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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Burning Sensation, Creamy Discharge, Itching, White Spots On Penis Head After Unprotected Sex. Reason?

Dear Sir, I have problem to diagnose my condition. I had an unprotected sexual intercourse and following symptoms developed after 7-10 days: 1. Very light burning sensation while urinating 2. Creamy discharge from penis (after two days discharge become watery and transparent) 3. 4 tiny white spots at the base of the head of penis. 4. Urge to frequently urinate. 5. Itching sensation around anus and tingling inside of penis. Symptoms clearly looked like classical STD - chlamydia or gonorrhea . So I took one dose of cefixime (400mg) and 1g of azithromycin . To be sure I also took 2g of metronidazole . At the same day I took tests (swab for chlamydia and gonorrhea) and to my surprise it came all negative. Sympthoms did not dissapeared and after three days I went to doctor who gave me shot of ceftriaxione and asked to take 500mg of azithromycin daily for 3 days. Even after this symptoms did not disappeared. Burning sensation became a little stronger. Discharge is still present but watery and transparent. What can be a reason for my condition? Are they any other bacterias/diseases that can result in this Kim of inflammation but cannot be cured by above mentioned antibiotics? Symptoms now are present for the last week. Thank you for answer.
Thu, 10 Oct 2013
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Urologist 's  Response
Hello
Thanks for your query.Based on the facts that you have posted it appears that mostly you have acquired Herpes infection due to unprotected sex .

Please get microscopic examination of a discharge from the penis done to rule out Herpes infection .in addition to D.N.A and PCR test test to confirm the diagnosis.

Please take anti viral drugs like Acyclovir along with topical anti viral jelly for local application.

You can take Doxycycline to prevent secondary bacterial infection.

Get the prescription of medicines from your family Physician.

Ensure to drink more water.To keep your urine dilute This will help to control dysuria

Ensure to clean your genitals with warm water twice daily.
Dr.Patil.

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Burning Sensation, Creamy Discharge, Itching, White Spots On Penis Head After Unprotected Sex. Reason?

Hello Thanks for your query.Based on the facts that you have posted it appears that mostly you have acquired Herpes infection due to unprotected sex . Please get microscopic examination of a discharge from the penis done to rule out Herpes infection .in addition to D.N.A and PCR test test to confirm the diagnosis. Please take anti viral drugs like Acyclovir along with topical anti viral jelly for local application. You can take Doxycycline to prevent secondary bacterial infection. Get the prescription of medicines from your family Physician. Ensure to drink more water.To keep your urine dilute This will help to control dysuria Ensure to clean your genitals with warm water twice daily. Dr.Patil.