Venereal diseases
Venereal diseases can be the trigger for pain when urinating. At this point, the main aim is to treat those venereal diseases that cause frequent and direct symptoms. Venereal diseases that can cause pain when urinating include gonorrhea, syphilis and chlamydia.
These venereal diseases usually cause immediate symptoms in the urogenital tract and are therefore usually detected and treated relatively quickly. Late complications usually only occur if no treatment measures are taken or the therapy is discontinued prematurely. All three diseases have in common that they are caused by bacteria and are transmitted sexually, in close physical contact.
The use of a condom usually protects against sexually transmitted diseases. However, gonorrhea as well as syphilis and chlamydia are also transmitted during unprotected oral intercourse (both passive and active). Of course, sexually active men and women are particularly at risk.
The bacteria can be transmitted by the vector through tiny skin lesions and then multiply there. The first symptoms usually appear within one to two weeks. Insidiously, venereal diseases such as gonorrhea progress differently in women than in men, and are often not noticed, so that it is only the man who becomes aware of the disease. In therapy, it is important to treat both parties equally in order to prevent so-called “ping-pong effects” (i.e. the alternating infection of both sexual partners).
Treatment
The treatment of the pain that occurs during urination is based on the underlying cause. For this reason, the first priority is an extensive diagnosis, which is carried out using ultrasound, blood culture and/or urine culture, among other things. In any case, a urine analysis is first performed, which provides informative information for the following diagnosis.
The diagnosis can then usually be made directly, or after one or two days at the latest.Since the majority of cases is a urinary tract infection, antibiotic therapy follows. This is also used for venereal diseases such as syphilis or gonorrhea, and usually lasts no longer than 10 days. As rule of thumb applies here by the way: Antibiotics should be taken always so long, until the packing is empty.
Most bacteria respond to the antibiotics within 48 hours. However, even after several days, a few pathogens remain, which start to multiply again if they are not completely eradicated. In order to relieve the pain of those affected, various painkillers are used, depending on the trigger. Rarely are the pains so severe that opioids have to be used, so that usually lighter painkillers such as ibuprofen already provide sufficient pain relief.
