Do I Have Urethritis? Symptoms and Tests You Should Know

Do I have urethritis?

Last week, after having intercourse with my wife (without using a condom), she experienced discomfort while urinating the next day.
The doctor diagnosed her with urethritis.
A few days later, I began to feel itching in my urethra almost every night, making it difficult for me to sleep.
Am I suffering from urethritis as well? What tests should I undergo?

mister, 20~29 year old female. Ask Date: 2013/04/11

Dr. Li Yilun reply Urology

Discomfort during urination or urinary issues may indicate an inflammatory infection.
Please consult a nearby urologist for urine testing and treatment.

Reply Date: 2013/04/11

More Info

Based on your description, it is quite possible that you may be experiencing urethritis, especially considering the recent sexual activity without protection and the subsequent symptoms of itching and discomfort in the urethra. Urethritis is an inflammation of the urethra, which can be caused by infections, including sexually transmitted infections (STIs), or non-infectious factors.

Symptoms of Urethritis
Common symptoms of urethritis include:
- Pain or burning sensation during urination
- Increased frequency or urgency of urination
- Itching or irritation at the urethral opening
- Discharge from the urethra (which may be clear, cloudy, or purulent)
- Pain during sexual intercourse
Given that your wife has been diagnosed with urethritis and you are experiencing similar symptoms, it is advisable to seek medical attention.

Recommended Tests
To confirm a diagnosis of urethritis and determine the underlying cause, the following tests may be recommended:
1. Urinalysis: A simple urine test can help identify signs of infection, such as the presence of white blood cells, red blood cells, or bacteria.

2. Urine Culture: This test can identify specific bacteria causing the infection and determine the most effective antibiotic for treatment.

3. Nucleic Acid Amplification Tests (NAATs): These tests are highly sensitive and can detect STIs such as Chlamydia and Gonorrhea, which are common causes of urethritis.

4. Physical Examination: A healthcare provider may perform a physical examination, including a genital examination, to check for any abnormalities or signs of infection.

5. Sexual Health Screening: Given the recent unprotected sexual activity, it may also be prudent to undergo screening for other STIs, even if you do not have symptoms.

Next Steps
- Consult a Healthcare Provider: It is essential to see a healthcare provider as soon as possible. They can perform the necessary tests and provide appropriate treatment based on the results.

- Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to refrain from sexual activity to prevent potential transmission of infections.

- Hydration: Drink plenty of fluids to help flush out your urinary system, which may alleviate some discomfort.

- Avoid Irritants: Stay away from potential irritants such as soaps, lotions, or other products that may aggravate the urethra.

Conclusion
In summary, based on your symptoms and recent sexual activity, it is plausible that you may have urethritis. Prompt medical evaluation and testing are crucial to confirm the diagnosis and initiate appropriate treatment. Early intervention can help prevent complications and ensure a quicker recovery. If you have any further questions or concerns, do not hesitate to reach out to a healthcare professional.

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