Patient's question:
A while ago, my girlfriend and I had sex without a condom. Later, I noticed red spots on my glans, and the doctor said it was balanitis, prescribed a cream, and it healed after using it. Then I stopped using it for a day after feeling well-rested and slept soundly. Later, I felt a burning and painful sensation in my penis when I pulled back my foreskin. Inside, it was swollen, itchy, and a bit purulent. I got tested and found that I had mycoplasma infection. The doctor prescribed azithromycin, and after taking it for two days, I felt nothing and stopped for a day. Then I continued taking it. Now, I'm feeling groin pain. I searched online and found that mycoplasma infection can easily cause groin pain and is prone to recurrence. I'm sure I've had a recurrence now. What should I do about the medication? I have phimosis, and the cream has been used for almost a month. It can suppress the symptoms but doesn't seem to be able to cure it. It's really frustrating.Doctor's answer:
As you mentioned earlier, the main concerns are phimosis, which can lead to balanoposthitis and urethritis after sexual activity. For balanoposthitis caused by phimosis, local saline washing followed by applying ointment is usually sufficient, and it typically heals within a few days. If the condition doesn't improve after a long time, a circumcision may be necessary. Regarding your Mycoplasma and Chlamydia infections, proper medication should be sufficient to treat them. The medication is usually taken for a maximum of one week. If you experience frequent relapses, it is recommended to take the medication for about two weeks. It is important not to stop medication once symptoms subside, as sufficient treatment duration is required. Additionally, a follow-up test should be conducted three days after stopping the medication.