The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a sexually inactive 29-year-old male. I have a burning sensation near the tip of the penis for few days while urinating. Before few days, I also had an ulcer under the head of the penis. I am circumcised. Sometimes, I have a burning sensation while doing ejaculation during masturbation. On some days, my penis head seems to be sensitive to the inner surface of my undergarment when there is movement. What to do? Do I need to consult a doctor immediately?
Hi,
Welcome to icliniq.com.
The ulcer usually occurs due to friction.
Patient's Query
Thank you doctor,
I want to know the cause behind my burning sensation. The burning gets intense for few minutes and then it goes down to mild without any activity at night. I feel like the burning is present inside the tube of my penis. What to do?
Hi,
Welcome back to icliniq.com.
Please mention whether you have taken any antibiotics before.
Patient's Query
Thank you doctor,
I have not taken any medications. Previously, I get this burning sensation at random times. But mostly, it goes away in hours. Sometimes, it takes up to two to three days to go. But now, it takes more than two weeks.
Hi,
Welcome back to icliniq.com.
As you are sexually active, it goes away soon. Since it is persistent, we need to rule out the cause.
Patient's Query
Thank you doctor,
My ulcer got subsided within two to three days. After that, I did not have any burning sensation. But I got started after some time.
Hi,
Welcome back to icliniq.com.
You need to do some tests to get the diagnosis. Some kind of inflammation of the urethra will not have any known cause and it responds variably to medications. You need to do tests for infections like gonococcal infection, chlamydia, syphilis, HIV (human immunodeficiency virus), and prostate infection. You need to do a urethral swab for gonococcal and chlamydia, a blood test for syphilis, and semen culture. After doing the tests, you can take tablet Doxycycline 100 mg twice daily for 14 days. This medication is effective for urethritis and lower genital tract infections. After getting the results, kindly share the reports. So that, treatment can be given accordingly.
Patient's Query
Thank you doctor,
I need to do a urethral swab, a blood test for syphilis and HIV, and semen culture. Is this correct? After doing the tests, I will start taking medications.
Hi,
Welcome back to icliniq.com.
Yes, they are correct. You need to take antibiotics after doing the tests. If it is taken earlier, it can affect your test results.
Patient's Query
Thank you doctor,
I will get back to you after getting the results.
Hi,
Welcome back to icliniq.com.
You are welcome. Have a follow-up at any time.
Patient's Query
Thank you doctor,
I have attached the reports. Does my semen culture suggest anything about fertility?
Hi,
Welcome back to icliniq.com.
Your semen culture shows a positive result which means that you have bacterial prostatitis. You can take tablet Cefuroxime 400 mg twice daily for four weeks. If you are taking Doxycycline, then you can continue taking it for four weeks. Regarding semen culture showing sperm counts, it is not possible to show fertility. You need to do microscopic analysis for fertility purposes after completing the treatment of prostatitis. After completing the treatment, you can do a semen analysis.
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