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Dr Phil: Genital infections

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Dr PhilHi, it’s Dr Phil here again: today we’re going to talk about genital infections. They used to be called sexually transmitted diseases, then we called them sexually transmitted infections to try to make them slightly less scary and now we call them sexually shared infections. Which gets the nice point across that if you share pleasure, you also have to share treatment.

The trouble is lots of people don’t know when they’ve picked up an infection because the commonest symptoms of genital infections are no symptoms at all, particularly if you’re a woman. As very, very, very, very few people pass on sexually transmitted infections deliberately, the worst thing you can do is to blame anyone. As my consultant used to say, if you haven’t picked up chlamydia by the age of 30, you haven’t been trying hard enough.

Occasionally of course you do get symptoms: any sort of discharge, any sort of redness, any sort of soreness, if a big, pussy green blob appears at the end of your penis for no apparent reason, you need to get that sorted out fairly quickly: nearly all sexually transmitted infections can be cured. You’re not alone, loads of people have them; loads of people have chlamydia, possibly 1 in 10 sexually active people under the age of 25. I did a conference once of sexual health consultants (these are the experts you see in the sexual health clinic): a quarter of us had had a sexually transmitted infection at some stage in our life. I personally, Dr Phil, had gonorrhoea when I was a medical student: in my defence it was probably before the days of HIV so not many people wore condoms and you were so amazed that somebody would have sex with you if you had ginger hair and freckles that you just sort of had a go. I woke up a few days later, rivers of puss coming through my boxer shorts, and even I managed to realise there was something not quite right about that. So I popped down the local clinic, down the Westminster clinic, and the consultant was really excited to see me. He took a swab, he rushed off, he stuck it under the microscope and he said ‘come and have a look at this, Dr Phil’. Gram-negative intracellular diplococci: gonorrhoea under the microscope. He was very excited, I was less so (I wish I’d worn a condom), but he then cheered me up by telling me stories of all the famous people he’d treated: actresses, movie stars, politicians, even clergymen.

So, it happens to everyone, the worst thing you can do is deny it. If you don’t know what your status is and you’d like a sexual MOT, pop down to your local clinic (their number is in the Yellow Pages). If you’d like some excellent advice I would recommend the website: tackle it and move on. If you want some excellent advice and you want a laugh at the same time I’d recommend Sex, Sleep or Scrabble?, available at all major outlets.
Dr Phil Hammond is a medical doctor, comedian and commentator on health issues. 

Written by: Dr Phil Hammond
Edited by: Dr Phil Hammond
Last updated: Friday, August 13th 2010

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Comments on this article

Posted by Optional on 15/11/2017 at 03:58

I have discharge but no pain at all. I have no problem urinating. Should I be worried.

Posted by Optional on 04/05/2017 at 04:14

I am a man aged 37 years. My problem is that I noticed some pimples on my private parts with liquid like substance inside. I wonder what type of an STD this is.

Posted by Optional on 17/01/2017 at 07:57

Have had this discharge for a while now ,as my age is 65 and not fully sexual active as when I was younger.also a itching around the genital area .

Posted by Wesley on 22/07/2016 at 11:48

I have had a rash on and around my penis for 15years started off in one area and spread with chronic itching, I have tried 10 different creams no joy ,been to my GP many times nothing seems to work what shall I do

Posted by Chhetri on 13/07/2016 at 07:31

Dear Dr. Initially i got a pimple like spot on my penis cover which is too itchy and the number increased. Now it is all over the organ and my scrotum is always contracted. It started spreading all over the body in the form of red mark and center of the red mark is minute white. Please advice what this infection could be. I wish i can share the image. In Bhutan to get a good doctor is very difficult. Please help me out to which i will be always thankful to you doctor

Posted by Optional on 09/04/2016 at 04:16

I got treated for chlamydia and so did my partner . but my penis is still leaking , sometimes it looks as if its getting better n then it starts to leak again. Its been over 2 weeks thats it has been leaking on and off

Posted by Mrs Miller on 15/03/2016 at 01:46

I have two tiny white hard lumps (each size of a generous pin head) .They lie together by opening of the bladder and the clitoris, but superficially. I noticed them a couple of months ago when washing and they have remained the same. They are painless and do not get inflamed. I have presumed they may be two small cysts and wondered if this is normal? I am single now and not had a sexual relationship with a man for 16 years. I would appreciate your advice. Thank you.

Posted by Optional on 23/02/2016 at 06:02

Hello for a few months now there has been some white mold-like supstance when I rub on my penis head. I also have a white discharge coming out. It's not a UTI because I took the antibiotics already and it still happens. if anyone knows what it might be please let me know

Posted by Optional on 05/02/2016 at 12:17

I have been having pus discharge from my penis every time i visit an hospital am given antibiotics but after some time the discharges disappears and comes back so recently i visited an hospital and was found to be negative of sexual transmited disease so am in a dilema and dont know what to do coz am still experiencing the same problem.

Posted by Optional on 01/02/2016 at 01:38

my penis is kinda dry and there's a small area on my head that is oily and has some yellow substance on it. its been like this for a few days already. reply asap. thank you

Posted by STI on 12/12/2015 at 11:37

So It's 4:13 pm Saturday December 12th right now. I had anal sex with my girlfriend about 1030 Thursday night and right before and as I was ejaculating it burned a bit. I even made the comment that it felt like i got an instant std. She had said that she eaten salsa earlier is why. An hour ago I just had a itchy and tiny bit stingy feeling on my penis head.went to bathroom and thought a hair or piece of lint or something was irritating it. But then I squeeze my head a little and some thick yellowish brownish puss stuff comes out. Any answers? Help? Lol

Posted by usman on 12/12/2015 at 07:59

Sir...I have a problem of drops discharge..I feel uncomfortable in it even I am sitting in a company or in my office.sir colour is transparent and besides it I also feel pain in my back.usually discharge rate increases in night.kindly give me the solution of it please..I am really upset due to it.

Posted by Optional on 25/10/2015 at 07:16

Felt a huge pain in my Penis while urinating a day after I had unprotected sex. The pain persisted for two more days and that was when I decided to take a look at what was going on Downstairs. I noticed a milky Discharge coming from the Urethra. It was Late at Night and so I called a Doctor friend of mine and I told him what was going on. He recommended Doxycycline, Ciproflaxacin and Flygyl but with a strong advise to go get checked up by monday. So I went for a test. They did a swab which was so painful and they took my urine sample. I went back for the test result after 24 hours and they said I had Streplococcus Algalactae. They also advised that I continue taking the already recommended drugs by my Doctor friend for 7 more days,making it 14 days. The thing is,the pain has gone,but not completely,it comes once in a while. My major concern right now is that I have been taking these drugs for Eight days now and the discharge is still there though not as it used to flow. It is either on the tip of my penis or when I take the penis up to examine the urethra tip-that is when the discharge begins to come up. Are those drugs the right Drugs? I am really scared. Thank you for your kind response.

Posted by Optional on 25/09/2015 at 10:44

Yellowish discharge from pennis for about a week now. And i went to the lab for test of gonorhrrea and chaimadis and the results are negative am confused and dont know what to do

Posted by Optional on 16/07/2015 at 04:50

Dr.Phill,My vaginal discharge is creamy and very itchy and caused sexual disfunction. I have moved to clinics, and diagonised with urinal infections that have constantly turned a deaf ear to treatment.I am very worried bse I want a baby yt I cant be sexually aroused. I have been suffering with this infection since 2007. What could it be?

Posted by tau on 11/07/2015 at 05:13

I hav a problem of white discharge from my penis.what to do..where to go..

Posted by hunkey on 27/06/2015 at 08:42

I have a pale yellow fluid coming out of my penis at random times of the day. Hurts to urinate. this is because i had a sex with a guy last week i have been experince the pain from last 4 days.

Posted by jan on 22/06/2015 at 09:34

Hello, Dr. Phil I have like 1 month of itchin when i urinate. I though it was tricomoniasis so i started taking antibiotics. It still itches and some black lumps are forming on the penis area . I am really worried and scared. What do you recommend?

Posted by jurden on 15/06/2015 at 05:39

Hello I have a question when I woke up thismorning I went to go pee and the hole of my penis was closed so I opened it when I did something like puss came out. But a had sex with my gf before and idk if I got all of it oit when I finished so could thT just be semen from last night?

Posted by Simone on 15/06/2015 at 02:18

hi thereDr, I recently have had sexual intercourse (un protected) with my girlfriend and it's been 2 days since and I've noticed a white thickish substance layering around my shaft, and also it's been quite itchy and red, no pains as of now but I am worried. should I see a GP or is it a common problem that isn't serious ?

Posted by NELSON on 26/05/2015 at 08:27

I, i had un unprotected sex with my girlfriend and since then my penis is producing white fluid and am experiencing pain when urinating what could b the problem?

Posted by Optional on 28/03/2015 at 05:17

For a couple months now, almost everytone after me and my boyfriend have sex, I get a very nasty smell the next day. And whenever were done, sometimes it looks like it's has small bumps on it. Super tiny and it looked like it was cut. Not to mention, it hurts him the next day and after a week or so, his penis is peeling, looks like flakes on it.

Posted by Optional on 11/03/2015 at 03:04

There is a big-ish lump on the base of my penis. When I squeeze it, the inside looks yellow-ish whitish. Please answer because it is very worrying

Posted by O on 01/02/2015 at 04:19

I have been discharging a yellowish fluid from my penis for more than a week a go, what would be the remedy kindly help me out pls.

Posted by Optional on 14/01/2015 at 09:55

I have a white fluid coming out of my penis at random times of the day. Hurts to urinate.

Posted by worried on 07/01/2015 at 04:58

I've developed a red wrinkle type rash on tthe top of my gland,I thought it was from scabies because of burrowed ttype bumps I'd used to get in my midsection,& now don't get there anymore.anyways I've been treating with a steroid cream & it looked better so I used a lot more & now broke out under the rim.anyways when aroused my penis gets extremely large on the shaft & the glad gets really large it scares me & when the swelling goes down my testicles get really red..& I have red coloration of my foreskin to...any idea? Thanks

Posted by Optional on 26/12/2014 at 10:21

I have a white fluid coming out of my penis at random times of the day. Hurts to urinate. This started just a few days ago

Posted by Optional on 18/12/2014 at 12:41

The tip of my penis is slightly larger with the foreskin pushed back. It now aches when I have an erection and seems quite sensitive. We have not done anything since just in case. What could be the problem?

Posted by natalie on 25/11/2014 at 03:01

hi i have a problem of developing sores on my virgina during or after my period.I dont know if its the sanitary pads that i might be using .I am afraid of going to the clinic or doctor.Please help

Posted by Optional on 21/09/2014 at 05:09

I did find what I was looking for. though I have a question: if I had discharge more than 3 times in 7months what would happen to me?

Posted by kefim on 17/09/2014 at 03:10

I have been having puss coming out of my penis I have been taking pills but still nothing

Posted by Optional on 06/06/2014 at 12:52

I have discharge from my penis which leaves yellowish stain in my pants. I was given cipro treatment but sympton still exist

Posted by Rohit on 20/09/2013 at 06:33

Sir i have problem in my penis i have very few sponge flowing in my penis but not all time its doing few time so what i do sir please suggest me soon

Posted by Nick on 02/04/2013 at 02:42

Hello Doc, Few days back while masturbating i felt that my discharge was quite powerfull, & after that i had a pain on right testicle (on top side - some sponge like thing like a pea shape) & base of penus (towards right side a nerve). Could you please advise is this normal or something serious.

Posted by matt on 05/12/2012 at 02:22

Hi doc, i had quite rough sex on sunday night and come monday night my penis was quite sore with swelling to the foreskin with red skin and peeling of the skin. Any recommendations on what it is and how to treat quickly! Thx doc :)

Posted by Sammy on 04/08/2012 at 03:02

Penis discharge for several years i have gone for treatment but still discharge but when i have frequent sex i dont see the discharge again

Posted by Okinawa on 09/03/2012 at 02:19

Dear Dr, I happened to mess with a beatiful lady and a week later l was feeling some itching just below the tip of my penis inside the urethra. Afew days later l saw some elements of pus on my pant and as l squeezed a bit had s really puss came out. I went to the clinic and the sample of urine was tested and the doctor subscirbed me for an injection for three days, consecutively, immediately after the injection l have to take some more tablets for five days. Despite all that, and my close follow, every time l squeeze the thing the puss comes out, now, does it mean that l took the wrong subcription or the infection ends slowly that much, plz advice Doctor. Thanks

Posted by Owen on 20/09/2011 at 07:05

Dr. Phil plz what medication can i have, since i do have protected sex, but one day the condom burst and i went ahead drilling for some minutes and now, every morning and some times in the day i notice a whitish creamy drop or discharge at the tip of my penis is a week today and is still appearing. Plz i need a help.

Posted by Jaypee on 18/09/2011 at 03:10

Hi A thick yellow discgarge is coming from my penis after i had sex few days back I did took Doxycycline 100 mg 2 times a day for 7 days and ciprof loxaxin 500mg for 3 days but still have same problem please suggest what should i do

Posted by Optional on 05/05/2011 at 11:13

I have been diagnosed with genital herpes type 1. My dr has give me medication which seemed to work the first time and got rid of the blister. However I now have small white pimples at the top of my vulva which seems to be spreading. The area is very irritated and there are split in other parts of the skin. The medication doesn't seem to help with this. I've been back to the dr but they can't seem to work out what it is.

Posted by Optional on 13/04/2011 at 07:08

Hi, i have a vein on the rim, right hand edge of my penis tip and it curves from the shaft over the rim in like a c shape, its only about 4-5 mm in leght. noticed it a few months ago. Anyway recently when i get up in morning it is more visible and is a little raised almost like a tiny blister. although it has never popped or anything no open sore. i have no idea what it is please help. thanku

Posted by kylex on 16/03/2011 at 09:40

im so happy that i found out more about this. i was one of the people who would look at you funny knowing that you have an infection but now im supportive.

Posted by Optional on 11/01/2011 at 05:07

i have white small bumps on my testicals but are only noticable when i squeeze my testicals. they look similer to whiteheads. what are they?

Posted by Optional on 12/12/2010 at 03:23

I have read that chlamydia can be transmitted through oral sex. Is that correct or dies it have to be penetrating sex? Does a man have to ejaculate to pass the infection?

Posted by Dave on 08/11/2010 at 10:45

Am in stable relationship. No extra activities on either side. Have rash with tint yellow heads on either side of groin area/inner thigh spreading onto tops of thigh.

Posted by Optional on 02/10/2010 at 08:18

can anyone help me with this...have have been for sti tests a few times , but just found two little in my vulva went to the doc she said genital worts, i haven't slept with anyone in 5 months never suffered from them b4 , she gave me some cream to put on them one day later i'm really itchy and so so so sore i have a look lots and lots of tiny white raised lumps every thing seems a bit swollen , going o the clinic on monday find out whats going on...any insite would be great

Posted by gill on 30/07/2010 at 12:45

Hi, how are you ? Am very fine. I normally develop Watery Blisters type of Sores on the fore skin of my Penis after using a Condom or it just occurs once in a month. Doc, what type of Medicine can I use? Best regards.

Posted by Optional on 02/07/2010 at 02:30

I self diagnosed cystitus but have found urethra is swollen and protruding and visible over the counter remedy not working

Posted by Optional on 26/06/2010 at 04:57

hi, i have never had sex before. I recently developed an itch in my genitals and thought i had thrush. i have been washing regularly and didnt wanna use any creams unless necessary. i didnt go to my doctor because it is too embarassing. the itchiness lasted for 3 days and is now left in the area around my clitoris. i recently saw a white film surrounding the clitoris. the itch is alleviated by pressure in the clitoris. What could this be?

Posted by Optional on 16/06/2010 at 04:12

how to cure this.

Posted by Optional on 24/05/2010 at 07:05

I've only just started having sex with my girlfriend. We were both virgins until we slept together. Once we accidentally had unprotected sex (caught up in the moment and all that). The tip of my penis is slightly larger with the foreskin pushed back. It now aches when I have an erection and seems quite sensitive. We have not done anything since just in case. What could be the problem?