Urethral Itching: Causes and Treatments Explained - Urology

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Itching of the urethra?


Your girlfriend had a fever at the time, and after she performed oral sex on me, the next day I experienced itching in my urethra.
I visited a clinic, saw a doctor, and after taking medication for three days, I felt better.
However, about a week later, the itching returned...
What could this condition be?

Xun, 20~29 year old female. Ask Date: 2016/02/04

Dr. Liu Jiaju reply Urology


You should visit a urology clinic for an examination to rule out the risk of urethritis.
It is advisable to use condoms during sexual activity to protect yourself and your partner.

Reply Date: 2016/02/04

More Info


Urethral itching can be a frustrating and uncomfortable symptom, often indicating an underlying issue that requires attention. In your case, the symptom appeared after an intimate encounter, which raises the possibility of a sexually transmitted infection (STI) or another type of infection. Here’s a detailed exploration of potential causes, treatments, and considerations regarding urethral itching.


Possible Causes of Urethral Itching
1. Sexually Transmitted Infections (STIs): Common STIs such as chlamydia, gonorrhea, and trichomoniasis can cause urethral itching, along with other symptoms like discharge or burning during urination. Given that your symptoms began after a sexual encounter, this is a possibility that should be considered.

2. Urinary Tract Infections (UTIs): UTIs can also lead to itching and discomfort in the urethra. They are more common in women but can occur in men as well. Symptoms may include frequent urination, burning sensation, and sometimes fever.

3. Yeast Infections: While more common in women, men can also experience yeast infections, particularly if they have risk factors such as diabetes or a compromised immune system. Symptoms may include itching, irritation, and sometimes a rash.

4. Allergic Reactions or Irritation: Sometimes, urethral itching can result from irritation due to soaps, lotions, or other products used in the genital area. Allergic reactions to latex condoms or lubricants can also cause similar symptoms.

5. Skin Conditions: Conditions such as eczema or psoriasis can affect the genital area, leading to itching and discomfort.

6. Balanitis: Inflammation of the glans (the head of the penis) can cause itching and is often due to infections, poor hygiene, or irritants.


Treatment Options
1. Antibiotics: If an STI or UTI is diagnosed, appropriate antibiotics will be prescribed. It’s crucial to complete the entire course of antibiotics even if symptoms improve before finishing the medication.

2. Antifungal Treatments: If a yeast infection is suspected, antifungal medications may be recommended.

3. Topical Treatments: For allergic reactions or irritations, topical corticosteroids or antihistamines may help alleviate itching.

4. Good Hygiene Practices: Maintaining proper hygiene can help prevent infections. This includes washing the genital area with mild soap and water and avoiding irritants.

5. Avoiding Irritants: If you suspect that soaps, lotions, or other products are causing irritation, consider eliminating them from your routine.


When to Seek Further Medical Attention
If your symptoms persist despite treatment, or if you experience additional symptoms such as fever, severe pain, or unusual discharge, it’s important to return to your healthcare provider. They may recommend further testing, such as urine cultures or STI screenings, to identify the underlying cause.


Prognosis and Prevention
The prognosis for urethral itching largely depends on the underlying cause. Most infections are treatable with appropriate medications. To prevent future occurrences, consider practicing safer sex, maintaining good hygiene, and being aware of any products that may irritate the genital area.

In conclusion, while urethral itching can be a benign issue, it can also indicate a more serious underlying condition. It’s essential to communicate openly with your healthcare provider about your symptoms and any potential exposures to STIs. With the right diagnosis and treatment, you can find relief and prevent future issues.

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