Genetial Itching and stinging pains

Dear Dr. Rockoff
I have distracting genital and rectal itching accompanied by increased urinary urgency and frequency and mild but distracting “shooting/stinging” pains at the tip of my penis.

I have been experiencing these for about a year and they became noticeable after I received oral sex from a friend.

I have subsequently been to multiple urologists and dermatologists, and have had multiple blood tests which have tested negative for Syphilis, Chlamydia, and Herpes I &2,  My urine has been tested for white blood cells (none) and I have been on multiple courses of antibiotics to prophylactically treat any infection I might have had.  The only positive test was a finding of Enterrococus Faecelie in my sperm for which I have now been on Amoxicillin for a month.  I will have my sperm retested in a week or two, but the intermittent genital itching and stinging at the tip of my Penis has not gone away.  It can come and go for days at a time ---no sores of any kind, but the very tip of my penis is redder than in the past although two urologists said it was normal.

I remain concerned about having sex with my wife which i have abstained from for almost a year until the situation resolved itself, which it hasn’t.

What advice would you have to determine or test if I have something communicable or if there is a treatment for what I do have?   I have had excemea on my chest for years, but can't imagine how it could have expanded and there are no signs of such. Thanks

[Alan Rockoff, MD]

Because you have had so many negative tests, feel comfortable in suggesting that your symptoms are psychosomatic, resulting from anxiety and guilt.  I therefore strongly urge you to seek counseling, whether alone or with your wife.  You have no reason to put your sex life on indefinite hold.  There is no physical disease I know of that would produce these symptoms.  Time for you to get the help you need to move on.

Take care.

Dr. Rockoff