[Question #13025] Pelvic and urinary pain after hj
3 months ago
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I had a shower with soap and I had instant burning sensation on tip of penis...like sharp burning.
Then I had a hand job without lotion that's it.
Next day I woke up with pelvic burning sensation and feel full....
My brain is always thinking about this weird discomfort in the pelvic..
The tip of penis burning has subside but now it's pelvic hurting...I'm a male.
Do I need antibiotics? Did I catch std? If so what did I get?
3 months ago
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It doesn't hurt same time while urinariting but do feel burning discomfort in the bladder area.
I definitely did not have this prior to this incident.
Is this an std caused by hand job and a shower with soap?
3 months ago
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Also forgot to mentioned.. my current symptoms
- pelvic area burning
- the burning sensation can be felt through the thigh
- constant pain and burning in bladder area
- tip of penis stings initially when urinating.
It's been 24 hours since encounter....I feel like I'm on fire.
What std doc did I get from this?
Was it the shower with soap or hand job...not sure how something could be acquired unless the soap was infected with a bacteria and all of it just went into my urethra
Please help I'm overseas in another country right now and I don't get back to US until few weeks...idk how to get antibiotics here.
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H. Hunter Handsfield, MD
3 months ago
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Welcome back to the forum.
Similar to your question two years ago, your symptoms do not fit well with any STI -- although this time at least the answer is very clear for your first symptom, painful urination after the shower. Soap is very irritating when it gets into the meatus (penile opening) and always causes significant pain, which then usually clears up after urinating a few times. But all symptoms after that are most consistent with genitally focused anxiety. Anxiety doesn't create symptoms, but it can greatly magnify minor symptoms or even normal body sensations that, without the anxiety or stress or worry, would be ignored or not even noticed. No STI causes the symptoms you described. Further, no STI ever is caught from hand-genital contact, so you were not at risk. But it is your discomfort with the sexual event -- whether shame, guilt, or just worry about STI -- that is the problem here. You clearly have no infection from the event.
Those comments pretty well answer your specific questions, but to be explicit and assure no misunderstanding:
"I definitely did not have this prior to this incident." That doesn't mean it's an infection. I have explained how your emotional situation is the likely cause. This is much like tension headaches: anxiety and stress cause tightening of muscles in the scalp and neck, which cause the pain. Both in tension headaches and your situation, the pain and other sensations are real; they have a physiologic origin and are not simply in your head. But still, no infection. The same is true of every symptom you mention: pelvic area and thigh "burning"; bladder area discomfort; penile tip pain with urination. " 24 hours since encounter....I feel like I'm on fire" also is typical for anxiety.
"Was it the shower with soap or hand job"? Definitely the soap was the initial problem. Your symptoms have nothing to do with the hand job except that that event heightened your fears of infection and perhaps is an event you regret or feel shame about.
"idk how to get antibiotics here": You do not need antibiotics, which would not help your symptoms. You do not need STI testing. Believe it -- and then your symptoms will clear up.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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3 months ago
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Hello, thanks. Last two years ago I ended up having an infection which caused reactive arthritis to AS..I had to and still take biologics.
Yesterday incident is new. I had hand job and instantly had burning tip of penis.
24 hours later I'm having constant bladder pain , urinary pain. The bladder feels burning and stinging pain.
I know you said no std, but how about common bacteria like e coli or something else...what else can cause burning sensation that isn't going away...its getting worsen.
Just like last time I think I caught something...
As you said soap irritation should go away...this isn't going away...its getting worse..
Any suggestions? Burning sensation is painful.
3 months ago
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Also, doc no way I'm making up stinging on the tip and burning pelvic....what do you think?
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H. Hunter Handsfield, MD
3 months ago
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No infection of any kind is likely to be acquired by the events you have described. That includes E. coli and other non-STI bacteria. Also, no infection can start to cause instant symptoms; infection pain or other symptoms cannot start sooner than 24-36 hours after exposure.
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I did not say you are "making up" your symptoms. Carefully re-read my initial reply, where I said I know the pain is real and explained how this happens.
---I will not speculate further on the cause of your symptoms. We deal with STDs only, not genital symptoms due to any other condition. If your symptoms continue, you will need to see a doctor in person, ideally a urologist.
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2 months ago
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Ok thanks you. Would you say or in my situation resume normal sexual activity with the partner? Also, no testing or medication is warranted in this situation?
Yes the event is exactly as described... the private area was clean with soap and then a hand job.
I will see a urologist in person but I'm still having symptoms of bladder discomfort so idk...but good to know it's not sti.
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H. Hunter Handsfield, MD
2 months ago
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It's good to know you understand. The only thing I didn't think to ask, and you didn't mention, is whether you had any other sexual contacts in the 1-2 weeks before your symptoms started; or if sex only with your regular partner but you think she might have other partners or otherwise be at risk for STI. In either of those cases, it would be wise to be tested for STIs -- and for your partner to be tested as well. If these didn't happen, then you do not need testing and can safely resume unprotected sex with your partner.
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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