Patient's question:
I am studying in Australia and my girlfriend is in a long-distance relationship. After finally meeting, we stayed in a hotel for three days. When she went home, her legs were so weak that we had to part ways. A few days later, I went to the bathroom and noticed redness on my glans and painful urination, suspecting a urinary tract infection. I took a urine test, but the results were all negative. Now, there is a purulent tendency on my glans. I want to ask if it could be a sexually transmitted disease?Doctor's answer:
The glans has ulcers and a red, swollen appearance. Test results show no normal sexual transmitted infections, so it is considered to be either Mycoplasma infection or can be confirmed through a routine urinalysis. If the results are all normal, it is temporarily treated symptomatically, such as with magnesium sulfate, stabilizing water, and potassium permanganate for topical use to suppress redness, swelling, and pain. Redness of the glans is often seen in conditions like balanitis, so it cannot be temporarily confirmed as syphilis. It is recommended to go to the hospital for a follow-up visit to undergo a routine urinalysis, blood test, syphilis antibody test, and other detailed examinations to determine the specific condition before administering medication. If it is a bacterial infection, antibiotics such as cephalosporins or quinolones can be used for treatment. Drink plenty of water, urinate frequently, and avoid spicy foods.