Urethritis: Symptoms and Concerns After Oral Sex - Urology

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Urethritis, or inflammation of the urethra, can occur due to various factors, including infections, irritation, or injury. In your case, the symptoms you describe—redness at the urethral opening, the presence of small bumps, and discomfort during urination—suggest that you may be experiencing urethritis, potentially triggered by your recent sexual activity.

1. Symptoms of Urethritis: Common symptoms of urethritis include:
- Pain or burning sensation during urination
- Increased urgency or frequency of urination
- Discharge from the urethra (which can be clear, cloudy, or purulent)
- Redness or swelling at the urethral opening
- Pain during sexual intercourse or ejaculation
The small bumps you mentioned could be a result of irritation or minor trauma from the oral sex, but they could also indicate a possible infection or another condition, such as folliculitis or a sexually transmitted infection (STI).

2. Potential Causes: Urethritis can be caused by:
- Sexually Transmitted Infections (STIs): Common STIs that can lead to urethritis include chlamydia, gonorrhea, and herpes. If your partner has an STI, it is possible to contract it through oral sex, although the risk is generally lower than with vaginal or anal intercourse.

- Non-Sexually Transmitted Infections: Bacterial infections not related to sexual activity can also cause urethritis.

- Irritation: Chemical irritants (such as soaps, lotions, or spermicides) or physical irritation (from vigorous sexual activity) can lead to symptoms similar to those of urethritis.

3. What to Do Next: Given your symptoms, it is crucial to seek medical attention. Here are some steps you should consider:
- Consult a Healthcare Provider: A healthcare professional can perform a thorough examination, including a urinalysis and possibly a culture to identify any infectious agents. This is important to determine whether you have an STI or another type of infection.

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

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

- Avoid Irritants: Steer clear of soaps, lotions, or other products that may irritate the genital area until your symptoms resolve.

4. Treatment: If an infection is confirmed, your healthcare provider will prescribe appropriate antibiotics or antiviral medications based on the specific pathogen identified. It is essential to complete the full course of any prescribed medication, even if symptoms improve before finishing the treatment.

5. Follow-Up: If your symptoms persist or worsen despite treatment, or if you develop new symptoms (such as fever, chills, or severe pain), seek medical attention promptly. It may be necessary to revisit your diagnosis or consider other potential causes for your symptoms.

In summary, while your symptoms may suggest urethritis, a definitive diagnosis can only be made by a healthcare professional. Prompt evaluation and treatment are essential to ensure a full recovery and to prevent complications or the spread of infections.