[32M] Experiencing urethral pain post unprotected sexual encounter

What might be happening

Based on the information you've provided, possible diagnoses include:

• Urethritis: This is inflammation of the urethra, often caused by bacterial or viral infections. Even though you've tested negative for STDs and UTIs, it's possible that the infection is caused by an organism that wasn't included in the tests. Urethritis can cause burning pain, increased urinary frequency, and urgency.

  • Treatment typically involves antibiotics to clear the infection.

• Prostatitis: This is inflammation or infection of the prostate gland. It can cause pain in the penis, increased urinary frequency, and urgency. However, it's usually accompanied by other symptoms like lower back pain or fever, which you haven't reported.

  • Treatment typically involves antibiotics and possibly other medications to manage symptoms.

• Interstitial cystitis (IC): Also known as painful bladder syndrome, IC can cause pain in the penis, increased urinary frequency, and urgency. It's a chronic condition and the cause is unknown.

  • Treatment typically involves managing symptoms and may include medications, physical therapy, and possibly surgery in severe cases.

• Side effects from Tavin EM (Tenofovir Disoproxil Fumarate / Emtricitabine): While rare, some people taking this medication have reported urinary symptoms. However, it's unlikely that this is the cause of your symptoms since you've been taking it for three years without issue.

What you can do

1. Consult a healthcare professional: Given the duration and nature of your symptoms, it's important to seek medical attention. A healthcare professional can provide a formal diagnosis and appropriate treatment.

2. Maintain good hygiene: Keeping the genital area clean can help prevent further irritation or infection.

3. Avoid irritants: Certain soaps, lotions, and other products can irritate the urethra. Try to identify and avoid any potential irritants.

4. Stay hydrated: Drinking plenty of fluids can help flush out any potential irritants or infectious agents.

What you should look out for

• If your symptoms worsen or persist despite treatment
• If you develop new symptoms, such as fever, lower back pain, or discharge from the penis
• If you have difficulty urinating or notice blood in your urine

Please remember that while I strive to provide accurate information, I am not a doctor. You should seek care from a healthcare professional for a formal diagnosis and treatment.