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STDs (Expert Forum)
Very very confused
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
Very very confused
by Confused/Nervous, Feb 27, 2005 12:00AM
I have noticed in the past few weeks I have been having an unusual discharge. It has been very white and thin (slightly pus-like as well) and also I happen to not even feel when I'm releasing it. There is also excess discharge on the tip of the penis and inside the urethra after urinating. I have recently had blood within the stool for a couple of weeks, yet it stopped within the past week. I did some research and it looks a lot like gonorrhea, yet the fact is I am still a virgin. I'm not sure whether or not I should consult a doctor. Please help me and clear up all discrepancies.
Doctor's Answer
by H. Hunter Handsfield, M.D., Feb 27, 2005 12:00AM
, Feb 27, 2005 12:00AM
Yes, you should see a doctor.
You're right, your symptoms sound like you have urethritis (inflammation within the urethra). Gonorrhea, chlamydia, and nongonococcal urethritis (NGU)--all STDs--are the main causes. If being a virgin means no vaginal sex, but someone has performed oral sex (fellatio) on you, or if you have had anal sex, then you still probably have an STD.
But this may be a non-sexually transmitted problem that is related to the blood in your stool. Have you had any back pain, pain in other joints, fever, or red/itchy eyes (conjunctivitis, "pink eye")? There is a disease called Reiter's syndrome (when the joints are involved, it's often called "reactive arthritis"). This is an abnormal immune system response that can be triggered by an intestinal infection or by other kinds of intestinal inflammation. It consists of various combinations of arthritis (especially of the spine, conjunctivitis, and urethritis. (The urethritis part can be confusing, because in addition to intestinal infections, Reiter's syndrome can be triggered by sexually acquired chlamydia. But this probably doesn't apply to you.)
You need to get this checked out. I am more concerned about the blood in your stool than I am about the urethral discharge. See either a family medicine or internal medicine doctor as the first step. Give him/her the history you just related, and consider showing him/her this response. See someone promptly, but don't freak out. Reiter's syndrome and the possible intestinal problems are treatable, and it is not likely that you have anything dire.
Please give us a follow-up after you see someone. I'm interested to know how this plays out.
Good luck-- HHH, MD
You're right, your symptoms sound like you have urethritis (inflammation within the urethra). Gonorrhea, chlamydia, and nongonococcal urethritis (NGU)--all STDs--are the main causes. If being a virgin means no vaginal sex, but someone has performed oral sex (fellatio) on you, or if you have had anal sex, then you still probably have an STD.
But this may be a non-sexually transmitted problem that is related to the blood in your stool. Have you had any back pain, pain in other joints, fever, or red/itchy eyes (conjunctivitis, "pink eye")? There is a disease called Reiter's syndrome (when the joints are involved, it's often called "reactive arthritis"). This is an abnormal immune system response that can be triggered by an intestinal infection or by other kinds of intestinal inflammation. It consists of various combinations of arthritis (especially of the spine, conjunctivitis, and urethritis. (The urethritis part can be confusing, because in addition to intestinal infections, Reiter's syndrome can be triggered by sexually acquired chlamydia. But this probably doesn't apply to you.)
You need to get this checked out. I am more concerned about the blood in your stool than I am about the urethral discharge. See either a family medicine or internal medicine doctor as the first step. Give him/her the history you just related, and consider showing him/her this response. See someone promptly, but don't freak out. Reiter's syndrome and the possible intestinal problems are treatable, and it is not likely that you have anything dire.
Please give us a follow-up after you see someone. I'm interested to know how this plays out.
Good luck-- HHH, MD
HHH, MD