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Avatar universal

itchy penis tip and urethra opening

Hi,

I had unprotected intercourse with a female and during intercourse I noted a foul rotting fish like smell and some white colored vaginal discharge.

A day or 2 after this event I noticed some kind of rash on my penis and the skin was reddish and the skin became very dry, smooth, glossy hard and crack prone. 2 days after this it turned back to normal. The rash went away. A couple days after that I noticed very small red spots (about 6 or 7) that were also kinda dried out and they also went away a couple days after.

Then like 2 weeks after all this I have started to feel an itching sensation on the tip of my penis, specially on my urethra opening. I also noted some super slight white discharge on the tip of my penis but that only happened one day, and like I said, it was very light and I wouldnt even have noticed if I didnt look very hard for it. Now I havent had any more discharges.

I have done some research on the itnernet and I am thinking that this girl had either a yeast infection, a bacterial vaginosis or chlamydia.

I wonder if by my symptoms she has passed on any of these to me and if I should be worried about it.

I already went to a local health care provider and he told me I looked just fine with no symptoms at all, however I am not happy with this diagnosis since I clearly had some obvious reaction to this unprotected intercourse. I think he took it too lightly.

He prescribed a topic cream for yeast infections or fungus, and then he  told me to take the antibiotic vibramicina 100mg  for 14 days 2 times a day just in case I had aquired Chlamydia.

I have been taking this  for 4 days so far and the itch doesnt go away. Its there all day long, it doesnt really get any worse when I urinate. Its just that same itch right on the tip of my penis where the opening for the urethra is located.

According to all the symptoms descibed above...what is it that I might have??? What was this girl infecetd with?? Should I worry??
10 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Symptoms like you describe can take a couple weeks to resolve.  You should be reexamined if they persist another week or so.  If they fade away, consider yourself cured.  If symptoms persist, the most important thing in this situation is the physical exam to look for persistent discharge.  To maximize the chance of seeing scant discharge, the exam is best done when the patient has not passed urine for several hours, preferably 6 hr or more.  The only other worthwhile test is to examine a urine specimen for increased white blood cells; as for the exam itself, the specimen should be collected several hours after urinating, and only the first 0.5-1 ounce of urine should be collected, i.e. a washout of the urethra.  If either of these shows persistent urethritis, additioal treatment may be warranted.
Helpful - 0
Avatar universal
Hello Dr,

I completed my doxycyline treatment for 14 days, 200mg a day.

The symptoms have dissapeared regarding the visible rashes, red spots, also no discharges.

However, the itch inside the urethra still persists and I feel it has extended further inside....but its just a slight itch and maybe some discomfort. I dont know if I am psyched out or if its real. However, I still feel it....but maybe my mind is playing tricks on me.

I plan on going back to the Dr. However I'd like to hear some suggestions on what kind of tests should I take or what should I say when I go see my local healthcare provider.

Thanks.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
No STD causes a rash like you describe. A superficial fungus infection sounds possible, but that's just a guess.  I can't say anything more.

Feel free to return with a comment if and when you have been professionally examined.  Otherwise, that's all for this thread.
Helpful - 0
Avatar universal
Ok Doc. Thanks a lot, that puts my mind at ease. Thanks for the straightforward advice.

One final question and this thread is over:

When I said I noticed some kind of rash on my penis and the skin was reddish and the skin became very dry, smooth, glossy, hard and crack prone. 2 days after this it turned back to normal. The rash went away. A couple days after that I noticed very small red spots (about 6 or 7) that were also kinda dried out at the edges of the spots and they also went away a couple days after.

Those sypmtoms above are typical for what kind of STD? Just courious.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Doxycycline (Vibramicina) is the very best against both chlamydia and NGU.  It usually is reliable against gonorrhea, but misses a few cases.  However, gonorrhea is very unlikely so this shouldn't be a problem.  If your symptoms persist or if they go away and come back again, return to your doctor.  Otherwise don't worry about it.
Helpful - 0
Avatar universal
Thanks for the reply Doc.

So, to sum it up.....the antibiotic Im being treated with which is Vibramicina (100mg 2 times a day for 14 days) is effective for both Chlamydia AND Gonorrhea?

What about NGU? Is Vibramicina also the prescribed antibiotic for NGU?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
The additional information doesn't change my opinion or advice.  However, I missed the information that you had been treated for possible chlamydia.  There is no longer any point in being tested for it, and not for gonorrhea either. If you symptoms clear up and don't return, you're home free.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum. I'll try to help.

The sort external irritation of your penis doesn't sound like an STD.  It is quite typical if you caught a superficial yeast infection from your partner (which is harmless) or just dermatitis due to irritation.  However, gonorrhea, chlamydia, or nongonococcal urethritis (NGU) are possible causes of the brief discharge from your penis.

Your own research probably was pretty good, at least in part.  The most common cause of white vaginal discharge and fishy odor is bacterial vaginosis, as you found.  BV is due to overgrowth of certain bacteria in the vagina, but it causes no problem in men; it's not an STD and men don't catch anything from partners with BV.  Chlamydia doesn't cause odor.  Yeast is possible and could explain your penile irritation, but usually doesn't cause odor in women.

Another possibility for vaginal discharge plus fishy odor is trichomonas, which is an STD and an occasional cause of NGU.  You don't say whether you have been tested for common STDs like chlamydia and gonorrhea.  That would be a good idea, including examination for other urethral infections, like nongonococcal urethritis (NGU).  Since you're not confident about your own doctor's expertise in STDs, I suggest you visit your local health deartment STD clinic for expert, confidential, low cost (mabye free) care.  But in the meantime, don't panic.  If anything is found, treatment is easy and you will have no serious health problems from any of the possible infections.

Good luck--  HHH, MD
Helpful - 0
Avatar universal
oh also, the topic ointment the doctor prescribed is called NOTIL. which is an antimicotic, antibacterial and anti inflamatory. clotrimazol-gentamicina-dexametasona.
Helpful - 0
Avatar universal
OH...I forgot to add that the girl also bled a little during intercourse even though it was not time for her period. It was a slight bleeding she said.
Helpful - 0

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