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How can retrograde ejaculation be effectively managed?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have been experiencing pain in my urethra while urinating for weeks now. Additionally, I have mild pain in my left testicle. This morning, when I woke up, I noticed a milky drop of liquid at the tip of my penis. Could this be a sign of an STD (sexually transmitted disease)?

Please help.

Hello,

Welcome to icliniq.com.

I understand your concern.

Yes, an infection should be ruled out. If you have had unprotected sex with someone, we should consider the possibility of an STD (sexually transmitted disease). If this is the case, please provide more details for further investigation. If not, it could be another type of bacterial infection. Retrograde ejaculation can also cause this kind of discharge. A complete urine analysis would help better understand the condition and determine the appropriate treatment plan.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I had a sexual encounter last month.

Hello,

Welcome back to icliniq.com.

You had a sexual encounter with an unknown person, so you are concerned that you may have contracted an infection. If that is the case, please consider undergoing a urine culture and sensitivity test, HIV (human immunodeficiency virus) 1 and 2 tests, HSV (herpes simplex virus) IgG and IgM tests, and a TPHA (Treponema pallidum hemagglutination) test.

If the encounter was with a known person and you do not suspect an infection from them, we can consider other possibilities such as retrograde ejaculation, renal calculi, or a prostate infection. To identify the cause, you should have a scrotal ultrasound (USG), lower abdomen ultrasound, and a complete urine analysis. Additionally, you can submit the milky liquid for examination. This approach will help us determine the appropriate treatment. If you are feeling anxious, it is best to consult a urologist in person. Alternatively, you can complete the tests and we can review the results together to work out the next steps.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

I completed the STD (sexually transmitted disease) panel test, and the results are negative. What should I do next?

Hello,

Welcome back to icliniq.com.

How are you now? Has your secretion reduced, increased, or remained the same? If you can share your reports, it would be helpful. As I mentioned earlier, if there is no STD, we need to consider retrograde ejaculation, renal calculi, or a prostate infection. To identify the cause, you should undergo a scrotal ultrasound (USG), lower abdomen ultrasound, and a complete urine analysis.

Additionally, you can submit the milky secretion from your penis for a swab test, which the laboratory can analyze. If the secretion persists, you may start taking Doxycycline after providing the penile swab sample.

I hope this helps you.

Thank you.

Medically reviewed byDr. Divya Banu M

Published At May 26, 2019
Reviewed AtNovember 7, 2024

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