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Itchy penis post unprotected sexual intercourse - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1769 Questions
User :   i had unprotected commercial oral sex on july 1st ( first and last time).i tested on july 3rd for all stds which were all negative . furthermore i was given 2 antiobiotics in a single dose after the tests for precaution.i had no sex with my wife till august 1st on august 11th i had sex with my wife and it was a bit painful ( we used oil on the penis for the first time ever and maybe that didnt help..) so we stopped.
on august 12/13 i had some gatroentirits type bug ( felt like that ) which went away and then on august 15th i started to get an itching at the tip of my penis. i was on holiday so the doctor did a urine test with a stick in a cup and said i had some blood so he gave me cipro. this has made no difference and the itching has got worse. there has been no discharge or problem urinating or any sores at all. i have seen a urologist and had a rectal exam and there is no prostitis or kidney stones.
whats going on??
Doctor :   Hi
Doctor :   Dr XXX here
Doctor :   let me read your query
Doctor :   ok
Doctor :   did you have penile itch before the application of the oil/
Doctor :   Do u have any rash, ulcer on the penis?
User :   no symptoms at all of any sort whatsoever. we dont normally have sex more than once every 2 weeks but in this case my wife and i had sex 4 times between august 1 and 11. the only time it hurt was after the last time. there is no ulcer or rash or anything. just an internal itching/burning at the tip of the penis.
Doctor :   how long have you been using the oil, that you used ?
User :   we have never used any oil on the penis before this episode it was an oil that my wife uses so it most probably used by her for a while
Doctor :   i consider this to be a reaction to the oil
Doctor :   herbal oils, may cause irritaion to the penile skin, which is sensitive
Doctor :   I would suggest you apply K Y jelly to the penis twice daily, so that the sensitivity reduced
User :   is it possible that i have chlamidiya or something like that even though i tested negative for them in july as discussed ( ie the tests were done only 2 days after my commercial oral sex)
User :   also the pain has got worse over time and is at the tip only and inside.
Doctor :   since you already have taken the treatment, i dont think this could be the case
Doctor :   as i said, apply the K.Y jelly and wait for 2-3 days for response
User :   what was the blood in the urine about ?? also las monday there was a very strong pain on the penis ( throbbing ) which lasted all day but once i drank 2 litres of water the throbbing went away
Doctor :   as far as the infection is considered, if you have discharge, from the penis, u could be infected, but since other than penile pain, you dont have any other symptom, i dont think this is the case
Doctor :   a one time episode, of blood in urine, may not be significant, unless there is protinuria, RBC casts , etc
User :   there has never been any discharge . i had another urine test last week and that was completely clean.the urologist thosuht i may have chlamidiya and so has asked me to do a test but i cant see how it could be as i had no problems until august 15th
Doctor :   as i said, a single urinalysis, with blood is not significant
Doctor :   chlamydia, may take time to present
User :   but i was given a strong single dose of azithromycin on july3rd.also the only symptom is the tip of penis pain.do you think it could be chlamidiya from the one time oral sex( fellacio only)
Doctor :   for the penile pain, apply the getl as i suggeested
Doctor :   not likely
Doctor :   this could be the result of the oil, sensitivity
User :   good thankyou. how long could this type of irritation last and should i take an antibiotoc or not
Doctor :   not needed
Doctor :   use the get for few days, as long as the pain persists
User :   ok thankyou for your help. i also thought it couldnt be anything too serious.
Doctor :   yes
Doctor :   So do you have any other query?
Doctor :   are you there ?
User :   one other pathetic thing. sorry to ask. when i was continuously looking at my penis o see if there is anything abnormal ( which there isnt ) i accidently pushed my right scrotum with my finger too hard and that has caused the skin around the right scroum and the area just above the penis on the right to hurt
Doctor :   ok
Doctor :   so is there any injury to the testicles?
User :   ie to become a sensitive so when i sit down its uncomfortable ( happened on tuesday).
Doctor :   Most of the time, this will resolve over time,
Doctor :   U dont need to worry aboutht his
User :   i cant tell if there is any injury as there is no real swelling of the testicle its just the area above it and to the right of the penis.
Doctor :   take some ibuprofen, and this will resolve
User :   thankyou very much and sorry to bother you . goodbye
Doctor :   this is just injury toi scrotal skin, no no need to worry
Doctor :   bye for now
Doctor :   thanks for consulting me , bye for now
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