[28M] With penile discharge, burning urination, and itchy urethra post-unprotected sex

What might be happening

Based on the symptoms you have described, here are some possible explanations:

• Sexually Transmitted Infection (STI): The combination of penile discharge, burning during urination, and an itchy urethra strongly suggests a possible STI, such as gonorrhea or chlamydia. These infections are commonly transmitted through unprotected sexual contact and can cause the symptoms you are experiencing.

  • Typical Treatment: STIs like gonorrhea and chlamydia are usually treated with antibiotics. Your healthcare provider may prescribe a single dose or a course of antibiotics to clear the infection. It's important to complete the full course of treatment even if symptoms improve.

• Urethritis: This is an inflammation of the urethra, which can be caused by bacterial or viral infections, including STIs. Non-infectious causes, such as irritation from chemicals or physical trauma, are also possible but less likely given your recent sexual history.

  • Typical Treatment: Treatment usually involves antibiotics if a bacterial infection is suspected. Your healthcare provider may also recommend avoiding irritants and practicing good hygiene.

What you can do

While you should seek medical attention for a formal diagnosis and treatment, here are some steps you can take in the meantime:

1. Avoid Sexual Activity: Refrain from sexual activity until you have been evaluated and treated by a healthcare provider to prevent spreading a potential infection.
2. Stay Hydrated: Drink plenty of water to help flush out your urinary system.
3. Practice Good Hygiene: Keep the genital area clean and dry. Avoid using harsh soaps or chemicals that could further irritate the area.
4. Over-the-Counter Pain Relief: You may consider taking over-the-counter pain relievers like ibuprofen to help manage discomfort.
5. Use MDandMe: Utilize the MDandMe app to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Increased Pain or Swelling: If you notice pain or swelling in your testicles or other areas.
• Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, which could indicate a more serious infection.
• Blood in Urine or Discharge: If you notice blood in your urine or discharge.
• Worsening Symptoms: If your symptoms worsen or do not improve with initial self-care measures.

Remember, while this information can help you understand what might be happening, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.