Has the urinary tract infection recurred again?
A month ago, I was diagnosed with urethritis through a urine test.
After taking medication for four days, the symptoms of urethritis resolved, and I did not return for a follow-up urine screening, which came back normal.
A few days ago, I engaged in intimate activities with my girlfriend, experiencing penile erection but did not have sexual intercourse.
After calming down, I felt a soreness and itching sensation on the right side of my penis extending to my groin, particularly strong in the groin area, but there is no pain or burning sensation during urination.
Could this indicate that the urethritis has not fully resolved? Should I avoid intimate stimulation before complete healing to prevent a recurrence?
ken, 30~39 year old female. Ask Date: 2013/07/14
Dr. Xu Weikai reply Urology
KEN: Hello, you can check urine or urethral secretions to see if there is an infection.
It is not possible to determine whether the cause is related to sexual impulses.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Answers found online should only be used as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
This response is from Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Department of Health, Executive Yuan.
Reply Date: 2013/07/14
More Info
Urethritis, or inflammation of the urethra, can be a frustrating and uncomfortable condition. Your recent experience with urethritis, where symptoms initially improved with antibiotic treatment but then returned after sexual activity, raises several important considerations regarding the management and understanding of this condition.
Understanding Urethritis Symptoms
1. Symptoms of Urethritis: Common symptoms include burning during urination, increased frequency of urination, and discharge from the urethra. In your case, the sensation of discomfort or itching in the groin area, particularly after sexual arousal, could indicate that the inflammation has not fully resolved. While the absence of burning during urination is a positive sign, the lingering discomfort suggests that your urethra may still be sensitive or irritated.
2. Duration of Symptoms: It is not uncommon for symptoms of urethritis to persist even after initial treatment. In some cases, the inflammation can take time to fully resolve, especially if there was a significant infection or if there are underlying factors contributing to the irritation, such as sexual activity or other irritants.
Risks of Recurrence
1. Sexual Activity and Irritation: Engaging in sexual activity, even without penetration, can sometimes exacerbate symptoms or lead to irritation of the urethra. If the urethra is still inflamed, any form of stimulation may cause discomfort or a resurgence of symptoms. It is generally advisable to avoid sexual activity until you are completely symptom-free to prevent further irritation and potential recurrence of the infection.
2. Preventive Measures: To reduce the risk of recurrence, consider the following:
- Hydration: Drink plenty of fluids to help flush out the urinary tract.
- Avoid Irritants: Steer clear of alcohol, caffeine, and spicy foods, which can irritate the bladder and urethra.
- Hygiene Practices: Maintain good genital hygiene and urinate after sexual activity to help clear any bacteria that may have been introduced during intercourse.
When to Seek Further Medical Attention
If symptoms persist or worsen, it is crucial to follow up with your healthcare provider. They may recommend further testing, such as a urine culture, to rule out any persistent infection or other underlying conditions. Additionally, if you experience new symptoms such as fever, chills, or severe pain, seek medical attention promptly.
Conclusion
In summary, while your initial treatment for urethritis appears to have been effective, the lingering discomfort suggests that your urethra may still be sensitive. It is advisable to refrain from sexual activity until you are symptom-free and to maintain good hydration and hygiene practices. If symptoms continue or worsen, consult your healthcare provider for further evaluation and management. Understanding your body’s signals is key to preventing recurrence and ensuring your overall urinary health.
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