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Pain & Burning sensation in Penis
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Pain & Burning sensation in Penis

Hi,
I had a following sexual encounter with a  female Commercial sex worker on 21-Sep-12.
Encounter involved deep mouth kissing and unprotected oral , i was insertive partner.Then followed by protected vaginal intercourse.
Didnot have any sex after this episode.
I had taken Doxycyline 100 MG twice a day for 2 weeks from the next day.
Did not feel anything until last week.It started with a mild pain in my penis . I can feel the pain through out the day.The whole shaft of the penis pains ans sometimes its a occasional sharp pain.
The pain is there for close to 5 days now.Now the pain stays through out the day and I've also started feeling burning sensation throughout the day.It doesnt decrease or increase during urination.
there are no other symptoms like rashes , etc.

This is troubling me a lot and I'm really worried and fearing the worst.
Could this be any STD like Herpes.
What are the test that are recommended for diagnosis.

Many Thanks
24 Comments Post a Comment
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Avatar_m_tn
when you say commercial sex worker, does that mean hooker?
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Avatar_m_tn
yes she was a prostitute.
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101028_tn?1348750963
this doesn't sound at all like herpes going on. if you are having more pain now, go and be seen again for further evaluation.

grace
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Avatar_m_tn
Hi gracefromHHP,
Thanks a lot for the response.
I'm still worried about the pain and discomfort.
The pain stays throughout the day.I have this burning sensation on the tip of the penis for the entire day and get frequent urge for urinating.

I consulted a doctor , over the phone and he suggested Ofloxacin 200 mg( Tarivid) / twice daily for 10 days.I've been on this medication for close to 4 days.
I still have this burning sensation throughout the day.

Today I noticed few pimple like pink coloured raised dots on skin.One on left arm near wrist , one on right arm biceps and few on buttocks.
Is this herpes outbreak.

1.Does the symptom of herpes show up after around 4 weeks from the exposure.Exposure on 21-Sep-12.
2.Does this constant burning sensation in penis and pain in scrotum , symptoms of herpes.
3.I'm also feeling very dry and mild pain on eyelids.

Thanks in Advance.
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101028_tn?1348750963
have they done any testing at all or just throwing antibiotics at you and hoping that they work?

as I said previously, your symptoms do not sound like herpes going on.
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Avatar_m_tn
Hi Grace,
Thanks for the reply.
I've not done any testing yet , as the country I'm staying in for work has strong laws against STD testing.If something turns out wrong I can even be deported.Would endanger My job.
I'm planning to travel this weekend to native and have a complete testing done.
Your words regarding the symptoms are encouraging.
But I'm not sure what is going on with Me.

How long does it take the symptoms/outbreak to appear after infection.
I'm also worried and deeply stressed as I have a routine healthcheck due this week for new job.The healthcheck list includes blood and urine routine.
Will there be any abnormal results if I'm infected in regular urine/blood culture.Will these infections show up in regular tests.
I might loose the job if I don't clear the tests.
I'm now regretting the worst mistake I've done.I cannot blame it on alcohol but its 100 % My mistake.
If it turns out to be a STD , I will loose My job and life.
Sorry If I had troubled You with these details , felt like letting out My fear , as I cannot discuss these things with others for obvious reasons.

Thanks in Advance.
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101028_tn?1348750963
it's unfortunate that they aren't even doing basic urine testing for you and not checking your prostate :(    would've given better answers than nothing at this point.
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Avatar_m_tn
Hi grace,
Its been more than 5 weeks and the burning sensation and pain in penis is still there.
I took a IgG and IgM HSV 1 & 2 ELISA blood test.IgM for both 1 & 2 came back negative.IgG for HSV 1 is positive with very very high value.the spec says above 20 is positive and my readings are 359 RU/mL .I'm not sure if I can trust the results.
Also I dinot get any blisters or pimples on face or genitals.Had 2 pimple kind of stuff on hands but they didnot break open and there was no pain.
I'm confused and scared .Please help.
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101028_tn?1348750963
did you get any urine testing done yet?

are you outside of the US?

why are you still thinking herpes as the cause for your symptoms?
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Avatar_m_tn
Hi Grace,
I'm outside US and did get urine culture done.it indicated significant infection of Klebsiella pneumoniae.
I'm more thinking of herpes because it all started after the sexual encounter I've mentioned.And above that the IgG for HSV1 coming positive.
I'm really in a fix .looking forward to Your opinion.
Thanks
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Avatar_m_tn
Hi Grace,
I'm outside US and did get urine culture done.it indicated significant infection of Klebsiella pneumoniae.
I'm more thinking of herpes because it all started after the sexual encounter I've mentioned.And above that the IgG for HSV1 coming positive.
I'm really in a fix .looking forward to Your opinion.
Thanks
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101028_tn?1348750963
I can't help you much with the testing you had done since it's not one that is commonly used in the US.  the testing you did have done isn't always very accurate though :(  

klebsiella can be sexually transmitted.

nothing sounds like genital herpes going on. I'd stop worrying that it was.
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Avatar_m_tn
Hi,
Thank You for the response.
Last question Mam , sorry to bother You.
But what should be the typical infection or outbreak look like.Will it just cause pain and burning during urination without any blisters in genitals.and will it last for about 6 weeks if not treated with drug specific to herpes supressive therapy.also would the symptoms take 4 weeks to appear after initial infection.
Thanks
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101028_tn?1348750963
most herpes infections only last 2-3 weeks initially even without treatment. they can last as long as 6 weeks but  most folks don't have them that long.  symptoms typically show up before 1 month post encounter too.
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Avatar_m_tn
Thanks Grace.
Appreciate Your time .Its really a great service You are doing to help people like me who suffer from anxiety and fear.It really helps a lot.
Thanks again.
God Bless.
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Avatar_m_tn
Hi Grace,
Is it possible for HSV1 to cause only Pain & Burning sensation in Urination without any visible sores in genitals.
Many posts in this forum states that , if at all symptoms occur , it would be followed definitely by sores/blisters.
Also from last two days I've started getting heavy burning sensation in Anus during defecating in the morning.
I'm really worried as the doctor even after seeing the urine culture report has not recommended any treatment for the bacteria , but has asked me to repeat the HSV tests 3 months post exposure.As of now he has given Doxy 100 mg once a day .
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101028_tn?1348750963
doesn't sound like a herpes symptom. you wouldn't have pain only with bowel movements with herpes - it would be constant.
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Avatar_m_tn
Hi Grace,
It started like some dry skin on the penis shaft.after around a week i can see small white colour pimples in that area.It doesnt itch or pain but its multiple tiny spots and white in color.i still have burning sensation while urination and heavy sharp pain at the tip of the penis.sometimes i feel slight discomfort on the inner thighs.doctor has asked me to go for complete bloodwork 3 months post exposure.does these white patches a symptom of herpes .can this come 10 weeks post exposure and almost 8 weeks after the pain and burning started.
Thanks
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101028_tn?1348750963
this doesn't sound at all like herpes. be seen regularly for your symptoms for better answers.
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Avatar_m_tn
Thanks a lot Grace.
God bless!!
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Avatar_m_tn
Hi Grace,
I got the bloodwork report, done post 3 months of the exposure.It was a Type specific ELISA HSV 1 & 2 IgG & IgM tests.
The results say HSV 1 - IgG POSITIVE , rest all NEGATIVE.

I still have the burning sensation pain in Penis tip throughout the day.It aggravates when I sit for long hours.I'm experiencing the pain for last 2.5 months.No other symptoms like blisters/lesions.

The Urologist I as referring to did not take this seriously and said it is not relevant and I need not worry and referred Me to a Skin Specialist.
He took Me through detailed analysis of My Genitals under Bright Light/Lens etc and said He couldn't find anything .
He did not recommend Me any medications.

I'm worried as I still have the symptoms and it all started after the episode 3.5 months ago.
I'm really in a fix on deciding on My marriage and sexual life.

I'm not sure if I'm given proper treatment.

1.Would I transmit this to My partner ?
2.What are the precautions I need to take .
3.Would there be any complications in Pregnancy / delivery with My partner ?

I'm seriously in a fix on how to take this forward.As I've gone to the best and leading hospital chain in My country.

Thanks in Advance
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101028_tn?1348750963
really no reason to think this is hsv1 genitally causing your symptoms. continue to follow up with your urologist regularly as needed for your symptoms.
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Avatar_m_tn
Hi Grace,
Thanks for the response.I'm planning to do that.

Can You please help Me out on the following queries.I'm worried because of the bloodwork reports.

1.Would I transmit this to My partner ?
2.What are the precautions I need to take ?
3.Would there be any complications in Pregnancy / delivery with My partner ?


Thanks
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101028_tn?1348750963
has your partner been tested for herpes to know her status?

http://www.ashastd.org/std-sti-works/Herpes/oral-herpes.html  has terrific info on oral herpes for more reading.
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