Urological Issues: Symptoms, Concerns, and Testing Options

Q: Urological Issues: Symptoms, Concerns, and Testing Options

Li Li： Hello, if you prefer not to go to the hospital for an examination, you can visit a larger laboratory for testing, and you can do so anonymously since all costs are out-of-pocket. <br>In a hospital, due to the requirement for medical record documentation, you must provide i

Urinary issues require your answers?

Dr.
Hsu: Hello! Recently, I've been experiencing occasional itching on my glans, and the surrounding skin, including the area near my testicles, also feels itchy.
My girlfriend sometimes experiences itching in her pubic area, along with a burning sensation, and occasionally the itching spreads to her thighs and upper body, especially noticeable at night, while it’s somewhat better during the day.
Additionally, when we are intimate, her discharge has become sticky and less slippery than before, and the amount has significantly decreased.
My girlfriend mentioned that her previous boyfriend had non-gonococcal urethritis, which led to their breakup, and she was infected at that time but was treated successfully.
However, she is now experiencing some discomfort again; could it be a recurrence?
Most of the time, we use condoms during intercourse, but there was one occasion when I touched her external genitalia with my glans (she was already feeling uncomfortable then, but I was unaware), and since that incident, I’ve noticed occasional itching on my glans.
I’m now very worried about possibly contracting non-gonococcal urethritis as well.
I’m unsure which hospital in Hsinchu would be best for examination and treatment, and I’m also concerned about the embarrassment of using my real name if I do test positive.

So, I would like to know if it’s possible to get tested anonymously without using my health insurance card.
Given our current symptoms, could they indicate non-gonococcal urethritis? Is there a possibility of transmission? How should I communicate this to the doctor? I’ve done some preliminary research online, and it seems that if I don’t mention this condition to the doctor, it might be overlooked during the examination.
Could you please help me address my concerns? I would greatly appreciate it!

Li Li, 30~39 year old female. Ask Date: 2009/08/27

Dr. Xu Weikai reply Urology

Li Li: Hello, if you prefer not to go to the hospital for an examination, you can visit a larger laboratory for testing, and you can do so anonymously since all costs are out-of-pocket.
In a hospital, due to the requirement for medical record documentation, you must provide identification to complete your medical history.
Additionally, because medical records go through many channels, it is nearly impossible to remain anonymous.

Urinary tract infections are generally not a major issue and can usually be treated with medication.
However, considering your symptoms, it may be necessary to evaluate other potential issues, such as lice (pubic lice, head lice, etc.), fungal infections, candidiasis, trichomoniasis, and many others that need to be considered.

If there are any details that are unclear, 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: 2009/08/27

More Info

It sounds like you are experiencing some concerning symptoms related to potential urological issues, and I appreciate your willingness to seek advice on this matter. Let's break down your situation and address your concerns regarding the symptoms you and your girlfriend are experiencing, as well as the testing options available to you.

Symptoms and Concerns
You mentioned experiencing itching around the glans (the head of the penis) and the surrounding skin, as well as discomfort in the testicular area. Your girlfriend is experiencing itching and a burning sensation in her pubic area, along with changes in her vaginal discharge. These symptoms can be indicative of several conditions, including infections such as non-gonococcal urethritis (NGU), yeast infections, or other sexually transmitted infections (STIs).

1. Itching and Discomfort: Itching in the genital area can be caused by various factors, including irritation from soaps or detergents, fungal infections (like a yeast infection), or bacterial infections. In men, NGU can cause symptoms such as itching, burning during urination, and discharge. In women, changes in vaginal discharge, especially if it becomes thicker or changes in color, can indicate an infection.

2. Changes in Discharge: Your girlfriend's description of her discharge becoming sticky and less abundant could suggest a yeast infection or bacterial vaginosis, especially if accompanied by itching or burning. It’s important to note that changes in discharge can also occur due to hormonal fluctuations or other benign reasons.

3. Risk of Transmission: Given that you have had unprotected contact, there is a possibility of transmission of infections. If your girlfriend has a history of NGU, it is essential to consider that she may be at risk of recurrence, especially if she is experiencing similar symptoms.

Testing Options
1. Anonymous Testing: Many clinics offer confidential or anonymous testing for STIs. You can inquire at local health departments or sexual health clinics about their policies regarding anonymity. In some cases, you may not need to provide your health insurance information, but it’s best to call ahead and ask.

2. What to Tell the Doctor: When you visit a healthcare provider, it’s crucial to be honest about your symptoms and any potential exposure to infections. You can explain your symptoms and mention your concerns about NGU and other STIs. This will help the doctor understand your situation better and guide them in conducting the appropriate tests.

3. Testing for STIs: Common tests for STIs include urine tests, swabs from the genital area, and blood tests. Depending on your symptoms, the doctor may recommend specific tests for NGU, chlamydia, gonorrhea, and other infections.

Next Steps
1. Seek Medical Attention: It is advisable for both you and your girlfriend to see a healthcare provider for evaluation and testing. Early diagnosis and treatment can prevent complications and further transmission.

2. Avoid Sexual Activity: Until you both have been evaluated and treated, it’s wise to avoid sexual activity to prevent potential transmission of infections.

3. Educate Yourself: Understanding the symptoms and risks associated with STIs can help you make informed decisions about your sexual health. Resources such as the CDC or local health departments can provide valuable information.

In conclusion, while your symptoms may be concerning, seeking medical advice is the best course of action. By being proactive about your health and communicating openly with your healthcare provider, you can address your concerns effectively. Remember, it’s important to prioritize your health and well-being, and there is no need to feel embarrassed about seeking help.

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