Is irritation in the penis after ejaculation an indication of infection? What are the symptoms, causes, and treatment options for urethritis in men? Explore home remedies for the condition.

Understanding Urethritis: Symptoms and Causes

Urethritis is a condition characterized by inflammation of the urethra, the tube that carries urine from the bladder out of the body. In men, urethritis can cause a range of symptoms, including a burning or itching sensation during or after urination, discharge from the penis, and discomfort in the genital area.

The most common causes of urethritis in men include sexually transmitted infections (STIs) such as chlamydia and gonorrhea, as well as non-infectious factors like irritation from sexual activity or the use of certain products. In some cases, the exact cause of urethritis may not be identified.

Identifying Itchy Feeling after Ejaculation

An itchy or irritated feeling in the urethra after ejaculation can be a symptom of urethritis. This irritation may be caused by inflammation or infection in the urethra, which can be triggered by the physical activity of ejaculation. In some cases, the irritation may be due to a non-infectious condition, such as sensitivity to certain lubricants or condoms used during sexual activity.

If the itchy or irritated feeling persists for more than a day or two, or if it is accompanied by other symptoms like discharge or pain, it is important to see a healthcare provider to determine the underlying cause and receive appropriate treatment.

Exploring Potential Causes

There are several potential causes for the itchy feeling in the urethra after ejaculation, including:

1. Sexually Transmitted Infections (STIs): Conditions like chlamydia, gonorrhea, and trichomoniasis can cause inflammation and irritation in the urethra, leading to a burning or itching sensation after ejaculation.
2. Non-Infectious Factors: Irritation from sexual activity, the use of certain products (e.g., lubricants, condoms), or even a sensitivity to one’s own seminal fluid can trigger a localized inflammatory response in the urethra.
3. Chronic Urethritis: In some cases, the urethritis may be a chronic condition, with persistent inflammation and irritation that is not easily resolved.

Diagnostic Approach and Treatment Options

If you are experiencing persistent or recurring urethral irritation after ejaculation, it is important to seek medical attention. Your healthcare provider will likely perform a physical examination and may order tests, such as a urine test or a swab of the urethra, to identify the underlying cause.

Treatment for urethritis in men will depend on the underlying cause. If an STI is identified, antibiotics will be prescribed to treat the infection. For non-infectious causes, treatment may involve the use of topical creams or ointments to reduce inflammation, as well as modifications to sexual practices or the use of products.

Addressing Itching and Discomfort: Home Remedies

In addition to seeking medical treatment, there are some home remedies that may help alleviate the itching and discomfort associated with urethritis:

• Warm Sitz Baths: Sitting in a warm (not hot) bath can help soothe the irritated area and reduce inflammation.
• Pelvic Floor Exercises: Performing Kegel exercises can help strengthen the pelvic floor muscles and improve urinary function.
• Avoidance of Irritants: Steer clear of harsh soaps, fragrances, and other products that may further irritate the urethra.
• Hydration: Drinking plenty of water can help flush out the urinary tract and reduce the risk of infection.

Prevention and Maintaining Urethral Health

To help prevent urethritis and maintain urethral health, it is important to practice safe sexual behaviors, such as using condoms during intercourse and avoiding the use of products that may cause irritation. Regular check-ups with a healthcare provider can also help identify and address any underlying issues that may be contributing to urethral irritation or inflammation.

If you are experiencing persistent or recurring urethral irritation after ejaculation, it is essential to seek medical attention to determine the underlying cause and receive appropriate treatment. With the right approach, the condition can be effectively managed, and your urethral health can be restored.

Is irritation in the penis after ejaculation an indication of infection?

Is irritation in the penis after ejaculation an indication of infection?

I’ve had this issue for many years now, I’m 39. After I ejaculate, I get this irritation inside my penis which usually lasts 24 hours and sometimes more, up to 3 annoying days. I get the irritation even if I don’t fully ejaculate, for example after a wet dream I always wake up just before the ejaculation onsets but I’m able to stop myself (for fear of this irritation) but usually the irritation comes and persists for a whole day, even thought I haven’t actually fully ejaculated. The only times I’ve ever had the pleasure of ejaculating and not feel this irritation is the few times I’ve had extremely arousing sexual encounters, which last 2-3 hours, and I’m able to thwart off ejaculating many times, and reach an all encompassing feeling. My partner says I have to reach outer space. I suppose, when I do get aroused enough, there are some fluids which line up my penis and allow me to have an irritation free ejaculation. But getting these fluids is almost impossible, and sometimes even after extremely arousing encounters I still have this irritation.

I have to say I’m really concerned about this, it makes me cry, as when I do have the irritation, I feel totally at odds with the world, I can’t have meetings, be creative, and active and do my work. And if it lasts for days, I get pushed towards depressive thoughts. I’ve since completely stopped masturbating to avoid this problem. And I’m ready to repress all sexual feelings so I can lead a normal life.

Answer
71,605 views

You need to see your doctor to screen out any possible sexually transmitted infections. Should you test negative for STI´s, then I recommend that you see a urologist to get to the bottom of this. 

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health34 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

STD Facts – Trichomoniasis

Most people who have trichomoniasis do not have any symptoms.

What is trichomoniasis?

Trichomoniasis (or “trich”) is a very common sexually transmitted disease (STD). It is caused by infection with a protozoan parasite called Trichomonas vaginalis. Although symptoms of the disease vary, most people who have the parasite cannot tell they are infected.

How common is trichomoniasis?

Trichomoniasis is the most common curable STD. In the United States, CDC estimates that there were more than two million trichomoniasis infections in 2018. However, only about 30% develop any symptoms of trichomoniasis. Infection is more common in women than in men. Older women are more likely than younger women to have been infected with trichomoniasis.

Two Trichomonas vaginalis parasites, magnified (seen under a microscope)

How do people get trichomoniasis?

The parasite passes from an infected person to an uninfected person during sex. In women, the most commonly infected part of the body is the lower genital tract (vulva, vagina, cervix, or urethra). In men, the most commonly infected body part is the inside of the penis (urethra). During sex, the parasite usually spreads from a penis to a vagina, or from a vagina to a penis. It can also spread from a vagina to another vagina. It is not common for the parasite to infect other body parts, like the hands, mouth, or anus. It is unclear why some people with the infection get symptoms while others do not. It probably depends on factors like a person’s age and overall health. Infected people without symptoms can still pass the infection on to others.

What are the signs and symptoms of trichomoniasis?

About 70% of infected people do not have any signs or symptoms. When trichomoniasis does cause symptoms, they can range from mild irritation to severe inflammation. Some people with symptoms get them within 5 to 28 days after being infected. Others do not develop symptoms until much later. Symptoms can come and go.

Men with trichomoniasis may notice:

• Itching or irritation inside the penis;
• Burning after urination or ejaculation;
• Discharge from the penis.

Women with trichomoniasis may notice:

• Itching, burning, redness or soreness of the genitals;
• Discomfort with urination;
• A change in their vaginal discharge (i.e., thin discharge or increased volume) that can be clear, white, yellowish, or greenish with an unusual fishy smell.

Having trichomoniasis can make it feel unpleasant to have sex. Without treatment, the infection can last for months or even years.

What are the complications of trichomoniasis?

Trichomoniasis can increase the risk of getting or spreading other sexually transmitted infections. For example, trichomoniasis can cause genital inflammation that makes it easier to get infected with HIV, or to pass the HIV virus on to a sex partner.

How does trichomoniasis affect a pregnant woman and her baby?

Pregnant women with trichomoniasis are more likely to have their babies too early (preterm delivery). Also, babies born to infected mothers are more likely to have a low birth weight (less than 5.5 pounds).

How is trichomoniasis diagnosed?

It is not possible to diagnose trichomoniasis based on symptoms alone. For both men and women, your health care provider can examine you and get a laboratory test to diagnose trichomoniasis.

What is the treatment for trichomoniasis?

Trichomoniasis can be treated with medication prescribed by a doctor. These pills are taken by mouth. It is safe for pregnant women to take this medication.

People who have been treated for trichomoniasis can get it again. About 1 in 5 people get infected again within 3 months after receiving treatment. To avoid getting reinfected, all sex partners should get treated with antibiotics at the same time. Wait to have sex again until everyone has been treated and any symptoms go away (usually about a week). Get checked at 3 months to make sure you have not been infected again, or sooner if your symptoms come back before then.

How can trichomoniasis be prevented?

The only way to avoid STDs is to not have vaginal, anal, or oral sex.

If you are sexually active, you can do the following things to lower your chances of getting trichomoniasis:

• Be in a long-term mutually monogamous relationship with a partner who has been tested and has negative STD test results;
• Use latex condoms the right way every time you have sex. This can lower your chances of getting trichomoniasis.

Another approach is to talk about the potential risk of STDs before you have sex with a new partner. That way you can make informed choices about the level of risk you are comfortable taking with your sex life.

If you or someone you know has questions about trichomoniasis or any other STD, talk to a health care provider.

Where can I get more information?

STD information and referrals to STD Clinics
CDC-INFO
1-800-CDC-INFO (800-232-4636)
TTY: 1-888-232-6348
In English, en Español

CDC National Prevention Information Network (NPIN)
P.O. Box 6003
Rockville, MD 20849-6003
E-mail: [email protected]

American Sexual Health Association (ASHA)external icon
P. O. Box 13827
Research Triangle Park, NC 27709-3827
919-361-8488

Sources

Workowski, KA, Bachmann, LH, Chang, PA, et. al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recomm Rep 2021; 70(No. 4): 1-187.

Kreisel KM, Spicknall IH, Gargano JW, Lewis FM, Lewis RM, Markowitz LE, Roberts H, Satcher Johnson A, Song R, St. Cyr SB, Weston EJ, Torrone EA, Weinstock HS. Sexually transmitted infections among US women and men: Prevalence and incidence estimates, 2018. Sex Transm Dis 2021; in press.

Peterman TA, Tian LH, Metcalf CA, Satterwhite CL, Malotte CK, DeAugustine N, Paul SM, Cross H, Rietmeijer CA, Douglas JM Jr; RESPECT-2 Study Group. High incidence of new sexually transmitted infections in the year following a sexually transmitted infection: a case for rescreening. Ann Intern Med. 2006 Oct 17;145(8):564-72.

Hobbs M, Seña EC, Swygard H, Schwebke J. Trichomonas vaginalis and Trichomoniasis. In: KK Holmes, PF Sparling, WE Stamm, P Piot, JN Wasserheit, L Corey, MS Cohen, DH Watts (editors). Sexually Transmitted Diseases, 4th edition. New York: McGraw-Hill, 2008, 771-793.

Common Sexually Transmitted Infections – (STIs)

Sexually transmitted infections (STIs) are infections spread by sexual contact. These infections are usually passed from person to person through vaginal intercourse. However, they also can be passed through anal sex, oral sex, or skin-to-skin contact. STIs can be caused by viruses, bacteria, or parasites. Many people get STIs but don’t know it because they don’t have symptoms. Other people have symptoms that can be mild or more bothersome.

Path to improved health

There are many different kinds of STIs. Here is information on some of the most common ones, their symptoms, and their treatments.

Chlamydia

What it is: Chlamydia is a bacterial infection that is easily cured. Left untreated it can cause infertility in women.

Symptoms: Women may have pain when urinating, itching around the vagina, yellow fluid (discharge) from the vagina, bleeding between periods, or pain in the lower abdomen. Men may have a burning sensation when urinating and a milky colored discharge from the penis. It can also cause painful swelling of the scrotum in men.

Treatment: Antibiotics. Both partners should be treated.

Gonorrhea

What it is: Gonorrhea is a bacterial infection. Left untreated, it can cause serious health problems. But it’s easily cured.

Symptoms: Women may have white, green, yellow, or bloody discharge from the vagina, pain when urinating, bleeding between periods, heavy bleeding during a period, or a fever. Both women and men can get sore throats if they’ve had oral contact with an infected person. Men may have thick, yellow discharge from the penis and pain when urinating. The opening of the penis may be sore. Gonorrhea can cause serious complications if it’s not treated.

Treatment: Antibiotics. Both partners should be treated.

Herpes

What it is: Herpes is a viral infection that causes painful sores in the genital area. It’s spread through skin-to-skin contact. Once you’re infected, you have the virus for the rest of your life.

Symptoms: Women and men may have tingling, pain, or itching around the vagina or penis. They also may develop oral lesions (blisters) through sexual contact. These may look like fever blisters because they are caused by a similar virus. Small blisters can form on the penis, vaginal area, around the anus, or on the mouth depending on the exposure. When the blisters break open, they can be very infectious. This means you could easily transmit herpes to another person. When the blisters break, they also can cause a burning feeling. It may hurt to urinate. Some people have swollen glands, fever, and body aches. The sores and other symptoms go away, but this doesn’t mean the virus is gone. The sores and blisters can come back periodically. This is called an “outbreak.”

Treatment: Medicine can treat symptoms but can’t cure herpes. If one partner is infected, the other should by checked by a doctor.

HIV/AIDS

What it is: HIV (human immunodeficiency virus) is the virus that causes AIDS (acquired immunodeficiency syndrome). HIV attacks the body’s immune system, making you more likely to get sick from other viruses or bacteria.

Symptoms: HIV makes the body’s immune system weak so it can’t fight disease. Symptoms may take years to develop. When symptoms do appear, they can include swollen lymph nodes, diarrhea, fever, cough, shortness of breath, or unexplained weight loss. Symptoms are often similar to those of other illnesses, such as the flu.

Treatment: Medicines can treat symptoms but can’t cure HIV or AIDS. If one partner is infected, the other should be checked by a doctor.

HPV/Genital Warts

What it is: HPV (human papillomavirus) is a family of more than 100 types of viruses. Some don’t cause any symptoms. Some types cause genital warts. More aggressive types can cause cancer.

Symptoms: HPV can cause warts in or around the vagina, penis, or rectum. In women, the warts can be on the cervix or in the vagina where you can’t see them. Or they may be on the outside of the body, but may be too small to see. The warts can be small or large, flat or raised. They can appear alone or in groups. They usually don’t hurt. Most types of HPV, including those that cause cancer, don’t have symptoms.

Treatment: No medicine cures HPV. A doctor can remove external warts. Warts on the cervix or in the vagina can cause changes that may lead to cervical cancer. Doctors will watch for these changes. If one partner is infected with HPV, the other should be checked by a doctor.

Some types of HPV can be prevented, including those that cause cancer. There is a vaccine that can prevent some types of HPV in young men and women. The Centers for Disease Control and Prevention (CDC) recommends that girls and boys between the ages of 11 and 12 receive the vaccine, before they become sexually active. The vaccine is approved for men and women between the ages of 9 years and 45 years.

Pubic lice (crabs)

What it is: Pubic lice (also called crabs) are tiny insects that live in pubic hair and lay eggs. They spread through direct contact but don’t cause many problems.

Symptoms: Women and men may have redness and itching around the genitals. You may be able to see the lice or their eggs on the shaft of the pubic hair.

Treatment: Medicine, such as over-the-counter lotions or shampoos (some brand names: Nix, Rid), can kill the lice. Prescription shampoos, lotions, or pills are also available if over-the-counter medicine doesn’t work. Clothes, sheets, and towels must be washed in hot water to kill remaining bugs, or your lice can come back. Usually both partners need to be treated. Removal of the nits (lice eggs) is important to reduce the chance of another outbreak after treatment.

Syphilis

What it is: Syphilis is a serious bacterial infection that causes sores in the genital area. It’s passed by touching the blood or sores of an infected person.

Symptoms: An early symptom is a red, painless sore, called a chancre. The sore can be on the penis, vagina, rectum, tongue, or throat. The glands near the sore may be swollen. Without treatment, the infection can spread into your blood. Then you may experience a fever, sore throat, headache, or pain in your joints. Another symptom is a scaly rash on the palms of the hands or the bottom of the feet. The sores and other symptoms go away, but this doesn’t mean the infection is gone. It could come back many years later and cause problems in the brain and spinal cord, heart, or other organs.

Treatment: Syphilis can cause serious health problems if it’s not treated. Antibiotics should be taken as early as possible after infection. If one partner is infected, the other should be tested.

Trichomoniasis

What it is: Trichomoniasis is an infection caused by a parasite. The parasite spreads through skin-to-skin contact.

Symptoms: Women can have a heavy, greenish-yellow frothy discharge and pain when urinating or while having sex. It also can cause redness, itching, and a burning feeling in the genital area. Men may have burning with urination or ejaculation, itching, or irritation inside the penis, or discharge from the penis. Left untreated, the infection can last for months or years.

Treatment: Antibiotics. Usually both partners need to be treated.

Things to consider

It’s common to feel guilty or ashamed when you are diagnosed with an STI. You may feel that someone you thought you could trust has hurt you. You may feel sad or upset. Talk to your doctor about how you’re feeling.

Remember you can take steps to prevent getting an STI. The only sure way to prevent them is by not having sex. But if you do have sex, you can lower your risk if you do the following things.

• Limit your number of sex partners.
• Avoid sex with people who have had many sex partners.
• Use condoms consistently and correctly.
• Ask your partner if he or she has, or has had, an STI. Tell your partner if you have had one. Talk about whether you’ve both been tested for STIs and whether you should be tested.
• Look for signs of an STI in your sex partner. But remember that STIs don’t always cause symptoms. Don’t have sex if you or your partner are being treated for an STI.
• Wash your genitals with soap and water and urinate soon after you have sex. This may help clean away some germs before they have a chance to infect you.

Questions to ask your doctor

• Do I have an STI? Can it be cured?
• What kind of treatment will I need?
• Can I have sex with my partner without passing on my STI?
• Can I spread an STI if I don’t have symptoms and don’t even know I have it?
• How do I prevent getting an STI?
• What long-term problems might I have if I have an STI?
• If I’m pregnant, can I pass my STI onto my baby?
• Are there any STI support groups in my area?

Resources

Centers for Disease Control and Prevention: Sexually Transmitted Diseases

National Institutes of Health, MedlinePlus: Sexually Transmitted Diseases

Trichomoniasis – Symptoms and causes

Overview

Trichomoniasis is a common sexually transmitted infection caused by a parasite. In women, trichomoniasis can cause a foul-smelling vaginal discharge, genital itching and painful urination.

Men who have trichomoniasis typically have no symptoms. Pregnant women who have trichomoniasis might be at higher risk of delivering their babies prematurely.

To prevent reinfection with the organism that causes trichomoniasis, both partners should be treated. The most common treatment for trichomoniasis involves taking one megadose of metronidazole (Flagyl) or tinidazole (Tindamax). You can reduce your risk of infection by using condoms correctly every time you have sex.

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Symptoms

Many women and most men with trichomoniasis have no symptoms, at least not at first. Trichomoniasis signs and symptoms for women include:

• An often foul-smelling vaginal discharge — which might be white, gray, yellow or green
• Genital redness, burning and itching
• Pain with urination or sexual intercourse

Trichomoniasis rarely causes symptoms in men. When men do have signs and symptoms, however, they might include:

• Irritation inside the penis
• Burning with urination or after ejaculation
• Discharge from the penis

When to see a doctor

See your doctor if you have a foul-smelling vaginal discharge or if you have pain with urination or sexual intercourse.

Causes

Trichomoniasis is caused by a one-celled protozoan, a type of tiny parasite that travels between people during sexual intercourse. The incubation period between exposure and infection is unknown, but it’s thought to range from four to 28 days.

Risk factors

Risk factors include having:

• Multiple sexual partners
• A history of other sexually transmitted infections
• A previous episode of trichomoniasis
• Sex without a condom

Complications

Pregnant women who have trichomoniasis might: 

• Deliver prematurely
• Have a baby with a low birth weight
• Transmit the infection to the baby as he or she passes through the birth canal

Having trichomoniasis also appears to make it easier for women to become infected with HIV, the virus that causes AIDS.

Prevention

As with other sexually transmitted infections, the only way to prevent trichomoniasis is to abstain from sex. To lower your risk, use condoms correctly every time you have sex.

April 18, 2020

Show references

1. Sobel JD. Trichomoniasis. https://www.uptodate.com/contents/search. Accessed Feb. 8, 2018.
2. Trichomoniasis — CDC fact sheet. Centers for Disease Control and Prevention. http://www.cdc.gov/STD/Trichomonas/STDFact-Trichomoniasis.htm. Accessed Feb. 8, 2018.
3. Meites E, et al. A review of evidence-based care of symptomatic trichomoniasis and asymptomatic trichomonas vaginalis infection. Clinical Infectious Diseases. 2015;61:S837.
4. Trichomoniasis. U.S. Department of Health & Human Services. https://www.womenshealth.gov/a-z-topics/trichomoniasis. Accessed Feb. 8, 2018.
5. Sobel JD. Trichomoniasis. https://www.uptodate.com/contents/search. Accessed March 13, 2020.

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Prostatitis | Michigan Medicine

Topic Overview

What is prostatitis?

Prostatitis is swelling or infection of the prostate gland. It often hurts. The prostate gland sits just below a man’s bladder and makes part of the fluid for semen. In young men, the prostate is about the size of a walnut. It usually grows larger as you grow older.

There are several types of prostatitis. They vary based on how long a man has had the problem and what kind of symptoms he has.

What causes prostatitis?

Sometimes prostatitis is caused by bacteria, but often the cause is not known.

What are the symptoms?

Symptoms of long-term (chronic) prostatitis are often mild and start slowly over weeks or months. They may include:

• An urge to urinate often. But you may pass only small amounts of urine.
• A burning pain when you urinate.
• A problem starting the urine stream, urinating in waves rather than in a steady stream, urine flow that is weaker than normal, and dribbling after urinating.
• Waking up at night to urinate often.
• A feeling of not completely emptying your bladder.
• Pain in your lower back, in the area between the testicles and anus, in the lower belly or upper thighs, or above the pubic area. Pain may be worse during a bowel movement.
• Some pain during or after ejaculation.
• Pain in the tip of your penis.

Symptoms of acute prostatitis are the same, but they start suddenly and are severe. They may also include a fever and chills.

Some men may have no symptoms.

How is prostatitis diagnosed?

A doctor can often tell if you have prostatitis by asking about your symptoms and past health. He or she will also do a physical exam, including a digital rectal exam. In this test, the doctor puts a gloved, lubricated finger in your rectum to feel your prostate. You may also need blood and urine tests to find out which type of prostatitis you have or to look for another cause of your problems.

How is it treated?

Prostatitis caused by bacteria is treated with antibiotics and self-care.

Home treatment includes drinking plenty of fluids and getting lots of rest. Taking over-the-counter pain relievers can also help.

Your doctor may prescribe medicine to control pain and reduce swelling. He or she may also prescribe medicine to soften your stool and relax your bladder muscles.

Surgery is rarely used to treat prostatitis.

Cause

Chronic prostatitis

Most men with prostatitis have chronic prostatitis, which may also be called pelvic pain syndrome. The cause of this type of prostatitis is not known.

Acute prostatitis and chronic bacterial prostatitis

Bacteria infecting the prostate cause acute prostatitis and chronic bacterial prostatitis. Bacteria most likely enter the prostate by:

• Traveling through the urethra.
• Being present in the urine because of a bladder infection.
• Being introduced through the use of a urinary catheter.

Symptoms

The symptoms are similar for all forms of prostatitis, with the exception of acute prostatitis.

Symptoms of chronic prostatitis may include:

• A frequent urge to urinate, although you may pass only small amounts of urine.
• A burning sensation when urinating (dysuria).
• Difficulty starting urination, interrupted flow (urinating in waves rather than a steady stream), weaker-than-normal urine flow, and dribbling after urinating.
• Excessive urinating at night (nocturia).
• A sensation of not completely emptying the bladder.
• Pain or discomfort in the lower back, in the area between the testicles and anus, in the lower abdomen or upper thighs, or above the pubic area. Pain may become worse during a bowel movement.
• Pain or vague discomfort during or after ejaculation.
• Pain in the tip of the penis.

With acute prostatitis, symptoms are severe, come on suddenly, and include fever and chills. Signs of chronic bacterial prostatitis may be milder and come on suddenly or gradually over weeks or months, and the symptoms may come and go. Symptoms alone cannot be used to determine the type of prostatitis you have.

Other conditions, such as a bladder infection or benign prostatic hyperplasia (BPH), can cause symptoms similar to those of prostatitis.

What Happens

Prostatitis, especially if it continues for a long time, can cause stress, anxiety, and depression.

Chronic prostatitis

Chronic prostatitis often gets better over time without serious complications. But the symptoms sometimes return unexpectedly.

Acute prostatitis

Men with acute prostatitis have severe pain and fever. Most men recover fully when treated with antibiotics. Delaying treatment increases the risk of complications, such as sepsis or an abscess in the prostate.

Chronic bacterial prostatitis

Chronic bacterial prostatitis can be difficult to treat, because some medicines have a hard time reaching the prostate.

Men with chronic bacterial prostatitis commonly have repeated urinary tract infections. The infection may spread to the epididymis.

The presence of infected prostate stones ( prostatic calculi) can make treatment of chronic bacterial prostatitis more difficult.

What Increases Your Risk

Things that can increase your risk for prostatitis include:

If you have had chronic bacterial prostatitis, you have an increased chance of developing it again.

When should you call your doctor?

Contact your doctor immediately if you have sudden fever, chills, and urinary symptoms, such as pain or burning with urination or blood or pus in the urine. These symptoms may point to acute prostatitis.

Call your doctor if you have:

• Urinary symptoms and persistent pain in the low back, scrotum, penis, or the area between the scrotum and anus, or if you have pain with ejaculation or with a bowel movement.
• Recurring urinary tract infections (UTIs).
• Discharge from your penis or sores on your genitals.
• Problems urinating, such as excessive nighttime urination, trouble starting urinating, decreased urinary stream, or frequent urination that is not related to drinking lots of fluids.

Watchful waiting

Most men will have some discomfort in their prostate (prostatitis) at some time during their lives. If you do not have a fever and chills or extreme pain, you may try home treatment for a few weeks. Take nonprescription pain medicines, such as aspirin, ibuprofen, or acetaminophen, to relieve pain. But if your urinary symptoms and pain continue, be sure to see a doctor.

Who to see

Health professionals who can evaluate and treat your prostatitis include:

Exams and Tests

If your doctor suspects that you have prostatitis, he or she will begin with a complete medical history and physical exam. The type of prostatitis that you have cannot be determined solely from your history and symptoms. Your doctor will do tests to find out the cause of your prostatitis.

Acute prostatitis is the least common type but the easiest to diagnose. If acute prostatitis is suspected, a urine culture will be done to test for the presence and type of bacteria.

If your history and physical exam show that you do not have acute prostatitis, a pre- and post-massage test (PPMT) or expressed prostatic secretions test may be done to find out which type of prostatitis you have. An expressed prostatic secretions test is not done if acute prostatitis is suspected, because when the prostate is inflamed or infected, massaging it to obtain a sample for tests is very painful and possibly dangerous. Some doctors believe that massaging an infected prostate increases the risk of developing a bacterial infection of the blood (septicemia).

More tests may be needed if:

• Your symptoms do not improve with treatment.
• You continue to have prostate infections.
• The symptoms could be caused by bladder or prostate cancer.
• Your doctor suspects you have a complication related to prostatitis, such as an abscess.

Tests that may be done include:

Treatment Overview

Treatment for prostatitis usually begins with taking an antibiotic for several weeks. If you begin to feel better, you may have to take the medicine for 2 to 3 months. If you do not get better while taking antibiotics, more tests may be done.

Chronic prostatitis

You may need to try more than one treatment. There isn’t a standard treatment that works well for all men.

• Antibiotics are tried first. If your symptoms do not improve, treatment with these medicines is usually stopped.
• Muscle relaxants and alpha-blockers may be used if muscle spasms are causing pain or problems urinating.
• Medicines to reduce inflammation, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may relieve pain.
• 5-alpha reductase inhibitors, medicines that slow the growth of the prostate, may be used.
• Physical therapy, exercise, or massage therapy may help some men.
• Counseling, biofeedback, or relaxation techniques may help reduce stress that is contributing to the pain
• Certain plant extracts, such as bee pollen extract (Cernilton) or quercetin (Prosta-Q) may provide some relief.^{footnote 1}

Acute prostatitis

Treatment for acute prostatitis is aimed at curing the infection and preventing complications. Acute bacterial prostatitis is treated with antibiotics, pain and fever medicine, stool softeners, fluids, and rest.

• If you are unable to urinate or need intravenous antibiotics, you may be admitted to a hospital for a short time for treatment.
• Most men get better quickly. Treatment (usually at home) lasts for 4 to 6 weeks.

Chronic bacterial prostatitis

Treatment for chronic bacterial prostatitis is aimed at curing the infection and preventing complications. Antibiotics are given for 6 to 12 weeks. Long-term antibiotic treatment may be needed if the infection returns.

• Infected prostate stones (prostatic calculi) can make the infection more difficult to cure. They may need to be surgically removed.
• Surgery may be needed if urinary tract problems, such as narrowing of the bladder neck or urethra, are causing the prostatitis.
• Surgical removal of the prostate (prostatectomy) for repeated infections is rarely used and is used only as a last resort.

Prevention

You may be able to prevent prostatitis.

• Practice good hygiene, and keep your penis clean.
• Drink enough fluids to cause regular urination.
• Seek early treatment of a possible urinary tract infection.

Home Treatment

Prostatitis is usually treated with antibiotics and other medicines prescribed by your doctor. But there are some things you can try at home that may help you be more comfortable:

• Take nonprescription pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen. Be safe with medicines. Read and follow all instructions on the label.
• Sit in a tub of warm water with the water just covering your buttocks, or try a sitz bath.
• Take care of yourself. Get plenty of rest, and drink lots of fluids. This can help you feel better and may speed your recovery.
• Eat plenty of high-fiber foods, such as fruit, vegetables, and whole-grain breads and cereal. And drink enough water to avoid constipation. Straining to pass a bowel movement may be very painful when your prostate is inflamed, so use a stool softener if needed.
• Be physically active. Exercise, especially aerobic exercise, seems to help.^{footnote 2}
• Avoid any foods or activities that make your symptoms worse.
• Try stress management: deep breathing, relaxation, light exercise, and elimination of stressful circumstances.

Medications

Treatment of prostatitis usually begins with antibiotics and possibly other medicines to relieve symptoms. If you begin to get better, you may have to continue taking antibiotics for 2 to 3 months. During this time, be sure to take the antibiotics as prescribed. If you do not begin to get better while taking medicines, your doctor may want you to have more tests.

Medicine choices

Chronic prostatitis

Chronic prostatitis is usually treated first with antibiotics based on the possibility that you have an infection that didn’t show up during testing (false negative). But experts advise against long-term treatment with antibiotics unless an unusual bacterial infection is suspected.

Medicines that may be used to treat chronic prostatitis include:

• Antibiotics. If the symptoms begin to improve, it is possible that an undiagnosed infection is responsible for the symptoms.
• Medicines that reduce pain and inflammation (nonsteroidal anti-inflammatory drugs [NSAIDs]).
• Medicines that relax muscles throughout the body (muscle relaxants) or that relax muscles in the prostate (alpha-blockers).
• Medicines that slow the growth of the prostate (5-alpha reductase inhibitors).
• Certain plant extracts, such as bee pollen extract (Cernilton) or quercetin (Prosta-Q). They may provide some relief.

Acute and chronic bacterial prostatitis

Antibiotics are central to treating acute or chronic bacterial prostatitis. Your doctor may prescribe certain antibiotics based on your medical history, symptoms, and other factors such as your age. Other medicines may also be used to help control symptoms, including:

Chronic bacterial prostatitis may require long-term antibiotics, especially if the symptoms return. Some men need treatment with low doses of antibiotics over a long period to control infection and prevent repeated urinary tract infections (UTIs).

Surgery

Surgery for prostatitis may be needed to treat chronic bacterial prostatitis that does not respond to long-term antibiotic treatment and that causes repeated urinary tract infections. Surgery may be done to remove part of the prostate or to remove infected prostate stones ( prostatic calculi). But this does not always cure the infection, and it may make the symptoms worse. Surgery is typically done only if all other treatments have failed.

Surgery choices

Surgical removal of part of the prostate to remove prostate stones or to treat an infection that does not respond to antibiotic treatment is called transurethral prostatectomy.

Surgery to remove part of the prostate that is blocking urine flow is called transurethral resection of the prostate (TURP). This type of surgery may be done in men with benign prostatic hyperplasia (BPH) who are having problems with prostatitis.

Other Treatment

Other treatments that may be helpful for prostatitis include:

References

Citations

1. Anothaisintawee T, et al. (2011). Management of chronic prostatitis/chronic pelvic pain syndrome. JAMA, 305(1): 78–86.
2. Nickel JC (2012). Prostatitis and related conditions, orchitis, and epididymitis. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 1, pp. 327–356. Philadelphia: Saunders.

Other Works Consulted

• Gupta K, Trautner BW (2015). Urinary tract infections, pyelonephritis, and prostatitis. In DL Kasper et al., eds., Harrison’s Principles of Internal Medicine, 19th ed., vol. 2, pp. 861–868. New York: McGraw-Hill Education.
• Powell CR (2015). Prostatitis. In ET Bope, RD Kellerman, eds., Conn’s Current Therapy 2015, pp. 1008–1010. Philadelphia: Saunders.

Credits

Current as of:
February 11, 2020

Author: Healthwise Staff
Medical Review:
E. Gregory Thompson MD – Internal Medicine
Adam Husney MD – Family Medicine
Christopher G. Wood MD, FACS – Urology, Oncology

Current as of: February 11, 2020

Author:
Healthwise Staff

Medical Review:E. Gregory Thompson MD – Internal Medicine & Adam Husney MD – Family Medicine & Christopher G. Wood MD, FACS – Urology, Oncology

Trichomoniasis (for Teens) – Nemours KidsHealth

What Is Trichomoniasis?

Trichomoniasis (often called “trich”) is a sexually transmitted disease (STD).

What Are STDs?

STDs (also called sexually transmitted infections or STIs) are infections that spread through sex (vaginal, oral, or anal). Some STDs can spread through close contact with the genitals or body fluids.

How Do People Get Trichomoniasis?

Trichomoniasis (trik-uh-muh-NEYE-uh-siss) spreads between men and women through vaginal sex. Women can spread trich to other women through sexual contact. Men do not usually get trich from other men.

What Are the Signs & Symptoms of Trichomoniasis?

Many people with trich have no symptoms. They can spread the infection to others without knowing it.

In females, symptoms can include:

• vaginal discharge, which can smell bad
• itching, redness, and tenderness in or around the vagina
• pain when peeing
• pain during sex
• bleeding after sex

In males, symptoms can include:

• discharge from the penis
• pain or burning when peeing
• discomfort after ejaculation

What Causes Trichomoniasis?

Trichomoniasis is caused by a parasite called Trichomonas vaginalis.

How Is Trichomoniasis Diagnosed?

To find out if someone has trich, health care providers do tests on:

• discharge taken from the vagina or cervix (opening to the womb) in girls
• discharge taken from the urethra in guys
• pee

How Is Trichomoniasis Treated?

Health care providers treat trichomoniasis with 

antibiotics. All sexual partners from the past 2 months need treatment too, even if they don’t have signs of trichomoniasis.

People can get trichomoniasis again if:

• their partners aren’t treated
• they get treated but then have sex with someone else who has trichomoniasis

What Problems Can Happen?

Females who don’t get treatment for trichomoniasis have a greater chance of:

• fertility problems (trouble getting pregnant)
• developing cervical cancer
• getting HIV if they have sex with someone who has HIV

Males who don’t get treatment for trichomoniasis have a greater chance of:

• swelling and irritation of the tubes at the back of the testicles
• swelling and irritation in the prostate
• fertility problems (trouble getting a woman pregnant)
• developing prostate cancer

Can Trichomoniasis Be Prevented?

The only way to prevent trichomoniasis and other STDs is to not have sex (oral, vaginal, or anal). If you decide to have sex, using a latex condom every time can prevent most STDs.

If you’re sexually active, get tested for STDs every year, or more often if recommended by your health care provider.

Urology | Penile Conditions Signs & Symptoms

Penile conditions have varying signs and symptoms. Some of the more common

symptoms of penile conditions

include:

• Changes on the skin of the penis and genital area, including warts, bumps, sores and rash
• Swelling of the penis
• Itching of the penis
• Bleeding on or from the penis
• Painful erections
• A bend or curve in the penis that can be painful
• Severe pain after penis trauma or groin injury
• Blood in the urine or semen
• Burning during urination
• Difficulty urinating
• Abnormal discharge from the penis or underneath the foreskin
• Changes in ejaculation or difficulty ejaculating
• Inability to retract foreskin or put it back over the glans (when uncircumcised)
• An erection that lasts more than four hours

Two penile conditions, priapism and paraphimosis, often require emergency medical treatment.

If you have any symptoms of these conditions, seek emergency medical care right away. Those symptoms include:

• 
  Symptoms of priapism
  
  – The main symptom of priapism is an erection that lasts more than four hours. It may be painful, and it won’t be relieved by orgasm.
• 
  Symptoms of paraphimosis
  
  – Paraphimosis can cause painful swelling of the foreskin and the glans of the penis when the foreskin does not return to its normal position. This can result in loss of blood flow to the glans. If your foreskin gets stuck in a retracted position and the head of your penis swells or changes color, seek emergency medical treatment.

Penile cancer is not usually a medical emergency, but you should have it diagnosed and treated as soon as possible to improve your chances of a complete recovery.

• 
  Symptoms of penile cancer –
  
  Penile cancer can cause growths or sores on your penis, bleeding on or from your penis and an abnormal discharge from your penis, among other symptoms.

If you experience any symptoms of penile conditions, contact your doctor. If you have symptoms of penile cancer, call your doctor right away and let them know what your symptoms are. The earlier penile cancer is treated, the better your chances are of a full recovery. If you treat cancer of the penis before it spreads into the deep tissue, you’ll reduce your risk of needing a penectomy (surgery to remove part of or the entire penis).

Learn more about penile conditions

90,000 Burning after ejaculation, why there is an unpleasant symptom

Burning after ejaculation is an alarming symptom. Some patients do not pay special attention to this problem. This leads to the development of additional complications. To prevent this from happening, it is necessary to carry out correct and timely treatment. It is not recommended to eliminate itching on your own. The therapy should be performed by a qualified specialist after a thorough medical examination.

What are the causes of the problem

Burning after ejaculation appears for various reasons.There are a number of diseases that are accompanied by this symptom:

• Bacterial prostatitis;
• Various infectious diseases of the genitourinary system;
• Cystitis;
• Penile tissue fungus;
• Urethritis.

A common cause of burning after ejaculation is the bacterial form of prostatitis. Pathology occurs due to damage to the prostate gland by pathogenic bacteria. The disease can be acute or chronic.Microbes that attack the prostate gland settle in the organ. During ejaculation, part of the bacillus enters the urethral canal along with the secretion of semen. They begin to feed on the tissues of the urethra, the patient develops a burning sensation.

Various infectious diseases of the genitourinary system cause burning after ejaculation. Infectious diseases are accompanied by infection of the genitals with viruses or bacteria. Burning sensation is a symptom of damage to the genitourinary system.If such a symptom is found, you should visit a specialist.

Cystitis also affects the appearance of the symptom after ejaculation. Pathology is accompanied by the appearance of frequent urge to use the toilet. When the bladder is emptied, dead tissue cells, bacteria and salts are removed through the urethra. Some particles are deposited in the urethra. The patient notices the appearance of a burning sensation after ejaculation, itching in the groin area and pain. Treatment must be completed in the first days of the disease.If this is not done on time, a transition of pathology to a chronic form may occur. Cystitis will manifest with frequent relapses.

The main cause of burning is considered to be a fungal infection of the tissues of the glans penis. In a healthy microflora of the urinary system, there is a bacterium belonging to the genus Candida. If a patient develops an inflammatory disease or a decline in immunity, its pathological multiplication occurs. The bacterium multiplies by spores and causes tissue necrosis. The affected area is crusty and itchy.During sexual contact, the bacilli mix with the female flora, part of the mixture enters the urethral canal. The patient feels a burning sensation after intercourse.

Urethritis can develop under the influence of various factors. With bacterial urethritis, the patient experiences a burning sensation when emptying the bladder, ejaculation. Pathology can become chronic. To avoid this, it is necessary to undergo treatment.

Additional symptoms accompanying the problem

Pathologies that cause burning after ejaculation are accompanied by other symptoms.Patients complain about such manifestations of diseases as:

• Frequent use of the toilet;
• Presence of rashes on the penis;
• Pain in the groin area;
• Itching and redness of the tissues of the penis.

A frequent symptom accompanying a burning sensation is going to the toilet. The urge to empty the bladder can increase with pathologies such as: urethritis, forgiveness, cystitis. The problem begins to bother the patient at night. Because of this, a man cannot sleep well, becomes irritable and tired.If the reason is not looked for, then a problem with the nervous system may be added.

Fungal lesions of the genital organs are accompanied by the appearance of various rashes in the groin area. On the skin, there may be spots of a rounded shape with clear edges. The surface of the spot is covered with dry flaky skin. In rare cases, the patient has weeping rashes, which can turn into an ulcerative form. Therapy is prescribed after examining the scraping from the affected area.

Many genitourinary pathologies are accompanied by pain.The pain can be of different localization. Its location depends on the affected organ. With prostatitis, sensations appear in the lumbar region and move to the lower abdominal region. Urethritis accompanies pain during the emptying of the bladder and in the lower abdomen. Cystitis causes discomfort in the middle of the abdominal region and on the sides. Localization of the symptom serves as a good clue to the specialist.

Itching and redness of the head occurs when a patient becomes infected with sexually transmitted diseases. The appearance of discharge from the urethra may be added to these symptoms.The discharge has a different color and smell. Burning sensation accompanies such diseases as: gonorrhea, chlamydia and syphilis.

Diagnosing diseases

A burning sensation after ejaculation is caused by a pathogenic bacterium. For this reason, it is necessary to take a swab from the urinary tract. It is necessary to take into account the rules of preparation for the analysis:

• Observance of sexual rest;
• Refusal to use antibacterial detergents;
• Ban on the use of alcoholic beverages.

During sexual intercourse, pathogenic bacteria are partially eliminated. For a sufficient accumulation of the studied material, it is recommended to observe sexual rest. It must be kept for 4-6 days before the examination.

Antibacterial detergents kill pathogens. Therefore, experts advise against washing with such products a day before taking a smear.

Alcoholic beverages affect the health of the microflora of the urinary tract.Many bacteria die or become cysts with alcohol abuse. It is recommended to give up such drinks 3-5 days before.

Symptom therapy

Treatment for burning after ejaculation depends on the underlying disease. Therapy is carried out with medications, compresses and hardware effects.

Treatment of prostatitis is carried out with antibiotics, electrical stimulation and herbal substances. Antibiotics are selected by a specialist.Reception is carried out strictly according to the recipe. Electrical stimulation is performed after the exacerbation of the disease has been relieved. The procedure allows you to remove residual inflammation from soft tissues, improve the trophism of the internal organs of the small pelvis and restore erectile function. Herbal preparations serve as a good prevention of pathology. To eliminate the symptoms of prostatitis, pumpkin seed oil, tincture of red root and a decoction of birch buds are used. All these funds can be purchased at the pharmacy kiosk on their own.

Fungal lesions of the genitourinary system can be cured with antimycotics and antimicrobial drugs. Antimycotics are taken internally and used topically. The duration of treatment depends on the severity of the lesion. If the fungus covers more than 40% of the skin of the penis, then therapy is carried out in stationary conditions.

Preventive measures

To avoid burning after ejaculation, it is recommended to follow a few simple rules:

• Personal hygiene;
• Natural linen;
• Sexual contact protection;
• Proper nutrition.

Personal hygiene should be done daily. All means for washing the body and shaving hair should be individual. Underwear should only be worn from natural fabrics. Panties must be loose fit. This will help reduce sweating in the groin area. A condom must be used during sexual intercourse. This will help protect the body from various sexually transmitted viral diseases.

All pathologies of the genitourinary system are accompanied by the appearance of various symptoms.If a man has a burning sensation after ejaculation, a specialist consultation is necessary.

differences from other STDs – clinic “Dobrobut”

The first signs of trichomoniasis in women and men

Trichomoniasis is a disease of the genitourinary system caused by the unicellular parasite Trichomonas vaginalis. Most infections occur in women between the ages of 16 and 35. Causes of infection with urogenital trichomoniasis: Trichomonas vaginalis mainly spreads through unprotected sexual contact with an infected partner.In men, microorganisms first affect the epithelium of the urethral mucosa, then the inflammation spreads to the tissues of the prostate gland and bladder. In women, the primary inflammatory process affects the vaginal mucosa, urethra. Usually diagnosed with urethritis, cystitis, vulvitis, colpitis, endocervicitis.

Symptoms of trichomoniasis in women and men

The first signs of trichomoniasis are similar to those of other sexually transmitted diseases. Urogenital trichomoniasis occurs with minimal clinical manifestations and is often detected only during routine examinations.Trichomonas carriage is diagnosed in 40-50% of patients with mixed urogenital infection.

In the early stages of the disease, men have virtually no symptoms. Sometimes there is a burning sensation after urination or ejaculation, itching of the urethra, minor discharge. In 40% of men, Trichomonas vaginalis causes complications: inflammation of the prostate gland (prostatitis), inflammation of the epididymis (epididymitis).

Symptoms of trichomoniasis in women:

• discomfort during intercourse;

90 011 itching of the inner thighs;

• vaginal discharge;
• hyperemia of the mucous membranes;

90 011 itching of the vagina or vulva;

• swelling of the labia;
• Strong unpleasant vaginal odor.

Trichomoniasis discharge may be greenish-yellow, frothy. But more often the disease proceeds without any subjective sensations. The clinical picture of the inflammatory process in trichomoniasis is similar to that in other STDs, but less pronounced, so patients rarely see a doctor. In this case, the disease becomes chronic and causes complications.

Diagnosis is based on the test result for trichomoniasis and clinical signs of the disease.The sampling of material for research is carried out in women from the vagina or urethra, in men – from the urethra.

Treatment regimen for trichomoniasis with drugs

No matter how trivial, but the treatment of infection begins with prevention. Preventive measures are regular check-ups. Trichomoniasis diagnosed at an early stage is quickly and easily treated. Timely diagnosis and treatment of trichomoniasis increases the chances of maintaining fertility. A disease that has passed into a chronic form can lead to serious complications – inflammatory diseases of the pelvic organs.It’s important to know:

• both sexual partners must be treated at the same time;
• against the background of therapy, sexual activity is not recommended;
• treatment is carried out for any form of the disease;
• medicines should be taken by a partner who has not found Trichomonas;
• it is mandatory to monitor the results of treatment a week after the completion of the course of therapy.

The treatment regimen for trichomoniasis with drugs is prescribed by a doctor.The drug of choice is metronidazole. Derivatives of nitroimidazole are also used: ornidazole, nimorazole, tinidazole, tenonitrozole. Antibiotics and sulfonamides for trichomoniasis are prescribed according to indications. Treatment for trichomoniasis in men also includes:

• immunotherapy;
• instillation of the urethra;
• prostate massage;
• physiotherapy.

Additional procedures are usually prescribed only for the chronic form of the disease.The effectiveness of the treatment of trichomoniasis in women increases with the combined use of systemic drugs and metronidazole gel (intravaginally).

Chronic trichomoniasis and possible complications

How to treat chronic trichomoniasis? Therapy for this form of the disease includes three stages:

1. Prescription of drugs that increase immunity, vitamin therapy.
2. Main therapy: 5-nitroimidazole derivatives, enzymes that improve digestion, antibacterial drugs (according to indications), antioxidants.
3. Recovery stage: hepatoprotectors, physiotherapy procedures (according to indications).

Appointment of adequate therapy and patient compliance with the doctor’s recommendations is important for the successful treatment of trichomoniasis. Otherwise, relapses of the disease, post-trichomonas complications are possible. Trichomonas vaginalis can cause infertility, abnormalities of pregnancy, childbirth, newborn.

Monogamous relationships, protected intercourse with casual relationships will help to avoid infection.Read more about STD prevention on our website Dobrobut.com.

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Gynecological Check-up
Colposcopy

Itching in the vagina: a symptom that needs attention

Vaginal discomfort (burning and itching) is a malaise that cannot be ignored. It may indicate a cold, infectious diseases, an imbalance of the microflora of the vagina, thrush, allergies.
When such a situation arises, it is not recommended to rely on folk methods.Self-medication without knowing the causes of the problem can lead to its aggravation.

In the M-Vita clinic, near the Rechnoy Vokzal and Khovrino metro stations, effective methods of diagnostics and treatment of various gynecological diseases are used. By contacting the gynecology of this medical center, you will receive advice from a competent specialist, as well as undergo a thorough examination to identify the true causes of the ailment.

Causes of itching
Female microflora consists of various bacteria.In a healthy body, it is in a balanced state. However, with the development of an inflammatory process or other hostile factors of influence on health, the bacterial balance of the vagina is disturbed. As a result, various diseases arise.

Vulvaginitis, colpitis
Characteristic features of this type of disease: the presence of discharge with an unpleasant fishy odor. It is caused by an increase in the number of gardnerella, Escherichia coli, or cocci. Itching arising from an imbalance of microflora requires mandatory treatment.

Candidiasis
Candida yeast fungi are natural inhabitants of the female vagina. But under unfavorable conditions, their number can increase dramatically and provoke the development of candidiasis or thrush. Symptoms of this ailment: burning and itching in the vagina, painful sensations in the lower abdomen, the appearance of cheesy discharge.

Allergic reaction
Sometimes an allergic reaction can cause itching in the vagina. It can be caused by various reasons: a reaction to semen, protection products, a certain type of contraceptive.

Infectious diseases
Various infectious diseases that were not treated in a timely manner can develop into a chronic form. Sometimes anxious sensations disappear for a while, however, this is only an appearance of recovery. The infection can remain dormant and worsen as soon as the immune system is weakened.
Sexual diseases that require compulsory treatment include: genital herpes, papillomavirus, ureaplasmosis, chlamydia and others.

As a result of sexual transmission, diseases such as urethritis, endometritis, cervititis, enometritis can also occur.
Non-gynecological causes
Genital itching can be triggered by various factors not related to gynecology:
• Stress and overwork;
• Poisoning of the body;
• Helminthic invasion;
• Disorders of the digestive system;
• Use of synthetic underwear;
• Acclimatization;
• Failure in the power routine;
• Allergy to medicines.
Basic measures to prevent the occurrence of unpleasant sensations in the vagina:
• Avoiding the influence of negative factors;
• Competent hygiene of the genital organs;
• Applying safety measures during sex.

In case the alarming symptoms persist within a few days, an urgent need to consult a doctor. Depending on the test results, the specialist prescribes the necessary treatment. If no dangerous diseases are found, the malaise is removed with a course of vitamins that strengthen the immune system, the correct daily regimen and diet, and sports activities. When serious problems are identified, a course of antibiotics and suppositories is prescribed.

Obstetricians-gynecologists of the M-Vita clinic, near the Khovrino and Rechnoy Vokzal metro stations, invite you for a consultation and guarantee complete confidentiality of communication.By contacting us, you will receive guaranteed healing from diseases related to the genital area.

Discomfort during and after sex

Symptoms of discomfort during sex

Discomfort during sex in women can manifest itself in two ways:

• Burning and pain occur on the surface of the mucous membrane. In this case, a woman may suffer from discomfort in the labia, urethra, clitoris, and vagina. The sensations can vary from itching to pain (like touching damaged skin).
• The pain is deep, proximity makes you feel discomfort in the area of ​​the internal genital organs or lower back, sides, abdomen. Feelings aching, shooting, pressing, bursting, cramping.

Gynecological factors

“First time”

Discomfort, cutting, sharp pain during the first intercourse are normal and should not be a cause for concern. Discomfort may occur the next several times, but if it does not go away later, the girl is shown a visit to the gynecologist.

STIs

Among the diseases that provoke discomfort during sex, there may be infections: chlamydia, candidiasis, trichomoniasis, ureaplasmosis, syphilis, etc. Moreover, in this case, you endanger your partner, therefore, you should not postpone an appeal to a gynecologist.

Inflammatory processes

Also, discomfort and pain during sex provoke inflammatory diseases: vaginitis, vulvitis.As a rule, these pathologies manifest themselves not only by itching, but also by a change in the nature of the discharge: their color, smell, and consistency change. Extra-menstrual bleeding, menstrual irregularities are possible. Inflammatory diseases require extensive treatment under the supervision of a gynecologist.

Polyps

If a woman has polyps on the cervix, deep penetration of the penis into the vagina can injure them, resulting in pain and bleeding after intercourse.

Lack of local immunity

When the vaginal microflora changes due to diseases, antibiotic intake, malnutrition, stress and other factors, diseases such as bacterial vaginosis and cervicitis can develop against this background. In this case, the discomfort will be concentrated both inside the vagina and outside it.

HPV (warts)

If a woman has warts, they are mechanically damaged due to friction of the penis.Violation of their integrity leads not only to painful sensations during and after proximity, but to local bleeding.

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Endometriosis

Abnormal enlargement of the endometrium can also cause pain after coitus.Patients with this pathology note sharp, rolling pains in the lower third of the abdomen.

Inflammation of the ovaries, cysts

In this case, the pain is localized to the right or left, less often on both sides. Discomfort can be felt both during sex and postcoital.

Fibroids, uterine fibroids

In the presence of fibroids or fibroids, the patient may experience a pulling, aching pain after having sex.

Recovery after childbirth

Usually doctors do not recommend having sex after childbirth for 1.5 months.This period is important for the full recovery of the body, including damaged cervix, vagina, and vaginal opening. If, after a longer period, with the resumption of sexual activity, painful sensations persist, it is necessary to see a gynecologist.

Atrophy of the mucosa

Age-related changes thin the mucous tissue, it becomes drier. As a result, coitus without lubricant can be uncomfortable.

Insufficient discharge

An insufficient volume of natural vaginal secretions that provide comfortable penetration of the penis inside can provoke a feeling of friction, pain – and the pain can continue even several days after intercourse.The solution to this problem will be the use of water-based lubricants. From the point of view of gynecological possibilities, the doctor may suggest that you eliminate the cause of dryness by restoring the moisture of the mucous tissue with the help of biorevitalization.

Anatomically determined causes of discomfort during sex

Physiologically partners may not be suitable for each other. Discomfort occurs when the size of the penis and the vagina does not match: their length, diameter. If the difference is critical, mucosal injury occurs during coitus, micro-ruptures appear.If the mucous membrane is injured regularly, chronic inflammation will occur. Injuries in the genital area increase the risk of infection entering the body and negatively affect the state of local immunity.

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Other Factors

Neuralgia

If the pelvic nerves are congested or otherwise inflamed, pain may respond in the hips, legs. With neuralgia of the pelvic nerves, a woman experiences friction discomfort, especially being in an uncomfortable position.

Inflammation of the bladder

Aching, sharp pain in the lower third of the abdomen – this is how inflammation in the bladder manifests itself. During coitus, discomfort in the vagina and abdomen may increase.

Venous congestion of blood

Due to thickening of the blood due to imbalance of vitamins, trace elements, hormonal disorders, a sedentary lifestyle, pulling pain in the lower abdomen may occur.Sex with venous stasis of blood can be discomfortable, and, even if there is no pain, much less often leads to the achievement of orgasm – due to impaired blood circulation.

Psychological reasons

Self-doubt, negative experiences in past relationships, fear of coitus, unwillingness to have sexual intercourse with this partner – these and other factors affect the quality of sex and its ability in general. The psychological state affects the amount of lubricant released, can lead to involuntary contraction of the vaginal muscles.Even without muscle cramps and with enough lubrication, sex can feel traumatic, uncomfortable.

Methods for treating discomfort after sex

If you feel discomfort during or after sex, which does not depend on the factors, in your opinion, objective, this is a reason to visit a gynecologist. And the sooner you pass the examination, the faster you can solve this delicate task.

If the pain is caused by infections, you will need to be treated, and during this period it is imperative to refrain from sexual intercourse.In the presence of inflammatory diseases, drug therapy is also prescribed. In some cases, surgery may be required.

If the discomfort is provoked by diseases of other organs, the gynecologist will refer you to a specialized specialist: orthopedist, neurologist, urologist, proctologist, etc. If everything is in order with your body, the results of diagnostics and ultrasound are good, the problem should be looked for in the perception of sexual intercourse. By contacting a psychologist in time, you will save yourself from fears, worries and discomfort.Awareness of the problem is an important step towards solving it. And a harmonious sex life is very important for a woman!

To register, call: +7 (499) 588-81-47; …You can also contact the administrators of the clinic in Votsapp, Telegram, Viber by phone: +7 (925) 397-71-30. To get a call back from the clinic, fill out the feedback form on the website.

Prevention of unpleasant sensations during sex

1. Regular preventive visits to the gynecologist. It is necessary to visit a specialized specialist at least once a year!
2. Good hygiene of the intimate area using products with a suitable composition and pH.
3. Wearing comfortable breathable underwear.
4. Trust relationship with a partner.
5. Psychological confidence in your appearance.
6. Sufficient duration of foreplay (to release lubrication).
7. Use of professional lubricants available from sex shops.

Discharge in men – MMT Hospital

Discharge in men – Discharge from the penis can appear with gonorrhea, trichomoniasis, mycoplasma, chlamydosis and nonspecific urethritis, but before we talk about these diseases, consider those physiological conditions in which the presence of a specific discharge is not considered a pathology.

1. During an erection, a specific secret fluid is often (almost always) secreted from the opening on the glans penis.

It is not like the liquid that is ejaculated. It stands out as a transparent drop and acts as a lubricant. In addition, it reduces the acidity of the urethra, which means that a man’s ejaculate can cause a woman to become pregnant. Men often confuse this drop with a drop of urine. It is easy to distinguish them from each other: urine is like water, and secretions are sticky.It can appear on the head of the penis in the morning before urinating, and even after that.

2. The second physiological state is emission. Pollution is an involuntary spillage of semen.

This usually occurs during sleep during erotic dreams and does not cause sleep interruption.

Nocturnal emission often occurs in adolescents, which indicates their sexual maturity. After the onset of regular sexual activity, emission stops. There is also daytime emission, which develops with natural sexual-erotic arousal (but not sexual intercourse, but with hugs, kiss or the sight of some part of the naked body).

Sometimes a non-sexual stimulus also causes wet dreams, for example, strong emotion (fear), traffic vibration, acrobatic stunts. Nocturnal emission is also possible in mature men.

This is usually the result of sexual abstinence. Pollution is not an indicator of a deviation from the norm, but an indicator of normal hormonal activity, but if this happens often, then this already indicates a violation of the genital area. In this case, a visit to the doctor is required. All other fluids that are secreted from the penis, especially if they are greenish, grayish, yellow or curdled, should be tested by a specialist.

Urethritis (inflammation of the wall of the urethra )

A symptom of urethritis in men is discharge from the urogenital canal, but the discharge can be physiological, and urethritis can proceed without discharge, therefore it is important to consult a doctor if a discharge is found. Urethritis, along with discharge, is accompanied by dysuria (difficulty urinating) and irritation of the glans penis. Diagnosis of urethritis occurs by examining the first portion of urine and smear.Urethritis is often caused by gonococcus, chlamydia, etc.

Gonorrhea

Gonorrhea occurs differently in men and women, but they have in common that the main manifestation of the disease is discharge from the genitals and cutting pain during urination. A symptom of gonorrhea in men is white or yellow discharge from the penis.

The fact that there is no discharge does not mean that there are no diseases. Discharge, as a rule, appears after the incubation (2 to 5 days) period, although sometimes the incubation period is longer – it lasts a month, and sometimes more.

Many turn to the so-called provocative test:

after casual sexual intercourse before going to bed they drink two glasses of beer, take bitter or sour food, and in the morning they check whether there is or not, or what color is the discharge from the penis. The answer of such a “test” cannot be considered a document or a sign of the existence or not of gonorrhea.

Recently, there has been an increase in such cases of gonorrhea, when the disease proceeds without symptoms, and in other cases, after the incubation period, signs of an acute form of gonorrhea develop.The identification of symptoms and the course of the disease depends on which organ is attacked by the gonococci. Most often, the urethra is damaged and gonorrheal urethritis develops.

And it is characterized by discharge that leaves yellowish-green spots on the linen. You can talk about gonorrhea for a long time, I can only say one thing – this is a rather serious infection, which, due to inattention, can cause childlessness, impotence and other complications, despite the fact that modern medicine very easily copes with its pathogen.The main thing is to start treatment as early as possible, and self-medication only complicates the matter.

Trichomoniasis

Trichomonas is a unicellular creature that can live not only in the body, but also outside the body. Trichomonas, in addition to the harm it causes to the body, is capable of absorbing gonococci without damaging them. Trichomonas, which has passed from the body of one person to the body of another, carries with it the gonococci, which it has absorbed, and in case of incomplete cure (for example, self-medication) after treatment of trichomoniasis, a gonorrheal infection develops.Trichomoniasis is often asymptomatic in men. A man can be a carrier of trichomoniasis all his life, infect partners, and he himself can not experience any discomfort. Inflammatory processes in the urethra, in the prostate, seminal vesicles, in the seminal gland are very rarely detected. Sometimes a cloudy white liquid flows from the urethra or a trace of blood is noted. It lasts 1-2 weeks, and then the symptoms diminish, although the disease continues and becomes chronic.

Ureaplasmosis

Ureaplasma are microorganisms that are considered as a transitional step from viruses to unicellular ones.Often, infection with this organism occurs through sexual contact. It is also possible for the newborn to become infected from the mother. The incubation period of the disease is usually from 4 days to a month, although it is possible that it will last longer. After the end of the incubation period, the first symptoms of ureoplasm are revealed. It should be noted that often the symptoms of ureaplasma are almost imperceptible. This course of the disease is typical especially in women. The most common symptoms of ureaplasmosis in men are small transparent discharge from the penis, moderate pain and burning sensation during urination.Damage to the prostate gland by ureaplasma is revealed by signs of the prostate.

Mycoplasmosis

Urogenital mycoplasmosis is clinically not very different from pests of other etiology (gonorrhea, trichomoniasis). Some patients have no subjective findings, while the other part has a whole bunch of symptoms. If the urinary tract is damaged, men have small discharge in the morning.

Chlamydia

Chlamydia is slowly taking the name of the 21st century plague from many sexually transmitted diseases.The rate of spread of this infection is similar to an avalanche. This disease is mainly sexually transmitted. In men, every second urethritis of chlamydial origin. The symptom of chlamydia in men is discharge from the urethra. Small discharge of transparent color, accompanied by slight pain during urination. In boys, along with the discharge, itching of the penis is also noticed.

Nonspecific urethritis

Nonspecific urethritis is an inflammation of the urethra caused by organisms other than gonococci, chlamydia, Trichomonas, ureaplasma, mycoplasma and herpes virus.In venereology, this is the most interesting and little-studied area. For any symptoms of urethritis (discharge from the penis, pain and burning sensation when urinating), doubts about nonspecific urethritis should be considered.

Gardnerellosis

Gardnerellosis is a vaginal dysbiosis and therefore, according to some experts, it cannot be considered a direct male disease, although the fact that gardnerella causes gardnerellosis, and this can cause inflammatory processes in a man.Gardnerella enters the male reproductive system during sexual intercourse and since it is not a “legal resident” of the male genital tract, gardnerella can be considered a genital infection. Gardnerella often enters the male body and, as a rule, leaves the reproductive system after 2-3 days.

Chronic carriage of gardnerella rarely develops, in which the tests are always positive, although no symptoms of the disease are noticeable. In 9 cases out of 10 in men, gardnerellosis is not detected at all and it is so dangerous that the sexual partners of this man are infected and have no idea about it.In the classical case, as soon as the causative agents of this disease enter the urinary canal during intercourse, they cause an inflammatory process of the mucous wall, which proceeds sluggishly. It is possible that the discharge from the penis will be greenish in color, which does not bother the patient much.

It is possible that the condition may worsen – pathogens of gardnerellosis can cause urethritis, which is manifested by burning and pain during urination.

In addition, the secretions have a specific (fishy) odor.In this case, treatment is necessary. As for the rest of the cases: some experts believe that the treatment of gardnerellosis in men is not mandatory, but gardnerellosis, which is safe for men, can cause an infection of the sexual partner, it is always necessary to treat this disease!

Prevention of all these diseases is very simple and effective: a healthy lifestyle, loyalty to your partner, healthy eating, avoiding stress and overwork, a little attention to yourself will help you avoid many troubles.

And finally, if the discharge from your penis has changed, do not wait until everything “goes away by itself.” Only a specialist can accurately assess whether it is normal or not. Be sure to see your doctor and make sure you are healthy.

If there is a problem, it is easily, quickly and cheaply treated, but only in the early stages. So, a timely visit to the doctor is a guarantee of your health.

MMT Hospital offers treatment of urological pathologies using methods that meet international medical standards.

Contact us: +995 32 2 23 40 23 ; Whats APP +995 577 421 101

“Burning sensation when urinating in women: causes, treatment” – Yandex.Q

Contents:

Almost every woman in her life is faced with an unpleasant burning sensation when urinating. It can be caused by a variety of diseases and is sometimes accompanied by no less uncomfortable symptoms – frequent urge to go to the toilet, blood in the urine.Let’s consider the causes of this problem and the main ways to eliminate it.

Causes of a burning sensation when urinating

The main causes of burning sensation when urinating in women are:

• infections of the genitourinary tract;
• inflammatory diseases of other organs;
• the use of spicy foods;
• Mechanical damage to the urethra during intercourse;
• non-observance of the rules of intimate hygiene.

If this symptom recurs at least twice in six months, you should consult a doctor and undergo a detailed examination.

Most often, a burning sensation in the urethra in women is caused by cystitis. In some cases, in the absence of any signs of the disease, this symptom occurs due to the high content of salts in the urine. Urates and oxalates irritate the walls of the urethra and cause a burning sensation.

In addition, it may have a neurogenic nature and be associated with disturbances in the functioning of the nervous system, in which case it may be combined with urinary incontinence.

Possible burning sensation during urination in pregnant women. It is caused by impaired urodynamics due to compression of the bladder and ureters by the growing uterus.

Sexually transmitted infections – gonorrhea, trichomoniasis, candidiasis can also be accompanied by a burning sensation when urinating. But at the same time, other symptoms characteristic of them are observed – discharge from the external genital organs, their swelling, soreness or itching.

Features in women

A feature of the structure of the female genitourinary sphere is the presence of a short and wide urethra.Any kind of infection gets here much faster than in a man’s, and after getting into it, it quickly reaches the bladder. The anatomical proximity of the rectum and vagina causes a constant introduction of microflora into the urethra, and from there to the kidneys and bladder.

Therefore, it is cystitis that most often causes burning, cramps and other dysuric phenomena in women. In most cases, in the fairer sex, inflammatory lesions of the bladder and urethra are combined, and disturb during urination with a whole set of unpleasant symptoms, including burning.

Depending on the characteristics of its manifestation, this symptom can speak of various diseases. So, if it is observed at the beginning of urination, then there is urethritis. A burning sensation at the end of this act is characteristic of cystitis and urolithiasis.

Burning sensation when urinating in women: diagnosis

Urinalysis should be performed to determine the cause of this dysuric symptom. Depending on the indicators obtained, a diagnosis is made and treatment is prescribed.

• The presence in the urine of a large number of leukocytes and traces of protein, indicates inflammation in the bladder and urethra;
• Significant amounts of protein are indicative of inflammatory kidney disease;
• The appearance in the urine of salt crystals and especially erythrocytes is a sign of the onset of urolithiasis;
• The absence of deviations from normal values ​​gives rise to suspicion of a neurogenic nature of the burning sensation.

In cases where there are doubts, an ultrasound of the kidneys is prescribed, as well as a bacteriological study of urine.

Treatment

In the presence of an acute burning sensation, especially accompanied by frequent urination, it is difficult to wait until morning to go to the clinic. There are common first aid techniques in such cases that you can use to help yourself. The first step is to exclude spicy, salty and overly acidic foods, as well as alcohol from your diet.You can take a pill no-shpy or spazmalgon. Then boil the cherry branches and take this broth abundantly. It washes away accumulations of uric acid and bacteria well and quickly makes you feel better. You can also take a rosehip broth abundantly. Then you need to provide warmth to the perineal area, but in no case resort to thermal procedures in the presence of blood in the urine.

But going to a doctor in the presence of such dysuric disorders cannot be avoided. Treatment will vary depending on the identified cause.

• With the inflammatory nature of the disease, the basis of therapy is the use of antibiotics, in such cases, norfloxacin, cephalosporins, etc. are prescribed.
• In case of urolithiasis, if oxalates predominate, an abundant alkaline drink is recommended, with an increase in urate content – sour.
• If the neurological nature of the disease is confirmed, it is recommended to take herbal sedatives – phytosed, sedavit.
• In all cases when a burning sensation is noticed during urination, appropriate phytopreparations with diuretic properties should be taken, for example, Urolesan drops.

Prevention

To avoid diseases that accompany a burning sensation in the urethra, you need to take into account a few simple tips.

• Observe the rules of personal intimate hygiene. In order not to introduce infection into the urethra from the rectum, after a bowel movement, wipe the anus region from front to back.

• Observe the rules of sexual hygiene. Intimacy is a common source of urethral infection.To avoid the ingress of microflora into the urethra, it is recommended to urinate at the end of intercourse.
• Avoid irritating detergents. Soaps containing dyes and fragrances, scented bath and shower products, scented toilet paper contain substances that are highly irritating to the mucous membranes.
• Give preference to cotton underwear.