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Published on: 5/6/2025

What Could Cause an Itchy Urethra in Males If It's Not an STD?

An itchy urethra in males that isn’t due to an STD can be caused by a local irritation or a non-gonococcal infection from bacteria that are not spread mainly through sex.

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Explanation

Sometimes, when a man feels itchiness in his urethra and tests rule out classic sexually transmitted diseases (STDs), the cause can be another type of infection or irritation. One possibility is non-gonococcal urethritis, where bacteria like Mycoplasma or Ureaplasma, which are not classic STDs, may cause inflammation and itchiness. These germs are common and can sometimes lead to irritation even without the typical sexual transmission. Other causes include chemical irritants from soaps, lotions, spermicides, or even laundry detergents that the area is exposed to. In addition, mechanical factors like irritation from too much friction during physical activities or minor injuries can also lead to an itchy feeling. It is important to note that while these causes are not the typical STDs, persistent itching or discomfort should be evaluated by a doctor to rule out any underlying issues or infections. This helps ensure the right care is given and any necessary tests or treatments can be offered.

(References)

  • Ito S, Hanaoka N, Shimuta K, Seike K, Tsuchiya T, Yasuda M, Yokoi S, Nakano M, Ohnishi M, Deguchi T. Male non-gonococcal urethritis: From microbiological etiologies to demographic and clinical features. Int J Urol. 2016 Apr;23(4):325-31. doi: 10.1111/iju.13044. Epub 2016 Feb 4. PMID: 26845624.

  • Miklovic T, Davis P. Dysuria, Rebound Tenderness, and a Palpable Mass-A Ticking Time Bomb. Mil Med. 2023 Mar 20;188(3-4):e882-e884. doi: 10.1093/milmed/usab180. PMID: 33929544.

  • Vigneswaran HT, Baird G, Hwang K, Renzulli J, Chan PA. Etiology of symptomatic urethritis in men and association with sexual behaviors. R I Med J (2013). 2016 Jun 1;99(6):37-40. PMID: 27247972; PMCID: PMC5522176.

  • Guiton R, Drevet JR. Viruses, bacteria and parasites: infection of the male genital tract and fertility. Basic Clin Androl. 2023 Jul 20;33(1):19. doi: 10.1186/s12610-023-00193-z. PMID: 37468865; PMCID: PMC10357631.

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