burning at tip of penis

[hatingliferightnow]

I have been suffering from a burning sensation at the tip of my penis for about a month now. Burning occurs at differnt times throughout the day. i have the urge to urinate frequently and the feeling that i have more urine that wont come out. Emo std negitive, blood in urine, perscribed Doxycycline. Symptoms improved from intense pain (a 7 on scale to 10) to slight or no pain (2) over the next several days. I continued using meds for entire 10 days, and thought i was better. A week after taking the last pill the same burning sensation returned.I went to a urologist and he found blood in my urine but no std's. He checked my prostate said it was spongy put me back on the doxycycline The burning sensation is now very mild and seldom.but it is still occurring especially if i drink alcohol and my penis has the "just out of the pool look." Some back pain by kydnys but not much. I know this does sound more like prostitis than herpes but a few days ago a rash of tiny dots appeared on the head of my penis, for the first time. Then today the dots are gone and the skin is red. 1 splotch the size of a smarty then 3 much smaller splotches. Also the burning will almost always occur after ejaculating. From the material I researched i belived i had prostitis because there was no rash until a couple days ago. Here is my sexual that has me worried.

8/6recieving unprotected oral with female prostitue
8/13giving and recieving unprotected oral with man,  and protected anal (he recieved, i wore a condom)
8/29emo (doxycycline 10 days) std negitive urinalysist results
9/15unprotected oral ex girlfriend #1
10/16unprotected oral ex girlfriend #2
9/21 burning returned urologist (dexycycline helped) std negitive
9/30 rash, bumps
10/3 red skin in place of bumps.

except for the rash i would have continued to think its prostitis. but now im worried that i have herpes. no discharge. thanks for your time and advice

[Terri Warren, RN, Adult Nurse Practitioner]

It definitely sounds more like prostatitis, you are correct, but I'm not at all clear that doxycycline is the drug of choice for this condition.  Often clinicians use one of the quinolone drugs for this condition, for weeks at a time.  
You have had quite a few sex partners in the past few months, and although I don't think the bumps sound like herpes, I think a herpes antibody test would be a good idea.  I also think you should take with our health care provider about the choice of antibiotics for the prostate issues, if he thinks they are still going on.  Remember when you get a herpes antibody test, you want an IgG test, not IgM.  You mention you are STD negative, but I"m not sure if that includes herpes testing, does it?
Terri

[Borat1]

I had simular symptoms to yours (see my post Urethral Herpes?) and after greater than a year since my last "suspect" sexual encounter, I have still tested negative for HSV-1 and 2 via the Western Blot test (most accurate).

I had little bumps like you describe, but it was most likely a combination of fordyce spots and over anxiety.

Your symptoms sound like text book CPPS (Chronic Pelvic Pain Syndrome) aka, non-bacterial prostatitis.

There is a book called "A headache in the Pelvis" that goes into detail, but to sum up, anxiety over genital concerns (STD's) can cause great tension in the inner muscles  that results in incontinence, dripping, painful ejaculation, a burning tip in the penis, lower back pain etc.

I've gone to Physical Therapy for it and it was just about gone until I took an HSV test at 12 months and popped a false positive for HSV-2.

My status was confirmed HSV-1 and 2 negative via the western blot, but even when I recently came down with an episode of jock itch, I was concerned it must be herpes.

I would ask your urologist if he can refer you to a physical therapist that threats CPPS.  

It's done wonders for my condition, hopefully it can help you as well.

With all this said,  I agree with Terri and get the IGG done just to be sure.  Just realize there are false positives that occur pretty frequently, so don't freak if it comes back with a low positive.

Cheers,

Borat