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Understanding My Concerns About My Genital Health

7/20/2025, 8:00:58 AMMale25-34

I am an 18-year-old individual who is transgender and was assigned male at birth. At the age of 15, I underwent a circumcision and a unilateral orchidopexy. Lately, I have been experiencing sensations reminiscent of a urinary tract infection, but I've recently had one, and I am feeling discomfort deep within, extending from my bladder to my anus. This particular feeling is new for me; throughout my earlier years, I typically experienced pain on the underside of my penis when urinating. Additionally, I have noticed that the penile raphe divides into two branches just before reaching the midpoint, and this area is often uncomfortable to touch. I'm wondering what might be happening. Is there a possibility that my penis is underdeveloped? Could something have gone awry during its development? Moreover, it has always had a sharp upward curvature. Would it be advisable to discuss these issues with my general practitioner? I’m worried that I might come across as trivializing a serious concern.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/20/2025, 8:01:43 AM

OpenHealth AI

It's understandable to have concerns about your genital health, especially with the changes you're experiencing. Your feelings are valid, and it's important to take these sensations seriously, as they may indicate various underlying issues but are typically manageable. Let's break down your concerns and outline some immediate next steps.

Main Points:

  1. You're experiencing new discomfort that feels different from previous issues.
  2. It’s worth assessing your genital health and any anatomical concerns with a healthcare provider.

Explanation: The discomfort you've described, from your bladder to your anus, could be related to various factors including irritation or inflammation in the urinary tract, pelvic muscle tension, or even complications related to prior surgeries. While you mentioned seeing a change in the anatomical structure (the penile raphe), this is not uncommon and often not a cause for concern. The curvature and any perceived issues with development can be discussed during your health appointments, as there is a wide range of normal. The fact that you felt pain on the underside when urinating before may also suggest a potential sensitivity or anatomical variation that your doctor can help evaluate.

Next Steps:

  1. Document Symptoms: Keep a journal of your symptoms, noting the type of discomfort, duration, any changes in urination (frequency, pain, etc.), and any other relevant information. This can help your healthcare provider understand your situation better.

  2. Avoid Irritants: Ensure that you are avoiding irritants such as harsh soaps or lotions, which can increase discomfort. Gentle cleansing with warm water is often beneficial.

  3. Seek Medical Advice: Given the new discomfort and your history, it is advisable to discuss these issues with your general practitioner (GP). They will not think your concerns are trivial; addressing genital health is crucial for overall well-being. Be open about your previous surgeries and symptoms; they can provide a thorough examination and appropriate tests (like a urine analysis) to rule out infections or other concerns.

  4. Prepare for the Visit: You may want to prepare some questions or concerns in advance to ensure you cover everything during your appointment. This can help you feel more confident and ensure you get the information you need.

Remember, you're taking a positive step by seeking information and support. Your health concerns are important, and addressing them with a professional will give you the clarity you need. If you have any other questions or need further information, feel free to ask.

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