What Causes Painful Urination And White Heads On The Genitals?

Posted on Thu, 2 Jun 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 2 Jun 2016 Answered on

Mon, 4 Jul 2016 Last reviewed on

Question : Recently I had a intense "Dry Hump" session with a female friend. She was recently tested and was found to be std free. I have a very clean past myself. During this session I broke out with a sore and have had pains at times urianiting since. The sore is healing fine, I noticed a few white heads develop a few days later that have not since grown. I am concerned, what do you think?

Answered by Dr. Bonnie Berger-Durnbaugh (43 minutes later)

Brief Answer:
Problems from friction.

Detailed Answer:
Hello XXXXXXX

Is it ok to assume that your penis did not make contact with her genitals? Were you wearing underwear at the time?

If you did not make contact with her genitals, the sore and pain on urinating might be from irritation from friction. It's possible that you have a mild urinary tract infection from bacteria that you might have picked up from skin or cloth. With a urinary tract infection, there is usually urinary urgency and frequency and pain with urinating. If it is mild, it may resolve with increased water consumption, as you've been doing, and many people swear by drinking cranberry juice. I have seen this be very helpful. Best to get a cranberry juice concentrate and reconstitute it yourself with water and a bit of apple juice. This way you avoid guzzling large amounts of sugar from Ocean Spray type cranberry juice. It will be very tart.

If the urinary symptoms get worse or doesn't get better, and if you develop any chills, fever, or flank (back near sides) area pain, then do go in to have your urine and prostate checked and you may need an antibiotic then.

If the urinary pain is only when the urine passes out of the penis, this may be due to irritation of the end of the penis from the friction, and water and cranberry won't help as much as time and avoidance of further irritation until it heals. But something like this usually resolves within a day or two.

I hope this information helps. Please let me know if I can provide further information.

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

Follow up: Dr. Bonnie Berger-Durnbaugh (39 minutes later)

thinking back on it there was some oral activity. It was mostly what I mentioned earlier. Clothes were kept on. At one point I did remove "it" from my shorts and rubbed it over the outside of her clothed genital area. Like I said she has tested clean as recently as January. There were no outbreaks anywhere on her or her mouth. She is a little heavier than me and grinded very hard on my penis. I am positive the "sore" or "Blister" I got was from it rubbing up against my zipper during the act. What freaked me out was I noticed little "white heads" pop up that have since started to disappear. My diet the last two months up til last week was horrible. I was eating fast food sometimes at least twice a day and drinking up to 4 sweet teas from Mcdonalds a day. I have since cut back to one sweet tea a week and been drinking up to 100 ounces of water a day and feel much better because of that. What do you think after reading this further? I will go see a doctor about my prostate (put that off long enough).

Answered by Dr. Bonnie Berger-Durnbaugh (2 hours later)

Brief Answer:
Information:

Detailed Answer:
If there was oral sex, then there is a slight (but very low) chance of HSV I, even if she didn't have active cold sores. But herpes doesn't look like white heads. It looks like clear vesicles that then burst and leave ulcers/scabs that heal.

When I mentioned about the prostate, it was only because prostatitis can sometimes cause pain with urination. But in this situation it's more likely either a mild bladder infection or local irritation from the friction.

Overall, your risk of an STD here is low.

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

Follow up: Dr. Bonnie Berger-Durnbaugh (11 minutes later)

Thank You very much for your time. I feel your right. Learned ALOT from this experience and got the scare I needed. You have been a terrific help. I plan on getting a check up soon regardless.

Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)

Brief Answer:
Your welcome!

Detailed Answer:
Sounds like a good plan.

Best regards,
Bonnie Berger-Durnbaugh, MD

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

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