Patient's Query
Hi doctor,
I am a 25-year-old male, never been sexually active. I have had urethritis or balanitis symptoms for two months now. It started after a new soap got in my urethra. It has been very uncomfortable. I had three urinalysis (first void and clean catch). All came back negative for everything. It has not healed. I have a follow-up with a new urologist tomorrow, but I became really scared. I want to be a dad. During COVID, I got into the habit of masturbating again. It was really hard to go for extended periods. I masturbated a few times despite my symptoms. Once, it had no effect. Two times it got worse for about a day. I took a urinalysis dipstick test after both times and was negative for leukocytes and blood. I read a lot about anti-sperm antibodies, and I got myself scared. From my understanding, they form when sperm comes in contact with the immune system. Could I have created these and hurt my chances of fatherhood by masturbating with things inflamed? I may have ruined a thing that I really look forward to in life. Kindly give your opinion.
Hi,
Welcome to icliniq.com.
Fertility and infection are two different things, and no need to worry about fertility if you got an infection. Regarding anti-sperm antibodies, it is rare, and you do not need to worry about it. It comes with testicular trauma or torsion. If untreated, then sperms contact blood, and antibodies formed, which is not your case now. For your issue, it seems you got prostatitis, and diagnosis treatment is required. It is inflammation of the prostate secondary to infection in the urogenital tract that might be in the past. For diagnosis, you will need a semen culture, not a urine culture. Then we can know the organism causing you the trouble and select the proper antibiotic to treat that. Another cause for your condition is chronic urethritis, and that requires different treatments. It is important to exclude prostate infection before we treat urethritis.
Please follow up with the semen culture report.
I hope this was helpful.
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