Urethral Discomfort: Causes and Recovery After Treatment - Urology

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Recently, I've been experiencing discomfort in the urethra?


Thank you for the doctor's explanation.
I went back for a follow-up on Monday.
The doctor reviewed the report and mentioned there is mild inflammation.
He said not to worry too much and prescribed two types of medication to help adjust my body.
However, on Tuesday, I had sexual intercourse with my girlfriend.
We maintained proper hygiene and urinated before and after, and I used a condom throughout.
But during ejaculation, I felt a slight swelling and pain in the urethra.
Could this be due to the urethritis not being completely healed? I only have a swollen, itchy, and painful sensation in the urethra.
Today, I also feel a bit off.
Is it possible that the urethra was almost healed and the large amount of semen passing through caused the pain?

Amo, 20~29 year old female. Ask Date: 2015/06/24

Dr. Xu Weikai reply Urology


Ah Mo: Hello, it’s possible that your urethritis has not fully healed yet, and slight stimulation can cause skin breakdown or minor injuries.
If possible, I recommend avoiding vigorous sexual activity during this time.
(Alternatively, consider abstaining for about 4-6 weeks.)

Reply Date: 2015/06/24

More Info


Understanding urethral discomfort can be quite complex, especially after experiencing a condition like urethritis or a similar infection. Based on your description, it seems that you are dealing with some residual symptoms following a diagnosis of mild inflammation in the urethra. This inflammation can indeed lead to discomfort during sexual activity, particularly during ejaculation.

Urethritis, which is an inflammation of the urethra, can be caused by various factors, including infections (like sexually transmitted infections), irritants, or even trauma. When the urethra is inflamed, it can become sensitive, leading to symptoms such as pain, burning, or a feeling of pressure, especially during activities that involve the urethra, such as urination or ejaculation.

In your case, the discomfort you experienced during ejaculation could be attributed to a few factors:
1. Residual Inflammation: Since your doctor noted mild inflammation, it is possible that the urethra is still healing. Engaging in sexual activity during this healing phase can exacerbate discomfort, as the urethra may not yet be fully recovered from the inflammation.

2. Increased Sensitivity: After an infection or inflammation, the tissues in the urethra can become more sensitive. This heightened sensitivity can lead to discomfort during sexual activity, especially if there is any friction or pressure applied to the area.

3. Fluid Dynamics: The sensation of pain or discomfort during ejaculation could also be related to the volume of fluid passing through the urethra. If the urethra is inflamed, the presence of semen may cause a stretching sensation or discomfort as it moves through the inflamed area.

4. Psychological Factors: Anxiety or concern about the condition can also contribute to the perception of pain. If you are worried about your symptoms, this can sometimes amplify the discomfort you feel.

In terms of recovery, it is essential to follow your doctor's advice regarding medication and any recommended lifestyle changes. Here are some general tips that may help alleviate discomfort and promote healing:
- Hydration: Drink plenty of fluids to help flush out the urinary tract and reduce irritation.

- Avoid Irritants: Stay away from potential irritants such as alcohol, caffeine, spicy foods, and acidic foods until your symptoms improve.

- Rest: Allow your body time to heal. If you experience discomfort during sexual activity, it may be wise to abstain until you feel more comfortable.

- Follow-Up Care: Since you have a follow-up appointment, make sure to discuss any ongoing symptoms with your doctor. They may want to perform additional tests or adjust your treatment plan based on your recovery progress.

In conclusion, while it is common to experience some discomfort during recovery from urethritis, persistent or worsening symptoms should be addressed with your healthcare provider. They can provide tailored advice and treatment options based on your specific situation. Remember, healing takes time, and it is essential to be patient with your body as it recovers.

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