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Had Protected Sex First Time. Have Burning Sensation On Scrotum, Watery Discharge, Muscle Ache And Fatigue

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Posted on Fri, 21 Jun 2013
Question: HI, I had protected sex for the first time 3 weeks ago and i have felt a burning sensation on my scrotum recently.
My symptoms were:
week 1: clear watery discharge, muscle aches, fatigue, weakness in legs, anxiety
week 2: eye infection (diagnosed with blepharitis)
week 3: burning sensation on scrotum, still have clear watery discharge
Here is a picture of my scrotum.
What could it possibly be?
doctor
Answered by Dr. Kalpana Pathak (1 hour later)
Hi,
Thanks for writing to us.
Presence of watery discharge from urethra, eye involvement and scrotal inflammation leading to redness, burning sensation and tenderness after a sexual encounter could be due to chlamydia infection. Another possibility could be gonorrhea infection which can lead to similar symptoms but the urethral discharge is purulent in nature
These can be diagnosed on the basis of urethral swab test, urine routine examination and urine culture sensitivity examination
Once the diagnosis is made these can be treated with azithromycin and ceftriaxone.

If we just concentrate on the red burning sensation over scrotum, it could be due to red scrotum syndrome where the scrotum becomes fiery red and burns. It is a less understood condition. Treatment is in the form of application of tacrolimus or pimecrolimus cream along with oral doxycycline or gabapantine..

I would advise that you XXXXXXX a dermatologist , so that you can be clinically examined and investigated. This would aid in diagnosis and further management.
Hope that helped.
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kalpana Pathak (2 minutes later)
Hi, i forgot to mention that i was tested for HIV, chlamydia and gonorrhoea and they all came back negative.
My main concern is whether or not the bumps look like herpes? Could it be a bacterial infection or a yeast infection?
Thanks for your answer
doctor
Answered by Dr. Kalpana Pathak (18 hours later)
Hi XXXXXXX
Thanks for writing back.
The lesions do not look like herpes, yeast infection or bacterial infection.
Herpes is characterised by grouped vesicles or blisters which may rupture to form superficial erosions
Any bacterial infection would present as pus filled tender lesions
Yeast infections present as red itchy rashes with scaling fissuring and small pustules.

If chlamydia and gonorrhoea has been ruled out then I would like you to discuss the possibility of red scrotum syndrome with your consulting doctor. It can be treated with application of pimecrolimus cream and doxycycline or gabapentine.

One thing that alarms me is watery discharge. A mucoid discharge is seen in chlamydia. It is effectively treated with oral azithromycin 1 gm single dose.

I would advise you to XXXXXXX a dermatologist nearby so that the discharge and scrotal area can be examined to offer appropriate treatment.

Hope that helped. I shall be available for further clarification.
Take care
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2014 Questions

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Had Protected Sex First Time. Have Burning Sensation On Scrotum, Watery Discharge, Muscle Ache And Fatigue

Hi,
Thanks for writing to us.
Presence of watery discharge from urethra, eye involvement and scrotal inflammation leading to redness, burning sensation and tenderness after a sexual encounter could be due to chlamydia infection. Another possibility could be gonorrhea infection which can lead to similar symptoms but the urethral discharge is purulent in nature
These can be diagnosed on the basis of urethral swab test, urine routine examination and urine culture sensitivity examination
Once the diagnosis is made these can be treated with azithromycin and ceftriaxone.

If we just concentrate on the red burning sensation over scrotum, it could be due to red scrotum syndrome where the scrotum becomes fiery red and burns. It is a less understood condition. Treatment is in the form of application of tacrolimus or pimecrolimus cream along with oral doxycycline or gabapantine..

I would advise that you XXXXXXX a dermatologist , so that you can be clinically examined and investigated. This would aid in diagnosis and further management.
Hope that helped.
Take care