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STDs (Expert Forum)
Urethral burning
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.
Urethral burning
by George2009, Jun 27, 2009 05:06AM
I've took time off work to do some travelling, which up until 3 weeks ago I was really enjoying. I had sex with a girl I met and the condom split during intercourse.
A couple of days later I felt discomfort in my urethra and a constant need to urinate. I researched on the net and thought I may have an STI most probably gonnorea or chlymidia. I took a course of Zithromax but still felt discomfort so I took a course of doxycycline, with no real effect.
3 weeks on and I now feel a burning in my urethra. It doesnt hurt when I urinate but I do feel the need to urinate more often. It isnt so much in my penis I feel it but the area between the base of my penis and my anus. It does get worse when I sit down.
Until I get home and visit the GUM clinic have you any info or advice?
Thanks
A couple of days later I felt discomfort in my urethra and a constant need to urinate. I researched on the net and thought I may have an STI most probably gonnorea or chlymidia. I took a course of Zithromax but still felt discomfort so I took a course of doxycycline, with no real effect.
3 weeks on and I now feel a burning in my urethra. It doesnt hurt when I urinate but I do feel the need to urinate more often. It isnt so much in my penis I feel it but the area between the base of my penis and my anus. It does get worse when I sit down.
Until I get home and visit the GUM clinic have you any info or advice?
Thanks
Doctor's Answer
by H. Hunter Handsfield, M.D., Jun 28, 2009 10:42AM
, Jun 28, 2009 10:42AM
Welcome to the STD forum.
Most likely you acquired no STD at all. The only STDs that could cause the symptoms you describe are gonorrhea, chlamydia, and nonchlamydial nongonococcal urethritis (NGU) -- and with rare exceptinos, all of those would have responded to azithromycin and/or doxycycline. The only slight possibility is gonorrhea, which could be resistant to both antibiotics -- but in the absense of an obvious discharge of pus from the penis, gonorrhea is unlikely.
My main advice is retrospective: you should not have treated yourself without professional evaluation. But what's done is done. At this point, as long as the symptoms aren't too severe, and if you do not develop the aforementioned discharge from the penis, just sit tight and follow through with your plan to visit a GUM clinic when you return home.
Regards-- HHH, MD
Most likely you acquired no STD at all. The only STDs that could cause the symptoms you describe are gonorrhea, chlamydia, and nonchlamydial nongonococcal urethritis (NGU) -- and with rare exceptinos, all of those would have responded to azithromycin and/or doxycycline. The only slight possibility is gonorrhea, which could be resistant to both antibiotics -- but in the absense of an obvious discharge of pus from the penis, gonorrhea is unlikely.
My main advice is retrospective: you should not have treated yourself without professional evaluation. But what's done is done. At this point, as long as the symptoms aren't too severe, and if you do not develop the aforementioned discharge from the penis, just sit tight and follow through with your plan to visit a GUM clinic when you return home.
Regards-- HHH, MD
With research, I believe the symptoms I'm displaying point towards me having an ngu.
Is this like other stds that can be passed on through sexual intercourse? what treatments are available and how long does it take to clear up?
Thanks