Signs of STDs: Symptoms and Seeking Treatment - Urology

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It sounds like you are experiencing some concerning symptoms that may be related to a sexually transmitted disease (STD). Given your history of unprotected sexual contact and the symptoms you described, it is important to consider the possibility of an STD and seek appropriate medical evaluation and treatment.

Understanding Symptoms of STDs:
1. Itching and Irritation: The itching you described on the left side of the glans (tip of the penis) and the coronal sulcus (the groove where the glans meets the shaft) can be a sign of several conditions, including infections. STDs such as herpes or candidiasis (yeast infection) can cause localized itching and irritation.

2. Discharge and Odor: The presence of a white discharge, especially if it is thick or curd-like, can indicate a yeast infection or other types of infections. In the context of STDs, a purulent discharge could suggest gonorrhea or chlamydia.

3. Pain and Ulceration: The development of painful sores or ulcers, especially if they are bleeding or oozing clear fluid, is particularly concerning. This could indicate a herpes outbreak or another type of ulcerative condition. Pain during erections and when touching the affected area is also a significant symptom that should not be ignored.

4. Duration of Symptoms: The fact that you have been using topical treatments (like the ointments prescribed by your urologist) for over a week without improvement is a red flag. Persistent symptoms despite treatment warrant further investigation.

Seeking Treatment:
1. Consult a Healthcare Provider: It is crucial to follow up with a healthcare provider, preferably one who specializes in sexual health or infectious diseases. They can perform a thorough examination and may recommend laboratory tests, including swabs of the affected area, blood tests for STDs, and possibly a urinalysis.

2. Testing for STDs: Given your symptoms and history, testing for common STDs such as chlamydia, gonorrhea, syphilis, and herpes is advisable. Some STDs can be asymptomatic, so even if you do not have obvious symptoms, testing is important.

3. Treatment Options: If an STD is diagnosed, treatment will depend on the specific infection. Bacterial STDs like chlamydia and gonorrhea are typically treated with antibiotics, while viral infections like herpes may require antiviral medications. It is essential to complete the full course of any prescribed medication and to inform any sexual partners so they can also be tested and treated if necessary.

4. Avoid Sexual Activity: Until you have been evaluated and treated, it is advisable to avoid any sexual activity to prevent potential transmission of an infection to partners.

5. Follow-Up Care: If your symptoms do not improve with the new medication (tetracycline hydrochloride ointment), or if they worsen, return to your healthcare provider for further evaluation. They may need to consider other diagnoses, such as non-STD related infections, skin conditions, or even allergic reactions.

In summary, your symptoms are concerning and could indicate an STD or another type of infection. It is essential to seek medical attention promptly for proper diagnosis and treatment. Remember that early intervention can lead to better outcomes and help prevent complications.