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Go to chart 124 Painful intercourse in men (p.249)

Is there a discharge from your penis?

Do you have an aching pain at the base of your penis your penis

Possible cause Prostatitis, an infection of the prostate gland, is a possibility. Consult your doctor.

action Your doctor will examine you and may test your urine. If the diagnosis is confirmed, you will probably be prescribed antibiotics, which you may need to take for several weeks.

call your doctor now possible cause You may have priapism, in which an obstruction prevents blood draining from the erect penis. This condition may be due to an underlying blood disorder or to an excessive response to drug treatment for impotence. Prompt treatment is needed to avoid permanent damage to the penis.

action Your doctor may be able to withdraw some blood with a syringe. If this is not effective you may need drug treatment or surgery. Any underlying disorder may also need treatment.

Possible cause and action Several sexually transmitted infections (STIs) in men (opposite) can cause a discharge. A prostate gland infection can also cause this symptom. Consult your doctor or go to an STI clinic. Swabs and blood may be taken for testing. These infections are treated with antibiotics; prostate gland infections may need prolonged treatment.

Is the foreskin fully pulled back, and are you unable to replace it?

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