Was my question skipped?
I asked a question on August 18, but I haven't seen a response.
Zhou Xiaomin, 40~49 year old female. Ask Date: 2015/08/19
Dr. Xu Weikai reply Urology
Today is only August 19, and I am not on call 24 hours a day.
This is not an immediate online response.
If it is urgent and you cannot wait, please consult a nearby medical facility to avoid any delay in treatment.
Reply Date: 2015/08/19
More Info
It seems like you have a number of concerns regarding your urological health, and it's understandable to seek clarity and reassurance, especially when it comes to sensitive issues like these. Let's break down your questions and concerns systematically.
1. Transparent Discharge from the Urethra: Experiencing a small amount of clear discharge from the urethra, especially upon squeezing the penis, can be normal for some individuals. This discharge may be pre-ejaculatory fluid, which is produced by the Cowper's glands and can occur in response to arousal. However, given your history of unprotected sexual intercourse four months ago, it is prudent to consider the possibility of sexually transmitted infections (STIs). While your recent HIV and urine tests came back normal, it would be wise to discuss with your healthcare provider the option of comprehensive STI screening, including tests for Chlamydia and Gonorrhea, as these infections can sometimes be asymptomatic.
2. Concerns About STIs: You are correct that many men with Chlamydia or Trichomoniasis may not exhibit symptoms. If you have concerns about potential infections, it is advisable to proactively request a full STI panel from your doctor. Most urology departments, including those at reputable hospitals like Chang Gung or Shin Kong, can accommodate such requests, and you may be able to pay out-of-pocket for these tests if necessary.
3. Diagnosis of Varicocele and Epididymitis: The ultrasound results indicating varicocele are significant, but they do not rule out other conditions such as epididymitis. While ultrasound is a valuable diagnostic tool, it may not always detect subtle signs of inflammation or infection in the epididymis. If you continue to experience discomfort or pain in the testicular area, it is important to follow up with your physician. They may recommend further evaluation or treatment options based on your symptoms.
4. Redness and Swelling of the Glans: The mild redness and swelling you experienced at the tip of the penis could indeed be due to a localized allergic reaction or irritation. If the symptoms resolved with topical treatment, it may not be a cause for concern. However, if similar symptoms recur or worsen, it would be advisable to seek further evaluation to rule out any underlying infections or dermatological conditions.
5. General Recommendations: Given your complex symptoms and concerns, it is essential to maintain open communication with your healthcare provider. If you feel that your concerns are not being adequately addressed, do not hesitate to seek a second opinion or request a referral to a specialist. Keeping a detailed record of your symptoms, including their frequency, duration, and any associated factors, can be helpful for your healthcare provider in making an accurate diagnosis.
In conclusion, while some of your symptoms may be benign, your history of unprotected sex and ongoing discomfort warrant thorough investigation. Proactive engagement with your healthcare provider about your concerns will help ensure that you receive appropriate care and peace of mind. Remember, your health is paramount, and addressing these issues early can prevent potential complications in the future.
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