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STDs (Expert Forum)
continuing ngu and fears
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. 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, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
continuing ngu and fears
by blechysmart, Jul 25, 2005 12:00AM
I seem to suffer from NGU every year in the spring/summer after a diagnosis of prostatitis a number of years ago. This year it seemed to start in May. My last exposure was receiving unprotected oral in Feb, brief unprotected vaginal in Sept or Oct. In May, urination was uncomfortable towards base of penis, clear stcky liquid present only when milking the penis. Went to 3 different places and got 3 painful swab tests, all 3 neg. for chlamydia. At least 1, possibly 2 were for GC as well and negative. Was given 2g zithromax, 2g metronidazole, and a week of doxycycline. I also became obsessed with milking my penis to see what was there. About a month (beg. June) later I began to notice flakes around my urethra and what I milked out became cloudy. Doc suggested urologist which I can't afford, said GC and CT passes easily with oral. Gave me 30 days of levaquin 500mg and said stop milking, and even masterbating can cause it. I stopped and it seemed to work. But now about 2 weeks after finishing antibiotics, sometimes when I urinate I have a split stream for a moment, or the flow goes down until it "breaks through". No visible discharge ever, and no real discomfort with urination. Unfortunately have started milking again, though gentler and less often. Only thing ever there is watery substance which may be left over after urinating? And rarely a small amount of sticky, mucous-like stuff. Very small amount. Any ideas? Am I causing this myself through masterbation or milking? Dirty hands? Shouldn't the antibiotics have worked? I'm convinced CT no matter the treatme
Doctor's Answer
by H. Hunter Handsfield, M.D., Jul 25, 2005 12:00AM
, Jul 25, 2005 12:00AM
The cause(s) of persistent or recurrent NGU are not well understood. It is either a persistent infection, perhaps due to an organism not even yet identified or discovered; or may be an immunological reaction, i.e. no infection at all. (Personally, I favor the immunological explanation, but the data are not clear.) A third possibility is that it is a physiologic event, i.e. exaggertion of normal urethral mucus production. Finally, perhaps it is possible that you indeed are contributing to the problem by repeatedly massaging the urethra looking for discharge. You can be sure you don't have chlamydia, especially after the treatment you have received.
Most important, there are no known serious health consequences for either affected men or their sex partners: no urethral stricture, no epididymitis, no infertility, no known disease of any kind in partners. You need not take any precautions about transmission, and you can relax about any harm coming. I suggest just living with it. And totally stop milking your penis; since this isn't important or serious, there is no reason to keep looking for discharge.
Good luck-- HHH, MD
Most important, there are no known serious health consequences for either affected men or their sex partners: no urethral stricture, no epididymitis, no infertility, no known disease of any kind in partners. You need not take any precautions about transmission, and you can relax about any harm coming. I suggest just living with it. And totally stop milking your penis; since this isn't important or serious, there is no reason to keep looking for discharge.
Good luck-- HHH, MD
You say you can't afford a urologist, but seeing one would be a logical next step. You may�be one of the minority who has true prostatitis; or urethritis--can't tell just by description. Some cases respond to even longer courses of antibiotics, 6 weeks or more.
As in my initial response, I don't think any harm is likely to come to you or a partner if you just sit tight. But nevertheless it would be preferable to see a professional to be certain.
Good luck-- HHH, MD
Is it even remotely possible that I have chlamydia after 3 negative tests and all that treatment?
Can having slight hypospadia contribute to this at all?
Can milking the penis increase mucous production?
Thank you for your time and this great service.
No, there is no way you can have chlamydia, unless you acquired it after the last negative test. Hypospadia may increase the risk of non-sexually-acquired urethritis. Milking the penis vigorously and frequently probably can increase mucus production.
HHH, MD