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What Causes Itching Sensation On Testicle Post Protected Sex?

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Posted on Wed, 4 Mar 2015
Question: I'm a male, that had protected sex 12 weeks ago. Four days later I started to itch on my left testicle. I took lotrimin cream applied it to area. This was no help, and it got worst. It spread to tip of penis. The tip swelled and I noticed a purplish round spot at opening. I went to the doctors and was prescribed a 10 day dose of doxycycline. It seem to help after seven days of taking meds. Three and a half weeks later it started to flare up again, after I ejaculated. I went back to doctors, at my request he swab tested the inside of opening for herpes and chlanydia. also received a one dose of azithromycin. The one dose seem to help with the severity but did not knock it out. The swab test came back negative. I made appoint with urologist. The urologist determined that prostate was a little enlarge and prescribed cipro. It helped for a time, but a head had a reddish itching area around it on back side. The lotrimin spray help it go away. I though i was on the path to recovery, but after ejaculating one night it returned the following morning. Tip is swollen the purplish to brownish spot came back, and had dry pain in right testical. It take about four days for the swelling\pintching feeling to go down and when it does it feels like it is in side the tube like a splinter. the skin at tip is sensitive still and the color has faded.
doctor
Answered by Dr. Rakesh Madhyastha (47 minutes later)
Brief Answer:
Infection

Detailed Answer:
Hello

Thanks for the query

I would like to know a few more details in order to help you

1. Is it possible to attach a pic of the lesion so that I can know better what I am dealing with
2. Do you have difficulty in passing urine ?
3. Did you have fever ?
4. Has the change in color reduced ?
5. did they do any tests like urine routine and semem analysis ? please attach reports ( apart from the tests you have already mentioned )

I am awaiting your reply

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Rakesh Madhyastha (51 minutes later)
1. Is it possible to attach a pic of the lesion so that I can know better what I am dealing with


2. Do you have difficulty in passing urine ? No real difficulties.

3. Did you have fever ? No

4. Has the change in color reduced ? Yes the color has, and the pinching feeling.

5. did they do any tests like urine routine and semem analysis ? please attach reports ( apart from the tests you have already mentioned NO
doctor
Answered by Dr. Rakesh Madhyastha (1 hour later)
Brief Answer:
Infection of the genital tract

Detailed Answer:
Hello

Thanks for getting back with details

There is infection of the genital tract and this is how you should go about it

1. I would want you to give a culture of your urine along with urine routine
2. I would also want you to give semen for analysis
3. Please continue Ciprofloxacin for a minimum of 14 days, if the problem still persists then it is most likely to be infection of the prostate, which will require treatment with intravenous antibiotics
4. Watch out for fever

Please get back to me if you have any further queries

Regards
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Rakesh Madhyastha (1 hour later)
Thank you for your response.

I worried this could be herpes without any sores. Could I be over thinking this?
Now that it has been 12 weeks, should I ask for a blood test for Herpes?
doctor
Answered by Dr. Rakesh Madhyastha (6 hours later)
Brief Answer:
Not herpes

Detailed Answer:
Hello

The lesions are not typical of herpes. Herpes is usually extremely painful and it is causes small bumps which may later ulcerate to form scabs.
I dont think the lesions are herpes. It is bacterial in nature for which ciprofloxacin is the ideal antibiotic

Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Rakesh Madhyastha (38 hours later)
I visited the urologists today and he said he could see nothing. I told him it felt like a pinching numb pain. Like I rub it against something. He is doing s herpes 2 test, and set up an appointment to look at my bladder. I think it like a bust blood vessel, that will not heal.

Any thoughts?
doctor
Answered by Dr. Rakesh Madhyastha (1 hour later)
Brief Answer:
Bust blood vessel heals

Detailed Answer:
Hello

Thanks for getting back

A bust blood vessel almost always heals, it takes about 4 to 6 weeks for it to be better.

I don't think cystoscopy is required at the moment , if the urine sample is not suggestive of the an infection then the procedure is not required.

regards

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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What Causes Itching Sensation On Testicle Post Protected Sex?

Brief Answer: Infection Detailed Answer: Hello Thanks for the query I would like to know a few more details in order to help you 1. Is it possible to attach a pic of the lesion so that I can know better what I am dealing with 2. Do you have difficulty in passing urine ? 3. Did you have fever ? 4. Has the change in color reduced ? 5. did they do any tests like urine routine and semem analysis ? please attach reports ( apart from the tests you have already mentioned ) I am awaiting your reply Regards