Could urethral redness post-ejaculation indicate infection?

Question

Hello doctor,

Last month, I experienced a burning sensation during urination. Although tests for bacterial infections returned negative, I proceeded with antibiotic treatment, after which the discomfort subsided. However, I have noticed that the inside of my urethral opening (meatus) remains somewhat red, and occasionally, the tip appears whitish. The redness tends to diminish over time, but it intensifies again following ejaculation, though without any accompanying pain. Additionally, there are red marks on the sides of the glans penis. Despite reassurances from others that it is nothing serious, I am concerned about these persistent changes, especially since the meatus appears rough and differs from its usual appearance. Could this be indicative of a fungal infection or another underlying issue? I would appreciate any insights or guidance on this matter. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I am truly sorry to hear about your health concerns, and I commend you for being attentive to changes in your body.

Based on the symptoms you have described, you may be experiencing genital warts, which are typically caused by the human papillomavirus (HPV), a worldwide sexually transmitted infection that affects most sexually active people. HPV comes in over 100 low-risk and high-risk varieties. There may also be a concurrent fungal infection. These conditions can sometimes be associated with a weakened immune system.

To further assess your condition, I recommend the following:

Diagnostic tests:

HIV test: To evaluate your immune status.
Human papillomavirus polymerase chain reaction (PCR) test: To confirm the presence of Human papillomavirus (HPV) (a sexually transmitted disease that can result in a variety of health problems, such as genital warts and several types of cancer).

Please let me know if you have had any recent unprotected sexual activity, as this information can be pertinent to your diagnosis and treatment plan.

Medications:

Ketoconazole 200mg: Take two tablets orally, twice daily for one week.
Acyclovir 800mg: Take one tablet orally, twice daily for one week.

These medications aim to address both the viral and potential fungal components of your condition. I hope this helps.

Please revert in case of further queries.

Thank you.