How do I manage dark spots on my back and burning urination?

Question

Hello doctor,

I have noticed small dark spots on my back that are not itchy and not raised. I am also experiencing a burning sensation during urination along with slight muscle aches.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

Since there was a condom break during sexual intercourse and there is now intermittent burning during urination along with occasional muscle aches, it is important to get evaluated for a possible sexually transmitted infection (STI), even if the symptoms are mild or have been occurring on and off for months. Burning during urination can sometimes occur with infections such as chlamydia, gonorrhea, or urinary tract irritation.

The small dark spots on the back may or may not be related, especially since they are not itchy or raised, but they should still be examined if they are increasing in number, changing in appearance, or persisting for a long time.

The next best step would be to visit a doctor or clinic for proper evaluation, including:

Urine tests.
Sexually transmitted infection (STI) screening, such as tests for chlamydia, gonorrhea, human immunodeficiency virus (HIV), and syphilis.

Avoid self-medicating with antibiotics before testing, as this can affect the test results and make the diagnosis more difficult.

In the meantime, drink enough water, avoid unprotected sexual intercourse until evaluation is completed, and monitor for symptoms such as discharge, sores, fever, swollen glands, worsening pain, or increased burning during urination. Early diagnosis and treatment can help prevent complications and improve recovery.

I hope this is clear, and if you have any questions at any time, please feel free to ask.

Thank you.