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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itchiness On The Penis Shaft After Intercourse?

Dear doctor, For the last 2 weeks after every intercourse with my wife, my penis seems to have developed an itch with a mild white sticky liquid started flowing from between the foreskin and the head of my penis(not semen). This happens only after the intercourse. In fact during one time there were small red patches which were formed which is not there after that one time. Kindly assist.
Tue, 6 Sep 2016
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General & Family Physician,  's  Response
It might be STI (sexually transmitted infection). Most of the times, vaginal infection is caused mixed organisms such as fungus, bacteria and protozoa. Your wife also needs to be investigated for infection.
Advice for you
1.     Azithromycin 500 mg daily per oral for 3 days
2.     Fluconazole 150 mg weekly per oral for 4 weeks – total 4 doses
3.     Metronidazole 500 mg orally twice daily for seven days
4.     Drink 4 – 5 liters of uncontaminated water
5.     Use condom before sex
6.     Investigations
a.     R/E of urine
b.     Microscopic examination of sticky discharge including Gram’s staining
c.     VDRL
Advice for your wife
1.     Azithromycin 500 mg daily per oral for 3 days
2.     Fluconazole 150 mg weekly per oral for 4 weeks – total 4 doses
3.     Metronidazole 500 mg orally twice daily for seven days
4.     Investigation
a.      Vaginal smear examination including Gram’s staining
b.      R/E of urine
c.     VDRL
Thanks
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What Causes Itchiness On The Penis Shaft After Intercourse?

It might be STI (sexually transmitted infection). Most of the times, vaginal infection is caused mixed organisms such as fungus, bacteria and protozoa. Your wife also needs to be investigated for infection. Advice for you 1. Azithromycin 500 mg daily per oral for 3 days 2. Fluconazole 150 mg weekly per oral for 4 weeks – total 4 doses 3. Metronidazole 500 mg orally twice daily for seven days 4. Drink 4 – 5 liters of uncontaminated water 5. Use condom before sex 6. Investigations a. R/E of urine b. Microscopic examination of sticky discharge including Gram’s staining c. VDRL Advice for your wife 1. Azithromycin 500 mg daily per oral for 3 days 2. Fluconazole 150 mg weekly per oral for 4 weeks – total 4 doses 3. Metronidazole 500 mg orally twice daily for seven days 4. Investigation a. Vaginal smear examination including Gram’s staining b. R/E of urine c. VDRL Thanks