[37M] Experiencing pain during urination with penile spots

What might be happening

Based on your symptoms, here are a few possibilities:

• Non-Specific Urethritis (NSU): This is inflammation of the urethra (the tube that carries urine from the bladder out of the body) that's not caused by gonorrhea. It can cause symptoms such as a burning sensation during urination and spots on the penis. NSU can sometimes be caused by chlamydia, but you've tested negative for STDs. It can also be caused by damage or irritation from chemicals in products like soaps, lotions, or spermicides.

  • Treatment typically involves antibiotics to clear the infection.

• Balanitis: This is inflammation of the head of the penis, which can be caused by irritation, allergies, or infections. Symptoms can include redness, swelling, itching, a rash, and pain during urination.

  • Treatment typically involves good hygiene, avoiding irritants, and possibly using a topical cream.

• Contact Dermatitis: This is a skin reaction caused by contact with certain substances. The substances could be ones that you're allergic to or ones that irritate your skin. Symptoms can include a red rash, itching, dry, cracked, scaly skin, and bumps and blisters.

  • Treatment typically involves avoiding the substance that caused the reaction, applying a corticosteroid cream, and taking an oral antihistamine to reduce itching.

Remember, these are just possibilities and not a definitive diagnosis.

What you can do

Here are some steps you can take:

1. Continue to monitor your symptoms. If they worsen or don't improve, seek medical attention.
2. Maintain good hygiene. Clean your penis regularly with warm water and mild soap.
3. Avoid potential irritants, such as harsh soaps or lotions, until your symptoms improve.
4. Wear loose, cotton underwear to keep the area around your penis dry and prevent irritation.
5. Avoid sexual intercourse until your symptoms have completely resolved to prevent potentially transmitting an infection to your partner.

What you should look out for

Here are some signs that you should seek medical attention:

• If your symptoms worsen or don't improve after a week
• If you develop other symptoms, such as discharge from your penis, a fever, or severe pain
• If you have difficulty urinating or can't urinate at all

Remember, I'm an AI and not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.