Expert Answers Factual Answers to Your Sexual Health Questions

anonymous on August 26, 2011

Can I get an infection if my partner urinates inside my vagina during intercourse?

What are the risks of a man urinating inside a woman during sexual intercourse? This happened to me...and shortly afterward I developed a yeast infection (I think). I haven’t treated it and now I have bumps (probably warts) in the area around my vagina, and a swollen lump on the side of my groin. Are all these separate symptoms, or are they all because my boyfriend urinated inside me a year ago?

answered by Lisa Oldson, MD on August 26, 2011

Thanks for your questions...I’ll do my best to describe some possible reasons for your discomfort, but it’s important that you visit a doctor to determine the cause of your irritation and receive the proper treatment.

First, it’s unlikely that all your symptoms stem from your boyfriend peeing during sex.
However, urine can carry a number of infection-causing organisms. For example, urine can carry STDs like chlamydia and gonorrhea if the urine comes from someone who’s infected. These STDs can be transmitted during sexual intercourse, too...so, again, it’s unlikely that your one-time experience of him urinating inside you would be the cause of an STD (if, indeed, you have one), but you could have gotten an STD from unprotected sex.

One more thing, when men are aroused, a muscle generally closes off the bladder so he can’t pee. If you think your boyfriend peed during sex but his penis was erect, it’s possible that he actually ejaculated in you instead of peeing...the difference is important because ejaculate can carry a number of STDs, including HIV.

Do you know your boyfriend’s STD status? Do you always use a condom? If you answered no to either or both of these questions, it’s a good idea for you and you boyfriend to get tested for common STDs. In addition to hepatitis B, chlamydia and gonorrhea, you can also catch HIV, hepatitis C, herpes, genital warts and syphilis from unprotected sex.

About your possible yeast infection, I encourage you to see your doctor to determine if you really have a yeast infection and, if so, to get treated. Yeast infections, chlamydia, gonorrhea, bacterial vaginosis and trichomoniasis all have similar symptoms, such as a vaginal  discharge. Upon examination, your regular doctor will be able to tell you exactly what you have and what treatment is best for your condition.

Remember, if an infection is left untreated, it can cause serious problems in future, likepelvic inflammatory disease (PID) and, potentially, infertility.

As for the bumps around your vagina, these could be a sign of many things including genital warts, genital herpes or blocked pores. The swollen lump on the side of your groin might be a swollen lymph node, but it’s difficult to say without knowing exactly where the lump is located. A swollen lymph node near the crease where the top of the thigh meets the lower abdomen can occur from an STD or other infections in the genital area.

Bottom line: you have several symptoms that could indicate a number of conditions. To get back on track and healthy again, I encourage you to see your regular doctor for an exam and get tested for STDs...in the meantime, it probably makes sense to hold off on sex until you have a chance to be examined by your doctor.

Thanks for your question and I wish you and your boyfriend good health.

Related info:

Lisa Oldson, MD

Dr. Oldson is Medical Director of the Analyte Physicians Group. She is on staff at Northwestern Memorial Hospital, as well as Clinical Instructor at the Feinberg School of Medicine, Northwestern University. Her areas of expertise include STDs (with a particular clinical emphasis on herpes), women's health, preventive medicine, diabetes, obesity and weight management, and mood and anxiety disorders. Dr. Oldson was educated at Rush Medical College and completed her residency at Rush-Presbyterian-St. Luke's Medical Center in Chicago, IL.

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