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Sexually Transmitted Diseases/burning while urinating and pain in testes



i feel the tip of my penis is red, and i feel burning sensation while urinating, i dont drink much water, but if i do, i dont feel burning while urinating and since last week i am feeling some episodes of pain in my right testicle, pain lasts for almost 30 seconds or a minute, it feels like crawling up till my lower abdomen, then its okay. i am sexually active, and use condoms. i haven't seen a doctor yet. kindly help me out.

Hello Mohsin,
If the tip of your penis is red, and or swollen, and/or with thin or thick discharge (whitish or yellowish) and you have burning with urination, than this is usually due to a sexually transmitted infection, the most common of which is chlamydia. A urine lab test is able to determine whether you have chlamydia, gonorrhea, or trichomonas (trichomonas usually is a vaginal infection that usually does not cause symptoms in men).  Sometimes, prostate infection may demonstrate symptoms like you describe.  The pain in the testicle suggests that the infection may also involve the epididymis (part of the testicle).  

You didn't mention whether you have sex with women or men, and didn't mention whether your activities included anal, oral or vaginal as well, or whether you can squeeze some discharge out, or what type of lubrication you use, if any.   Using condoms are pretty effective, but I don't know how you use them! For example, some people begin sex play without condoms, and then put them on before they begin insertive sex. All of these details may help point to certain types of infections.

You obviously need to have some tests and an exam from someone who knows what they're doing.  

Good luck!

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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