What Do Pain During Urination And Sores On Penis Tip After Unprotected Intercourse Indicate?

Posted on Mon, 8 Jun 2015

Question: I suspected a uti after unprotected anal sex because a few days later it hurt when I would urinate. I went to get a urine test and was proscribed 500mg cipro twice daily for a week. After I started taking the abx I noticed two little sores on my penis. One on the head the other below the head. I got the lab results back and the urine test came back negative for uti. It seems the pain has gone away for the most part while urinating but what could cause this if its not a uti? What caused these sores?

Answered by Dr. Manuel C See IV (22 minutes later)

Brief Answer:
Might be herpes simplex.

Detailed Answer:
Good Day and thank you for being with Healthcare Magic!

I am glad you were tested to be negative for UTI. You'll have to be tested for Herpes simplex I and II. The sores that you have described sounds like herpes. You'll be needing anti viral therapy if you turn out to be positive for it in the form of valacyclovir.

I would suggest to get tested and treated right away to prevent recurrences in the future.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (6 minutes later)

My partner has been tested and results hav come back clean, ive only been with one other person who was also clean. How could that be? Theres no way the medication could have caused it?e

Answered by Dr. Manuel C See IV (1 hour later)

Brief Answer:
Pls see detailed answer.

Detailed Answer:
Thank you for your follow up question. Eventhough your partner came out clean UTI can be caused by plenty of bacteria and not necessarily by STDs.

Doxycycline and azithromycin is not known to cause orchitis so I don't think the medicine is the cause of your scrotal pain.

Regards, Manuel C. See IV, M.D. DPBU FPUA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (14 minutes later)

I dont think were on the same page. Ive been taking ciprofloxacin, for possible uti bevause i had pain while urinating. Result was negative for uti. While i was on the cipro i noticed two little sores, kinda looks like a zit. Could that be caused by the cipro? A reaction of sorts? And not herpes My partner has been tested for stds and came back clean, ive only been with one other besides her who was also clean?

Answered by Dr. Manuel C See IV (33 minutes later)

Brief Answer:
Pls see detailed answer.

Detailed Answer:
Ciprofloxacin doesn't cause skin lesions or zit although I have seen cases where because of the antibiotic there is proliferation of fungal elements which can can cause skin lesions and infections.

I suggest seeing a urologist so he can do a complete physical examination and assess your skin lesions properly.

Regards, Manuel C. See IV, M.D. DPBU FPUA

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manuel C See IV (14 minutes later)

How much would seeing one cost approx? Im currently uninsured. The walk in i went to also reccomended i try a clinic at the hospital. Any advice?

Answered by Dr. Manuel C See IV (28 hours later)

Brief Answer:
You may try OTC anti fungals.

Detailed Answer:
Honestly I have no idea on how much will be the cost of seeing a specialist in your local area. You may try over the counter anti fungal ointments and apply it the the lesions. If it worsens or persists then it will be prudent to seek a specialist consultation.

Regards, Manuel C. See IV, M.D. DPBU FPUA

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar