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STDs (Expert Forum)
NGU-infection?
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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NGU-infection?
by Karl81, May 14, 2007 12:00AM
Hello Dr.,
I'm posting this question because I feel unsatisfied with the answer of my health care provider. I hope your expertise can clarify my situation!
I am a homosexual male, 26 years old. I have been in a relationship for one month now, and symptoms go about just as far back. The day after our first sexual contact (oral sex and mutual masturbation only), I felt what I would describe as a "hightened awereness" or "sensitivity" of the penis, and the feeling of my pee passing through my penis the fraction of a second before it actually starts flowing out (never had this before). Also an urge too pee, but not really a burning sensation when peeing. The second day, I noticed some clear liquid at the tip of the penis before urinating. Since two weeks before meeting my partner, I had casual sex - again oral only - I was worried and saw a doctor.
He decided to take no risk and prescribed azithromycin (which I took the same night), cipro (which I took the next morning) and a 7-day treatment with doxy. He told me to go to the hospital the next day to have urine tests done - so this was the day after I took the azithromycin (would this have influenced test results?). Tests for Chlamydia, Gono as well as midstream analysis all came back negative. Symptoms gradually disappeared oevr teh course of a week, and since results came back negative, I continued (oral) intercourse with my partner. My doxy treatment ended a little over a week ago. On Saturday night, I had oral sex with my partner again, for the first time since the end of the antibiotics treatment. On Sunday, I noticed the same sensation in my penis as before, and today (Monday) again some clear discharge. I know you have said before that Chlamydia is not transferred through oral sex, but I am worried since the symptoms went away with antibiotics treatment and are back now after oral sex with my partner. Would it be worth while to be tested again? Could these symptoms be cause by "harmless" bacteria in my partner's mouth? The doctor I consulted said that since my tests were negative I should not worry and wait... Although I agree that certain sensations can be cause by stress, I believe that discharge is not one of them, so I remain worried.
I would greatly appreciate your expert opinion!
Many Thanks,
Karl.
I'm posting this question because I feel unsatisfied with the answer of my health care provider. I hope your expertise can clarify my situation!
I am a homosexual male, 26 years old. I have been in a relationship for one month now, and symptoms go about just as far back. The day after our first sexual contact (oral sex and mutual masturbation only), I felt what I would describe as a "hightened awereness" or "sensitivity" of the penis, and the feeling of my pee passing through my penis the fraction of a second before it actually starts flowing out (never had this before). Also an urge too pee, but not really a burning sensation when peeing. The second day, I noticed some clear liquid at the tip of the penis before urinating. Since two weeks before meeting my partner, I had casual sex - again oral only - I was worried and saw a doctor.
He decided to take no risk and prescribed azithromycin (which I took the same night), cipro (which I took the next morning) and a 7-day treatment with doxy. He told me to go to the hospital the next day to have urine tests done - so this was the day after I took the azithromycin (would this have influenced test results?). Tests for Chlamydia, Gono as well as midstream analysis all came back negative. Symptoms gradually disappeared oevr teh course of a week, and since results came back negative, I continued (oral) intercourse with my partner. My doxy treatment ended a little over a week ago. On Saturday night, I had oral sex with my partner again, for the first time since the end of the antibiotics treatment. On Sunday, I noticed the same sensation in my penis as before, and today (Monday) again some clear discharge. I know you have said before that Chlamydia is not transferred through oral sex, but I am worried since the symptoms went away with antibiotics treatment and are back now after oral sex with my partner. Would it be worth while to be tested again? Could these symptoms be cause by "harmless" bacteria in my partner's mouth? The doctor I consulted said that since my tests were negative I should not worry and wait... Although I agree that certain sensations can be cause by stress, I believe that discharge is not one of them, so I remain worried.
I would greatly appreciate your expert opinion!
Many Thanks,
Karl.
Doctor's Answer
by H. Hunter Handsfield, M.D., May 14, 2007 12:00AM
, May 14, 2007 12:00AM
I'm afraid I cannot help much. Clearly you have no STD, and most likely you have no infection at all--that is, I doubt any of your symptoms are due to a bacteria, virus, or other infectious agent. No virus would persist this long, and the antibiotics you have had would have cleared up any conceivable infection. Anyway, most of your symptoms sound entirely harmless and perhaps of emotional origin, especially 'hightened awareness', 'sensitivity', and increased urge to urinate. The only one that conceivably could be infectious is the scant urethral discharge, but totally clear discharge almost certainly is just a slightly increased amount of normal mucus. Conceivably you have prostate gland inflammation, which usually is not due to infection and generally is harmless.
In my opinion, you can be certain you have nothing that will ever harm you or a sex partner. But continue to follow up with your personal health care provider if you remain concerned.
Best wishes-- HHH, MD
In my opinion, you can be certain you have nothing that will ever harm you or a sex partner. But continue to follow up with your personal health care provider if you remain concerned.
Best wishes-- HHH, MD
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