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Men: "What about other STIs?"

Listed below are the signs and symptoms of some of the commoner genital infections in men. Note that they are not necessarily sexually transmitted. They can all be treated one way or another, but don’t delay.

Sign / Symptom Possible cause Treatment Remarks
Abnormal clearish discharge from the penis (NSU) Chlamydia

Mycoplasma

Doxycycline, tetracycline or azithromycin Needs lab test initially and on follow up to ensure treatment is successful.
Pussy, yellowish discharge from penis (Urethritis) Gonorrhoea, Chlamydia or

others

Antibiotic Lab tests needed to confirm diagnosis.
Pain on passing water. Urge to pass water frequently (NSU) Chlamydia or Mycoplasma as above As above for NSU Common. In older men may be a bladder infection. Seek medical advice.
Itchy or painful, cold sore-like recurring ulcers or blisters on foreskin and behind head Herpes. Zovirax: controls but rarely cures A common STD. The genital equivalent of cold sores. Spread by body contact and oral sex. Seek medical help.
Painless watery papule or blister on the crown of the penis. Weepy discharge. Later a general skin rash on most of the body. Syphilis Antibiotics Usually sexually transmitted. Distinguished from the much commoner herpes because latter are painful. Syphilis is very infectious. Papule initially goes away if untreated by infection invades whole body and reappears in a more serious form. Easily confirmed by laboratory tests. Fairly easily and cheaply treated but it is really important that you don't delay. There are also non sexually transmitted forms in warm regions of the world.
Itchy skin, reddish rash in pubic area
Generalised itchy rash, worse when in hot environment
Lice

Scabies
Parasiticidal drugs Spreads by close body contact of sexual nature. Easily treated. Visit sexual health (GUM) clinic.
Genital warts HPV

Various treatments

An STI caused by a virus. Seek medical advice. Readily treated.

Some other rarer conditions may be sexually transmitted or can be spread by sharing drug injecting needles, including hepatitis B and C and of course HIV. 

Remember:

  • It’s not possible to make the diagnosis by appearance alone. You will need to get medical advice based on lab tests and clinical experience.
  • Infection may be symptomless
  • You can have more than one STI at a time.

[MEW] January 2008

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