Q. I have pain and burning sensation while urinating with opaque white discharge. Why?

Answered by
Dr. Ashok Kumar Choudhary
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 08, 2019

Hello doctor,

I am having an opaque, white discharge at the end of urination and it is painful and burning while urinating, and I feel a sharp pain on the tip of my urethra after urination. When I put pressure on my urethra (penis shaft) it hurts and I also have three inflamed lymph nodes in my right inguinal region, starting at the beginning of the crease. I went to my doctor and gave them a urine sample and tests shown no STI's but I am still waiting on my UTI test to be received. I did have unprotected sex but my partner had tested a week before and nothing came up, and also I was her only partner for awhile beforehand. I do have simplex 1 but no symptoms for years. No lesions, rashes or other abnormalities are seen in my genital area. This has been going on for about five days now, had unprotected sex exactly one week ago.

Dr. Ashok Kumar Choudhary

Andrology Geriatrics Psychiatry Psychologist/ Counsellor Psychotherapy Sexology


Welcome to icliniq.com.

From the clinical description, I can say with confidence that the symptoms clearly indicate toward UTI (urinary tract infection) and particularly urethritis. There is no symptom that indicates toward STI (sexually transmitted infection) other than the history of unprotected sex one week back. That is also can be considered negative as your partner have no evidence of infection.

Please visit your doctor and ask for an antibiotic prescription. I understand that reports are awaited but in my view, empirical prescription should be offered as you are having significant symptoms to compromise function and add unnecessary stress. Last but not least focus on treatment now but avoid taking the risk (unprotected sex) as far as possible.

I hope this helps.

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