Post-Sex Injury: Risks of STIs and Proper Care for Urethral Damage - Urology

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Discovered damage after sexual intercourse?


After having intercourse with my girlfriend, I noticed that my genital area was irritated due to dryness.
When I got home and took a shower, I discovered that the area under the foreskin was very painful.
Upon further inspection, I found a bleeding wound at the connection point between the foreskin and the glans.
If I had intercourse without a condom and there is a wound, is there a risk of contracting a sexually transmitted infection (STI)? Should I endure the pain and retract the foreskin to clean it? Thank you.

Bu'anren, 20~29 year old female. Ask Date: 2015/06/30

Dr. Fu Shizhang reply Urology


Friction injuries during intercourse are commonly seen in clinical practice, and it is recommended to visit a urologist for topical treatment.
Additionally, regardless of the presence of wounds, engaging in intercourse without wearing a condom carries a risk of transmitting sexually transmitted infections.

Reply Date: 2015/06/30

More Info


After experiencing an injury during intercourse, especially one that involves abrasions or cuts on the genital area, it is crucial to take appropriate steps to care for the injury and assess the risk of sexually transmitted infections (STIs).
Firstly, it is important to understand that any open wound, particularly in the genital area, can increase the risk of infection, including STIs. If you had unprotected sex and there was a cut or abrasion, there is a possibility of transmitting infections such as gonorrhea, chlamydia, or even HIV, depending on the health status of both partners. The mucous membranes in the genital area are particularly susceptible to infections when there are breaks in the skin.

In terms of immediate care for your injury, it is advisable to gently clean the area with mild soap and water. Avoid using harsh soaps or any products that may irritate the wound further. If the pain is significant, you might consider taking over-the-counter pain relief medications, such as ibuprofen or acetaminophen, to help manage discomfort. However, do not attempt to forcibly retract the foreskin if it causes pain, as this could exacerbate the injury.

After cleaning the area, it is essential to monitor the wound for signs of infection, which may include increased redness, swelling, warmth, or discharge. If you notice any of these symptoms, or if the pain worsens, it is important to seek medical attention promptly. A healthcare provider can assess the injury and may recommend testing for STIs, especially if there is a concern about exposure.

In addition to caring for the immediate injury, consider the following steps to reduce the risk of STIs in the future:
1. Use Protection: Always use condoms during sexual intercourse to reduce the risk of STIs. This is especially important if you or your partner have multiple sexual partners or if either of you has not been tested recently.

2. Communication: Discuss sexual health openly with your partner. Knowing each other's STI status can help you make informed decisions about protection and sexual practices.

3. Regular Testing: If you are sexually active, regular STI screenings are important, even if you do not have symptoms. Many STIs can be asymptomatic, and early detection is key to effective treatment.

4. Avoid Sexual Activity Until Healed: It is advisable to refrain from sexual activity until the injury has fully healed to prevent further irritation or injury and to reduce the risk of infection.

5. Consult a Healthcare Provider: If you have any concerns about your injury or the risk of STIs, do not hesitate to reach out to a healthcare professional. They can provide personalized advice and treatment options.

In summary, while the risk of STIs exists with any open wound during unprotected intercourse, proper care and monitoring of the injury are essential. Always prioritize your health and safety by using protection and seeking medical advice when needed.

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