Unusual Symptoms: Urological Issues and STDs - Urology

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Bizarre symptoms


Recently, the guy I had a sexual encounter with mentioned that he developed a fever and a rash (he did not use a condom, and I'm not very clear about the rash).
My boyfriend has also reported that his right testicle is inflamed and swollen (he did use a condom) and he is showing signs of fever.
On the day I had intercourse with him, I also caught a cold, so I didn't suspect anything.
I'm really concerned that I might have contracted a sexually transmitted infection (STI).
In the past, I experienced excessive yellowish discharge, which I thought was just a simple inflammation, and I only took some anti-inflammatory medication without any further issues.
Could you please advise me on what diseases I might have and how I should proceed with treatment?

Xiao Li, 10~19 year old female. Ask Date: 2001/06/30

Dr. Liu Jianting reply Urology


It is truly quite strange, especially considering your young age and the symptoms you are experiencing.
We are genuinely concerned and want to remind you to "take good care of yourself and treat your body well." Regardless of what symptoms your boyfriends may have, they should seek evaluation and treatment from the appropriate medical professionals.
Of course, if you have any discomfort, you should also consult a doctor for examination and treatment.
Never self-medicate, as this is a very dangerous and unsafe approach.
Engaging in "unsafe" sex is definitely not something you should be exposed to at your young age.

Reply Date: 2001/06/30

More Info


When it comes to unusual symptoms, particularly in the context of urological issues and sexually transmitted diseases (STDs), it is essential to approach the situation with caution and seek medical advice. Based on the information you provided, there are several potential concerns that could arise from the symptoms experienced by you and your partners.

Firstly, the male partner who experienced fever and rash may be exhibiting signs of a sexually transmitted infection (STI) or another infectious process. Common STIs such as gonorrhea, chlamydia, syphilis, and herpes can present with systemic symptoms like fever and localized symptoms such as rashes. The rash could be a manifestation of a viral infection or an allergic reaction, but in the context of recent sexual activity, it is prudent to consider STIs as a possibility.

Your boyfriend's symptoms of right testicular inflammation and redness, accompanied by fever, are concerning as well. Testicular inflammation, or epididymitis, can be caused by STIs, particularly chlamydia and gonorrhea, especially in sexually active males. Other causes could include non-infectious factors such as trauma or torsion, but given the context, an infectious cause should be prioritized. The presence of fever indicates that there may be a systemic infection, which requires prompt medical evaluation.

Regarding your own symptoms, the history of increased vaginal discharge that was yellowish could suggest a bacterial vaginosis or a yeast infection, but it could also indicate an STI, particularly if accompanied by other symptoms such as itching, burning, or unusual odor. The fact that you have experienced these symptoms in the past and self-treated with anti-inflammatory medications may not address the underlying cause, especially if an infection is present.

Given the complexities of STIs and the potential for serious complications if left untreated, it is crucial to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include:
1. Physical Examination: A physical exam to assess the symptoms and any visible signs of infection or inflammation.


2. Laboratory Tests: Testing for STIs through urine samples, blood tests, or swabs from the genital area. This will help identify any infections that may be present.

3. Imaging Studies: If there is suspicion of testicular torsion or other complications, imaging studies such as an ultrasound may be necessary.

4. Treatment: Depending on the diagnosis, treatment may include antibiotics for bacterial infections, antiviral medications for viral infections, or other specific therapies based on the identified condition.

In conclusion, it is essential to communicate openly with your healthcare provider about your symptoms and sexual history. Early diagnosis and treatment are key to managing STIs and preventing complications. Avoid self-diagnosing or self-treating, as this can lead to worsening of the condition or complications. Remember, sexual health is an important aspect of overall health, and seeking help is a responsible and necessary step.

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