Penile Pain After High-Risk Sexual Activity: What to Know - Urology

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If you are experiencing penile pain, it is important to consult a healthcare professional for a proper diagnosis and treatment. Common causes of penile pain can include infections, inflammation, or trauma. Treatment will depend on the underlying cause, so seeking medical advice is crucial


After having high-risk sexual intercourse for the first time, I experienced slight pain in my penis the next day and an increased frequency of urination.
Is there a chance that I could contract HIV from just one encounter?

DH034, 20~29 year old female. Ask Date: 2016/02/12

Dr. Xu Weikai reply Urology


DH034: Hello, it is certainly possible to test positive on the first attempt.
However, symptoms of HIV do not appear that quickly.
Your symptoms may indicate urethritis, which could be caused by gonorrhea, Candida, Escherichia coli, etc.
If you have any further questions or need clarification, feel free to ask, and we can discuss and research together.
Please remember that online responses should only be used as a reference; it is essential to seek medical attention at a healthcare facility if necessary.
This message is brought to you by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2016/02/12

More Info


Engaging in high-risk sexual activities can understandably lead to concerns about sexually transmitted infections (STIs) and other complications. It’s important to address these concerns with accurate information and guidance.

Firstly, experiencing penile pain or discomfort after high-risk sexual activity can be indicative of several conditions, including infections, irritation, or even trauma. The micro-stinging sensation you describe could be due to a variety of factors, such as friction during intercourse, irritation from bodily fluids, or the onset of an infection. Increased urination can also be a symptom of a urinary tract infection (UTI) or an STI, particularly if accompanied by other symptoms like burning during urination or unusual discharge.

Regarding your concern about HIV transmission, it’s crucial to understand that while the risk of contracting HIV exists during unprotected sexual intercourse, the likelihood of becoming infected from a single encounter varies based on several factors. These include the HIV status of your partner, the presence of cuts or sores on your genitals, and whether any bodily fluids were exchanged. If you used protection (like condoms) correctly throughout the encounter, the risk of HIV transmission is significantly reduced. However, no method is 100% effective, and if the condom broke or was not used properly, the risk increases.

In terms of the timeline for HIV testing, it’s important to note that the window period for accurate testing varies. An HIV test taken too soon after exposure may not yield reliable results. The most common recommendation is to get tested at 2-4 weeks for an initial screening, followed by a confirmatory test at 3 months. If you are experiencing symptoms that concern you, it is advisable to seek medical attention sooner rather than later.

If you are experiencing persistent pain, discomfort, or any unusual symptoms, it is essential to consult a healthcare provider. They can perform a thorough examination and may recommend tests for STIs, including HIV, chlamydia, gonorrhea, and others. It’s also worth mentioning that some STIs can be asymptomatic, meaning you may not exhibit symptoms even if you are infected.

In summary, while the risk of HIV transmission exists, especially in high-risk sexual encounters, the likelihood of contracting the virus from a single encounter is influenced by various factors. If you are experiencing symptoms such as penile pain or increased urination, it is crucial to seek medical advice promptly. Testing for STIs, including HIV, is an important step in ensuring your health and peace of mind. Remember, open communication with healthcare professionals about your sexual health is vital, and they can provide you with the necessary support and guidance.

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