How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Y. Your Own Question
Dr. Y.
Dr. Y., Urologist
Category: Urology
Satisfied Customers: 20393
Experience:  Specializing in general urology and reconstructive urology.
32613003
Type Your Urology Question Here...
Dr. Y. is online now

Please take a look at the photos below. This is been going

Resolved Question:

Please take a look at the photos below. This is been going on for the last 90 days or so. The meatus is sometimes swollen and the glans is discolored.
Submitted: 1 year ago.
Category: Urology
Expert:  Dr. Y. replied 1 year ago.

This looks like a condition called urethritis. Have you had sex with any new partners lately?

Customer: replied 1 year ago.
I did
Expert:  Dr. Y. replied 1 year ago.

Did you get tested for STDs? What were the results?

Customer: replied 1 year ago.
all negative including herpes
Expert:  Dr. Y. replied 1 year ago.
OK. Then this may be due to a viral infection or it may be an undetected STD. Because you had a high-risk sexual encounter, you need to be treated within an empiric antibiotic including azithromycin and ceftriaxone as well as Flagyl. You need to see your doctor to be started on these antibiotics immediately. Hope this helps.
Customer: replied 1 year ago.
What do you mean undetected std? Such as?
Expert:  Dr. Y. replied 1 year ago.
It could be ureaplasma, gonorrhea, chlamydia, trichomonas as the most likely causes of urethritis. The STD testing that you had done is not 100% accurate and it may have just missed your infection.
Customer: replied 1 year ago.
I don't have any discharge.
Customer: replied 1 year ago.
Wil my urologist be able to test for urea plasma?
Expert:  Dr. Y. replied 1 year ago.
A urologist can yes for ureaplasma
Expert:  Dr. Y. replied 1 year ago.
Sorry. Yes=test
Customer: replied 1 year ago.
The meatus isn't always red. Only after sex. These symptoms come and go. In the morning it looks normal and towards the end of the day occasionally the Meatus and glans gets irritated.
Customer: replied 1 year ago.
I just took these. Notice the photo with the profile of the glans. Seems like it has a "bump" in the middle. I didn't have that before.
Expert:  Dr. Y. replied 1 year ago.

That bump is from the inflammation from the urethritis. You need to go get tested for all STDs again and be tested empirically for them as well.

Customer: replied 1 year ago.
I will get tested again. What would you be inclined to think it was specifically? I was tested for herpes 90 days from my last sexual encounter. Could it be herpes?
Expert:  Dr. Y. replied 1 year ago.
Herpes is not likely. This may be ureaplasma or gonorrhea or chlamydia
Customer: replied 1 year ago.
Understood. Even without any discharge?
Expert:  Dr. Y. replied 1 year ago.
Correct
Customer: replied 1 year ago.
Can it be NGU as well?
Expert:  Dr. Y. replied 1 year ago.
That would include things like chlamydia and ureaplasma
Dr. Y. and other Urology Specialists are ready to help you
Customer: replied 1 year ago.
I have an appointment with a dermatologist today and a urologist next week.