38M - Experiencing Sensitivity Issues
Hello everyone, For the past week, I have been dealing with unusually heightened sensitivity in my penis, an experience I haven't encountered before. The sensitivity seems to be concentrated at the tip, particularly around the external urethral opening, the corona of the glans, and the neck area of the glans. Additionally, when my penis becomes flaccid, it retracts somewhat like a turtle hides its head. In terms of erections, there is some initial discomfort, but it tends to subside after a short while. Ever since this issue began, my penis has taken on an 'innie' appearance. There's also pain associated with urination, which suggests I might have a urinary tract infection (UTI). While my penis isn't particularly large, I wouldn't classify it as a micro penis, and I do have a bit of a belly, weighing around 114 kg. Could my weight be contributing to this innie condition? I consulted my physician about the possibility of a UTI. I've been prescribed Augmentin since last Friday, but unfortunately, the pain persists without any noticeable relief. When I try to pull my innie out into an outie, I don’t feel any additional pain, but I continue to struggle with the sensitivity at the tip and surrounding areas. Wearing underwear has become uncomfortable; the sensitivity is overwhelming, causing me to frequently adjust my underwear to avoid contact. I'm contemplating purchasing a protective cup designed for cricket, modifying it by drilling some holes, to prevent any friction. **My thoughts on the UTI connection:** I was previously on galvamet (1,000 mg metformin + 50 mg vildagliptin), a medication for diabetes management, which I was advised to stop taking as my diabetes has stabilized. My last HbA1c was under 41 after two quarters without diabetes symptoms. I ceased this medication on March 13, and the pain began shortly after, on the 16th. I’m unsure if there's a link here, but I can’t help but wonder whether discontinuing this medication might have caused fluctuations in my sugar levels, leading to increased acidity in my urine and potentially a UTI. Additionally, I’m observing Ramadan, so I’m fasting during the day, which may also influence my condition. Currently, I'm using over-the-counter pain relief, including paracetamol and ibuprofen, but they don’t seem to be effective. I’ve been applying micreme H along with an antifungal treatment, which provides temporary relief, but the pain always returns. What steps can I take to address this issue with my penis? What kind of dialogue should I engage in with my doctor regarding this matter? Thank you for your insights, I truly appreciate it.
Answers (1)
3/24/2025, 6:31:16 AM
OpenHealth AI
It sounds like you're experiencing a combination of sensitivity, retraction, and pain related to your penis, along with potential urinary tract infection (UTI) symptoms. This situation can be quite distressing, and I appreciate your openness in sharing your experiences. Let’s break this down into actionable steps.
Key Points
- Heightened Sensitivity and Pain: This could be tied to irritation, infection, or other underlying conditions.
- Urinary Symptoms: The pain during urination strongly suggests a possible UTI, which may require further examination or a different treatment approach.
- Physical Changes and Discomfort: The retraction and sensitivity could be affected by factors like weight and may necessitate specific care.
Explanation
Your heightened sensitivity and retraction (like an 'innie') may indicate physical or inflammatory issues. UTIs can indeed cause pain during urination and might relate to the use of antibiotics like Augmentin, which can take time to alleviate symptoms. Weight can also influence certain anatomical features, but it’s essential to focus on the discomfort first.
Next Steps
- Monitor Symptoms: Keep a detailed diary of your symptoms. Note any triggers for pain or increased sensitivity, urinary changes, and effects of medications.
- Follow-Up with Your Doctor: Due to persistent pain despite antibiotic treatment, consider discussing the following:
- Re-evaluation of UTI: Request a urine culture to ensure the right antibiotic is being used and to rule out other infections.
- Physical Examination: Request a thorough examination of your genital area to explore any structural concerns, especially related to sensitivity and retraction.
- Weight Management: If appropriate, discuss a manageable plan for weight loss to mitigate any anatomical issues.
- Medication Review: Talk about your diabetes management and any possible connection to sensitivity or urinary symptoms after stopping galvamet.
- Pain Management: Since over-the-counter pain relief hasn't adequately helped, ask about alternative options.
- Protective Measures: While the idea of modifying a protective cup may provide temporary relief, it’s advisable to discuss this with your doctor first to avoid further irritation.
Communication with Your Doctor
- Be honest and specific about all your symptoms, how they developed, and how they affect your daily life.
- Ask for recommendations based on your current antibiotic treatment and its efficacy.
- Inquire about possible referrals to a urologist if necessary, especially given your concerns with sensitivity and urinary symptoms.
This is definitely a challenging situation, but with focused evaluation and care, you can find relief. Don't hesitate to reach out if you have further questions or need more guidance!
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