Unusual Symptoms: Persistent Erections and Discharge - Urology

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Strange?


I have noticed that over the past few months, after prolonged erections, a clear, sticky substance is being released.
Additionally, I experience multiple erections throughout the day, which often leaves my underwear damp.
I have no sexual experience, so it shouldn't be a sexually transmitted infection, right? I'm worried...

Xiao Yi, 10~19 year old female. Ask Date: 2009/07/01

Dr. Xu Weikai reply Urology


Hello, it is recommended to check the semen for any infections.
It could be caused by an infection or other issues.
As for whether it is a sexually transmitted infection (STI), the likelihood is low; it is more commonly due to typical bacteria such as Escherichia coli and Staphylococcus.
If there are any unclear points, feel free to ask again, and we can discuss and research further.

Sincerely,
Dr.
Hsu Wei-Kai
Department of Urology
Taitung Hospital, Department of Health, Executive Yuan

Reply Date: 2009/07/01

More Info


Persistent erections, medically known as priapism, and unusual discharge can be concerning symptoms that warrant further investigation. While I cannot provide a diagnosis, I can offer some insights into potential causes and considerations based on your description.

Firstly, it's important to understand that experiencing frequent erections, especially if they are prolonged or painful, can be indicative of priapism. This condition can occur due to various reasons, including but not limited to:
1. Vascular Issues: Priapism can result from blood flow problems in the penis, where blood becomes trapped in the erectile tissue. This can be due to conditions like sickle cell disease, certain medications, or even trauma.

2. Neurological Factors: Conditions affecting the nervous system, such as spinal cord injuries or neurological disorders, can also lead to priapism.

3. Medications: Some medications, particularly those used to treat erectile dysfunction or certain psychiatric medications, can cause prolonged erections as a side effect.

Regarding the discharge you mentioned, the presence of a clear, sticky fluid could be related to several factors:
1. Pre-ejaculatory Fluid: The fluid you are experiencing might be pre-ejaculatory fluid, which is produced by the Cowper's glands. This fluid can be released during arousal and may occur even in the absence of sexual experience.

2. Infection or Inflammation: While you mentioned concerns about sexually transmitted infections (STIs), it's important to note that infections can occur even without sexual experience. Conditions like urethritis or prostatitis can lead to unusual discharge and should be evaluated by a healthcare professional.

3. Hormonal Changes: Hormonal fluctuations during puberty can lead to increased sexual arousal and changes in discharge patterns.

Given your symptoms, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly laboratory tests, to determine the underlying cause of your symptoms. They may ask about your medical history, any medications you are taking, and other relevant factors.

In the meantime, here are some general recommendations:
- Avoid Self-Diagnosis: While it’s natural to worry about symptoms, self-diagnosing can lead to unnecessary anxiety. A healthcare professional can provide clarity and reassurance.

- Keep a Symptom Diary: Documenting when the symptoms occur, their duration, and any associated factors (like stress or physical activity) can be helpful for your healthcare provider.

- Practice Good Hygiene: Maintaining proper genital hygiene can help prevent infections and other complications.

- Stay Informed: Educating yourself about normal sexual health can help alleviate some concerns. However, be cautious about information from non-medical sources, as it may not always be accurate.

In conclusion, while your symptoms may not necessarily indicate a serious condition, they should not be ignored. Consulting with a healthcare professional is the best course of action to ensure your health and well-being. They can provide the appropriate guidance and treatment options tailored to your specific situation.

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