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STDs (Expert Forum)
Can this be a STD?
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.
Can this be a STD?
by Concern123, Aug 09, 2005 12:00AM
I'm a male that had a felatio (unprotected) performed on me by a female for about a minutes. I didn't know here sexual history. After my symptoms I found out that she get cold sores but, at the time of the felatio cold sore where not present. About a week or two later I started to have a burning/stinging sensation in my penis and in my urethra. It burned when I urinated and there were no blister or lesions. The meatus was itchy and senestive underneath.
I went to the doctor and got tested for UTI, all STDs except for herpes and HIV. He also gave me antibotic for the infection. The test came back negative. About a month later the pain returned. I went to see a Urologist and and he gave a Herpesselect I and II test and a HIV test. Everything came back negative except for HSV-1 test. I never had a oral cold sore or blister.
The irritation went away after two weeks. The symptoms came back for 5 weeks and currently I'm having vague itching at the tip of my penis and a slight sting after I urinate. The first episode was the most painful one. Can this be herpes, hiv, or some other STD? Can UTIs recurr in this fashion and if it does how long does it persist? Please help me.
I went to the doctor and got tested for UTI, all STDs except for herpes and HIV. He also gave me antibotic for the infection. The test came back negative. About a month later the pain returned. I went to see a Urologist and and he gave a Herpesselect I and II test and a HIV test. Everything came back negative except for HSV-1 test. I never had a oral cold sore or blister.
The irritation went away after two weeks. The symptoms came back for 5 weeks and currently I'm having vague itching at the tip of my penis and a slight sting after I urinate. The first episode was the most painful one. Can this be herpes, hiv, or some other STD? Can UTIs recurr in this fashion and if it does how long does it persist? Please help me.
Doctor's Answer
by H. Hunter Handsfield, M.D., Aug 09, 2005 12:00AM
, Aug 09, 2005 12:00AM
It is possible you acquired nongonococcal urethritis (NGU), likely due to your partner's normal oral bacteria. Did the first doctor look for evidence of urethritis, e.g. by looking at urine or a urethral swab for white blood cells? In any case, you have tested negative for all the important infections. Your positive HSV-1 blood test is more likely to be the result of a childhood oral HSV-1 infection. (Most HSV-1 infections are asymptomatic; absence of cold sores doesn't mean anything.) If your symptoms keep recurring, you could have a culture test for HSV from your urethra, but this is a very unlikely possibility. Bacterial UTI is rare in men and not likely in your case.
Nonchlamydial NGU often recurs after treatment. If one of your doctor's is able to confirm urethritis (visible discharge, or by urine or swab test as implied above), then a repeat course of antibiotics might be warranted. But the main thing is not to worry very much. Nonchlamydial NGU has never been shown to cause serious long term health problems in men or their female partners; and even without treatment, your symptoms are likely to fade.
Finally, your symptoms might be at least partly related to anxiety, magnifying otherwise normal body sensations. But you can judge this possibility better than I can.
Good luck-- HHH, MD
Nonchlamydial NGU often recurs after treatment. If one of your doctor's is able to confirm urethritis (visible discharge, or by urine or swab test as implied above), then a repeat course of antibiotics might be warranted. But the main thing is not to worry very much. Nonchlamydial NGU has never been shown to cause serious long term health problems in men or their female partners; and even without treatment, your symptoms are likely to fade.
Finally, your symptoms might be at least partly related to anxiety, magnifying otherwise normal body sensations. But you can judge this possibility better than I can.
Good luck-- HHH, MD
I didn't think your initial symptoms were anxiety-related, but your persistent/recurrent symptoms may be. The urologist's report that of a negative urine test doesn't mean much; a standard (midstream) urinalysis often is normal in NGU, and regular tests for chlamydia and other bacteria usually are negative. The amount of antibiotic you took is irrelevant; it depends on which antibiotic(s) were used.
If your symptoms persist, you should see an STD expert. Your urologist may qualify, but most do not. Consider your local health department STD clinic. Go early in the day, immediately after arising, and do not urinate until you are examined. That is the best way to assure an accurate assessment of possible urethritis.
HHH, MD
Please help.