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STDs (Expert Forum)
Is it an STD, What is it???
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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Is it an STD, What is it???
by UTellMe, Mar 11, 2007 12:00AM
Background: The wife and I partially soft swapped w/ another couple (I gave unprotected oral to other girl, wife recieved unprotected oral from other guy).
About 3 weeks later, I start to have discomfort in penis shaft, burning/crushing feeling, sometimes the tip would have a cold feeling, and a feeling of a bit of urine still in UT after peeing. Other than the pain, there is nothing that looks unusual on/around my penis. My wife has no issues (other than a sorethroat/flu, but everyone we work in public schools where everyone seem to have a cold right now).
After I noticed some milky discharge (after 5 days of increasing discomfort) I went to doctor who precribed Levaquin. I took 500mg for 10 days, dramtically reduced pain - put penis is still 'sensitive' (pain increases in shaft after it is handled). At end of 10 days of levaquin, doctor has switched me to doxcycline. Im about half way thru that 200mg 10 day prescription as well. Still I have tenderness and occasional feeling like urine is still in urinary tract, condition does not seem to be improving (but again, feels much better than before went on Levaquin).
I tested negative for Chlamydia and gonorria. Is it it some other STD? Acute HIV infection?
I'm looking for any suggestions as to what this might be???
About 3 weeks later, I start to have discomfort in penis shaft, burning/crushing feeling, sometimes the tip would have a cold feeling, and a feeling of a bit of urine still in UT after peeing. Other than the pain, there is nothing that looks unusual on/around my penis. My wife has no issues (other than a sorethroat/flu, but everyone we work in public schools where everyone seem to have a cold right now).
After I noticed some milky discharge (after 5 days of increasing discomfort) I went to doctor who precribed Levaquin. I took 500mg for 10 days, dramtically reduced pain - put penis is still 'sensitive' (pain increases in shaft after it is handled). At end of 10 days of levaquin, doctor has switched me to doxcycline. Im about half way thru that 200mg 10 day prescription as well. Still I have tenderness and occasional feeling like urine is still in urinary tract, condition does not seem to be improving (but again, feels much better than before went on Levaquin).
I tested negative for Chlamydia and gonorria. Is it it some other STD? Acute HIV infection?
I'm looking for any suggestions as to what this might be???
Doctor's Answer
by H. Hunter Handsfield, M.D., Mar 11, 2007 12:00AM
, Mar 11, 2007 12:00AM
To All Forum Users:
There was a software glitch and for several days a number of questions were misrouted to a server that did not post them properly. In addition, it appears that the automated limit to number of questions each day did not work properly. The result is a serious backlog. My replies to many questions will be briefer than usual, and I need to be very strict in following the rules about questions that duplicate others, especially for obvious low risk situations. You may use the Contact Us link to raise any concerns. Please note that it is not the moderator's decision whether or not to refund a credit card charge.
Also, I probably will not be able to respond to any follow-up comments or questions.
To your question:
It seems pretty clear you had nongonococcal urethritis (NGU), which is an STD. I base that solely on the discharge, which clearly was abnormal; the significance of the other symptoms is less clear. If I understand your description, your penis/urethra was not exposed to anybody's mouth or vagina (or anus) during your swapping event. However, perhaps your wife was infected and you later acquired it from her, through either vaginal, anal, or oral sex. A fair proportion of NGU is acquired by fellatio, probably because normal oral bacteria can cause the problem--that is, your partner(s) may in fact not have an STD in the usual sense.
At this point, having had both Levaquin and doxycycline, you can be sure there is no persisting infection. Discomfort often continue after NGU is cured, perhaps due to an ongoing inflammatory reaction, but not active infection. Other cases like yours probably are emotionally/psychologically based, although I don't assume that necessarily applies to you. But most important, you can be confident you no longer have anything that will harm you, your wife, or any other sexual partner in the future. (All this assumes, by the way, that the other members of your sexual 'team' have been informed and, to be safe, treated.)
No, there is nothing in this that hints at HIV.
Good luck-- HHH, MD
There was a software glitch and for several days a number of questions were misrouted to a server that did not post them properly. In addition, it appears that the automated limit to number of questions each day did not work properly. The result is a serious backlog. My replies to many questions will be briefer than usual, and I need to be very strict in following the rules about questions that duplicate others, especially for obvious low risk situations. You may use the Contact Us link to raise any concerns. Please note that it is not the moderator's decision whether or not to refund a credit card charge.
Also, I probably will not be able to respond to any follow-up comments or questions.
To your question:
It seems pretty clear you had nongonococcal urethritis (NGU), which is an STD. I base that solely on the discharge, which clearly was abnormal; the significance of the other symptoms is less clear. If I understand your description, your penis/urethra was not exposed to anybody's mouth or vagina (or anus) during your swapping event. However, perhaps your wife was infected and you later acquired it from her, through either vaginal, anal, or oral sex. A fair proportion of NGU is acquired by fellatio, probably because normal oral bacteria can cause the problem--that is, your partner(s) may in fact not have an STD in the usual sense.
At this point, having had both Levaquin and doxycycline, you can be sure there is no persisting infection. Discomfort often continue after NGU is cured, perhaps due to an ongoing inflammatory reaction, but not active infection. Other cases like yours probably are emotionally/psychologically based, although I don't assume that necessarily applies to you. But most important, you can be confident you no longer have anything that will harm you, your wife, or any other sexual partner in the future. (All this assumes, by the way, that the other members of your sexual 'team' have been informed and, to be safe, treated.)
No, there is nothing in this that hints at HIV.
Good luck-- HHH, MD
No further discussion or questions. Just do it.
HHH, MD