Why does genital herpes cause painful urination?

Genital herpes may cause blisters that break into tender sores on the genital skin, around the anus, or near the urethral opening. Urine is salty and can irritate damaged skin, so pain may be felt as burning or stinging while passing urine. Painful Urination is a common presentation of Genital Herpes.

Burning urine can also occur with a urinary tract infection, other sexually transmitted infections, irritation from products, or stones. A healthcare professional can examine the area and arrange appropriate tests rather than relying on symptoms alone.

Drink fluids regularly unless a clinician has advised you to restrict them. Passing urine in a warm bath or pouring lukewarm water over the area while you urinate may lessen contact stinging for some people. Keep the area clean with plain water and avoid fragranced washes, deodorants or harsh rubbing.

Contact a sexual health clinic or doctor promptly if you think you may have a first episode. Antiviral treatment may be offered, and a clinician can advise on suitable pain relief, testing and reducing the chance of passing infection to partners.

Seek urgent medical care if you cannot pass urine, have lower abdominal swelling or severe pain, develop a high fever with marked illness, or are pregnant and have possible genital herpes symptoms. Prompt assessment is also sensible when sores involve the eyes or you have a weakened immune system.

Ask whether a swab or urine test is needed, whether antiviral medicine is appropriate, and how to manage pain while sores heal. Discuss partner notification, sexual contact during symptoms, and any concerns about pregnancy.