I have discomfort in urethra after intercourse. Is it STD?

Hi,

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Yours is one of the most common problems which I see in my outdoor department every day. It has different terminology amongst different clinicians such as urethritis, prostatitis, chronic pelvic pain syndrome, etc. Probable reasons are some irritation of nerves around the prostate area. The reason for it is generally unknown but in majority tends to get worse with stress. It is physically harmless except that it is bothersome. Most of the tests will be normal. It can be controlled with medicines. However, it tends to come and go; aggravated especially during the period of stress and tends to disappear when you stop bothering or thinking about it.

Treatment steps include: Take hot water bath in the evening for a few minutes or take a tub of warm water and sit in it every day for a few minutes. Analgesics like Ibuprofen (assuming no allergies or contraindications) for five to seven days. Tablet Amitriptyline 10 mg every night for six to eight weeks (it is a mild sedative and painkiller as well). The dose can be increased to 25 mg if effects are suboptimal. It can make you feel sleepy as a side effect. It will not be available without a prescription. If not taken before, a course of antibiotic Levofloxacin 500 mg once a day for two weeks. In some people, I add prostate medicine called Tamsulosin 0.4 mg once every night for one to two months. Stop thinking about the problem. Involve in some form of physical activity like walking and jogging. Most of my patients respond to the above treatment. If the problem comes back again after a few weeks or months, then I generally repeat Amitriptyline for a few more days.