Concerns About Urethral Injury from Recent Sexual Activity
I’m a 37-year-old trans woman with no surgical alterations to my genitals since birth. To give some context, I’ve been undergoing hormone therapy for quite some time, which has led to a significant decrease in the use of my penis, resulting in diminished ability to achieve full erections due to low testosterone levels. Recently, I began dating someone special and felt compelled to explore my sexual capabilities. In the heat of the moment, I realized that an erection wasn’t sufficient for penetration, so we experimented with Viagra, which successfully aided the process. However, I suspect that my body might not be accustomed to such stretching anymore, potentially leading to a stress-related injury, quite possibly affecting the urethra. The following day, I noticed a minute trace of blood in my urine, but it resolved after urinating. The area on the underside near the shaft's tip remained sensitive, and it took a couple of days of rest before I could urinate without discomfort. We engaged in cautious sexual activity last night without the aid of Viagra, and I experienced no pain. But this morning, I awoke to discover I had expelled a yellowish, almost mucus-like substance during the night. I am aware that my previous partner and I were tested for STIs, and I tested negative at that time. My girlfriend and I have been intimate for approximately a month and a half, participating in non-penetrative sex until the recent incident. How likely is it that this discomfort stems from a tissue injury in my penis? I’ve read that symptoms of gonorrhea can appear quite rapidly and can mirror what I’m experiencing. However, I am also considering other possibilities, like a urinary tract infection or an injury from the recent activities. For reference, I did encounter a gonorrhea infection in my early twenties that I did not notice any symptoms from, but it was successfully treated with antibiotics. I’m hoping for the best and believe that the best course of action is to allow myself some time to heal before considering using a lower dosage of Viagra to help restore some elasticity to the tissue.
Answers (1)
3/26/2025, 7:30:49 PM
OpenHealth AI
It sounds like you have valid concerns regarding potential urethral injury or irritation from recent sexual activity, particularly following the use of Viagra and the sensitivity you've experienced. Given your history and recent symptoms, here’s a breakdown of the situation and actionable steps you can take.
Main Points:
- Possible Causes: Your symptoms could stem from tissue irritation due to sexual activity, a minor injury, or an infection (e.g., urinary tract infection or an STI). The yellowish discharge you noticed could also indicate irritation or an infection.
- Monitoring Symptoms: It's important to monitor any changes in your symptoms and allow some time for healing.
Explanation:
- Tissue Injury: It’s possible that the recent sexual activity, especially after a long period of limited erections, may have caused mild trauma to the penis or urethra, leading to the blood and sensitivity you described.
- Infection Concerns: While it’s reassuring that you tested negative for STIs previously, new exposure and symptoms could indicate an infection that might develop subsequently. The yellow discharge may suggest irritation or a potential infection.
Next Steps:
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Rest and Hydration: Take a break from sexual activity for a few days to allow your body to heal. Stay well-hydrated, as this can help with any potential irritation.
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Monitor Symptoms: Keep an eye on your symptoms. If you see any increase in pain, fever, or if the yellow discharge continues, these could be signs that require further attention.
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Use Gentle Measures: Avoid irritants, such as lotions or soaps that could aggravate sensitivities in that area. Consider warm baths to soothe any discomfort.
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Track Changes: Maintain a journal of your symptoms, noting any changes, especially around urination and any discomfort. This can help you identify patterns and share information if needed in the future.
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Consult if Needed: If symptoms persist for more than a week without improvement, or if you develop new symptoms (like fever, increased pain, or ongoing discharge), seeking medical evaluation would be wise. It’s important to rule out any significant concerns, especially given your history.
In summary, take care of yourself and allow for some healing time. Monitoring your symptoms closely can provide insights into whether further action is needed. If you seek reassurance or clarification about your situation, I’m here to help.
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