infection.
Even if there is urethritis, it is likely a common bacterial infection, and increasing fluid intake should help improve the condition.
Pay attention to whether your girlfriend has excessive vaginal discharge or any leukorrhea.
If so, she should consult a gynecologist for treatment.
The uneven area at the edge of the urethra, which you noticed when retracting the skin on the glans, appears to be a fold of the urethral mucosa, which is not a concern.
The itching and red spots in the groin area are likely tinea cruris (jock itch).
It is advisable to keep the area dry and consult a dermatologist or urologist for treatment.
If you are still feeling anxious, you may consider seeing a urologist for further examination and treatment.

Reply Date: 2001/12/12

More Info

Based on your symptoms and the timeline you've provided, it is understandable to have concerns about potential sexually transmitted infections (STIs) or other urological issues. Let's break down your symptoms and possible diagnoses.

Symptoms Overview
1. Pain in the genital area: You mentioned experiencing slight pain in the genital region after oral sex, which could indicate irritation or inflammation.

2. Itching and discomfort: Persistent itching and discomfort, especially in a humid environment, can lead to skin irritation or infections.

3. Changes in the appearance of the glans (head of the penis): You noted that the area appears "not smooth" and has some white spots, which could suggest a dermatological issue or an infection.

4. Urinary symptoms: The absence of pain during urination is a positive sign, but the presence of yellow urine and some white discharge could indicate an underlying issue.

Possible Diagnoses
1. Glenitis or Balanitis: This is inflammation of the glans and can occur due to various reasons, including irritation from soaps, hygiene products, or infections. Symptoms typically include redness, swelling, and discomfort.

2. Urethritis: This is inflammation of the urethra, often caused by infections, including STIs. While you do not have the classic symptoms of purulent discharge, some cases can present with mild symptoms or atypical presentations.

3. Sexually Transmitted Infections (STIs): While you do not exhibit the classic signs of STIs (like significant discharge), infections such as Chlamydia or Gonorrhea can sometimes present with mild symptoms. The presence of oral sex increases the risk of certain infections, including those that can affect the throat and genital area.

4. Fungal or Bacterial Infections: Given the humid environment and the itching, a fungal infection (like candidiasis) or a bacterial infection could be possible. These infections can cause redness, itching, and discomfort.

5. Dermatological Issues: Conditions like psoriasis or eczema can also cause changes in the skin texture and irritation in the genital area.

Recommendations
- Consult a Urologist: Given the complexity of your symptoms, it would be beneficial to see a urologist who can perform a thorough examination and possibly run tests (like a urinalysis or swabs) to determine the exact cause of your symptoms.

- Testing for STIs: Even if you do not have classic symptoms, it is prudent to get tested for STIs, especially since you have had recent sexual activity. This will help rule out infections and provide peace of mind.

- Skin Examination: A dermatologist can assess the skin changes you described, particularly if there are persistent red spots or changes in texture.

- Hygiene Practices: Maintain good hygiene, especially in humid environments. Avoid irritants and consider using a mild soap. If you are experiencing discomfort, over-the-counter antifungal creams may provide relief if a fungal infection is suspected.

Conclusion
While your symptoms could be indicative of several conditions, including infections or dermatological issues, it is essential to have a professional evaluation to obtain an accurate diagnosis. Early intervention can lead to better outcomes and alleviate your concerns. Please do not hesitate to seek medical attention, as addressing these symptoms promptly is crucial for your health and well-being.

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