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STDs  (Expert Forum)
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Irritation, Penis Impotence, and Stool Discoloration
Answered by
University of Washington Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Irritation, Penis Impotence, and Stool Discoloration

by Morgs, Oct 09, 2004 12:00AM
Hi Doctor:

(I've Labeled The Issues # 1,2,3)

"I am 26 years old"

I actually have three questions or concerns.  The first one is that recently I had sex with my girlfriend, (about 3 days ago), and a day or two after my penis started to feel different then it did before. (#1) For instance now I have this little red irritation at the tip of my penis.  There are NO white dots or anything of that sort, it's just a little red discoloration and tends to itch sometimes.  Also I notice that when I pee, it sometimes feels weird, like different then it did before.  I realized after I had sex the other night that I used one of those Trojan "Extended Pleasure" condoms with that numbing lubricant to prevent premature ejaculation, not to mention it happened to be expired by about 4 months.  Do you think this is the cause of my problem? (#2) Also for the past week I've been having problems with male impotence.  Sometimes I can achieve an erection but not as often as I would like.  I'm kind of worried because in the past I have taken quite a bit of the drug exstacy, although it has been a long time, like maybe 3 years since I last tried it. (#3) Finally over the past week or so I've noticed a change in my stool color and texture.  Lately it's been kind of a greenish color and kind of flakey looking.  If you could help me with these three issues or conditions I would really appreciate it.  Thank you very much.

~ Morgan

by H. Hunter Handsfield, M.D., Oct 11, 2004 12:00AM
OK, your issues/questions in order.

1) Your suspicion of  a chemical or physical irritation seems valid; your symptoms don’t sound like any STD.  Such reactions typically are noticed within 1-2 days, too fast for most STDs.  I wonder whether the lubricant also contained the spermicide nonoxynol-9, which can be particularly irritating.  Using the product beyond the expiration date probably isn’t the issue.  Having said all that, the one STD that conceivably could be going on is herpes, so be on the lookout for overt sores or blisters over the next few days.  But if the symptoms continue unchanged or simply fade away, which I expect them to do, don’t lose sleep over it—but avoid the same kind of condom in the future.

2) In otherwise healthy  persons, impotence—which happens from time to time in almost all men—doesn’t imply a serious health problem.  Ecstacy, street drugs, and stimulants in general can affect erectile function, but not 3 years after last use; any effects will occur within days, or weeks at most.  

3) Changes in stool appearance are mainly due to two things:  diet; because what goes in obviously affects what comes out; and intestinal motility, because how fast things pass can affect completeness of digestion and water content.  (One of your colon’s main jobs is to absorb water, “drying” intestinal contents to their normal consistency.)  Coming back to what may be the central issue behind all 3 of your questions, one of the major things that affects intestinal motility is—you guessed it—anxiety and other mental stresses.

Bottom line:  None of the problems you describes sounds like an STD or anything else that might be serious.  Mellow out and perhaps it will all fade away.

Good luck--   HHH, MD
Member Comments (4)

by Morgs, Oct 12, 2004 12:00AM
To: The Doctor
Thanks for the info Doctor, there were a couple of other things that I forgot to mention.  Over the past year I've been getting quite a few headaches and I've also noticed that my sperm isn't really as thick of a milky white fluid anymore, now it looks like white sperm mixed with like a watery substance.  Are these two symptoms as a result of taking exstacy quite a few times in the past?  And although I haven't done any street drugs for over 3 years, is there a chance that the damage is already done, and that with the symptoms I've listed (especially the texture of my sperm) that I might have ruined my chances to have children some day?

by H. Hunter Handsfield, M.D., Oct 12, 2004 12:00AM
I doubt either of those symptoms is related to your past use of Exctacy.  Headache of course has lots of underlying causes, mostly not serious; and semen can normally vary in appearance.  There is nothing in your description that makes me concerned about your fertility.  But any doctor can easily check it out; a semen analysis (for sperm count and motility) is quick (1-2 days) and not very expensive.

HHH, MD

by Morgs, Oct 15, 2004 12:00AM
To: The Doctor
Hey Doctor:

There was one more symptom related to my recent problem that I forgot to ask you about.  For some reason now when I go to the bathroom my urination stream can't seem to shoot out straight like it used to.  It sort of shoots every which way now.  However, the redness has started to reduce around the tip of my penis and the pain when I urinate is getting less and less by the day but I am kind of curious as to why my urine isn't shooting as straight as it used to.

by Tra203, Nov 02, 2008 06:30PM
A related discussion, That happent o me to was started.
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