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What Causes Painful Urination And Swollen Lymph Nodes After Having Sex?

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Posted on Fri, 24 Oct 2014
Question: Had sex with girl that was 18. Never seen nothin until last time had sex seen red areas on penis. I have pic. Swollen lymph nodes and pain urination. Went to er. Negative urinalysis and cat scan. Took doxycycline pain went away nodes swelling decreased and red spots decreasing
doctor
Answered by Dr. Sankaranantham Murugan (5 hours later)
Brief Answer:
Sexual abrasion or Herpes are the possibilities.

Detailed Answer:
Hi,
Once again I welcome you to HCM.
I saw the picture sent by you. The lesions were superficial.
They do not fit with Syphilis or Chancroid.
Two possibilities are there.
1. Abrasions during sex due friction due to either dry vagina or hasty insertion a wrong direction or position with super added mild secondary bacterial infection..
2. Genital Herpes sometimes manifest like this.
A close and direct inspection will be of use to come to a conclusion regarding the diagnosis.
Negative urine analysis reveal that your urinary tract is free from any infection.
If you have still burning sensation during urination, then consume more water not less than 3 liters per day. You will be alright. Swollen lymph nodes may be associated with abrasion and secondary infection and also in Genital herpes.
Anyhow sexual abstinence is a must till complete healing occurs. Consult a Dermatovenereologist and get cured.
Wish you a faster recovery.
DR S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (10 minutes later)
Her vagina was dry and i forced myself in and out painfully due to drinking . Every time we had sex it was dry n painful
doctor
Answered by Dr. Sankaranantham Murugan (7 minutes later)
Brief Answer:
Treatment/abstinence heal the lesion within a week

Detailed Answer:
HI,
Welcome once again.
This sort of dry vagina and forcible penetration can cause such ulcers.
Simple application of mild antibacterial creams and sexual abstinence will heal the lesion within a weeks time.
As you have swollen nodes Oral Antibiotics may be necessary about which your physician will decide.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (12 minutes later)
These sores appeared right away. As soon as I got up I washed with soap n water n felt the cuts
doctor
Answered by Dr. Sankaranantham Murugan (14 minutes later)
Brief Answer:
It confirms a traumatic abrasion.

Detailed Answer:
Hi,
Welcome back.

This once again confirmed these lesions are due to abrasion not due to STD. STD lesions would take a minimum period of 3-7 days to appear after the incubation period.
You will be alright within a weeks time after your consultation.
Wish you a speedy recovery.
Dr S.Murugan
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3112 Questions

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What Causes Painful Urination And Swollen Lymph Nodes After Having Sex?

Brief Answer: Sexual abrasion or Herpes are the possibilities. Detailed Answer: Hi, Once again I welcome you to HCM. I saw the picture sent by you. The lesions were superficial. They do not fit with Syphilis or Chancroid. Two possibilities are there. 1. Abrasions during sex due friction due to either dry vagina or hasty insertion a wrong direction or position with super added mild secondary bacterial infection.. 2. Genital Herpes sometimes manifest like this. A close and direct inspection will be of use to come to a conclusion regarding the diagnosis. Negative urine analysis reveal that your urinary tract is free from any infection. If you have still burning sensation during urination, then consume more water not less than 3 liters per day. You will be alright. Swollen lymph nodes may be associated with abrasion and secondary infection and also in Genital herpes. Anyhow sexual abstinence is a must till complete healing occurs. Consult a Dermatovenereologist and get cured. Wish you a faster recovery. DR S.Murugan