Burning

[helpplease775]

about six months ago i was infected with clamydia and tested positive, shortly afterward i had a new partner whom im with currently, she was infected also, we both took azithromax 1 gram dosage in one go, she had some diarhea shortly after, so we got another prescription of Doxy for seven days each, all seemed well and i was retested a month after negative for Chlamydia and Gonorrhea at the same time i was tested for (HIV negative as well)
shortly thereafter: i had some burning, in my urethra only very mild but no discharge at all.. the burning was mainly at night lying down or driving (thats when i would notice it most..)   back to the doctor and he gave me some more doxy yet symptoms persisted, i had another test for chlamydia came back negative.  shortly thereafter i noticed that the tip of my penis changed the meatus" became a little inflamed and at the very top of the opening of the meatus a small little hole appeared rather than  the meatus  normally being closed.
i made an appointment with a urologist and he stuck a tube down the urethra to have a look he said everything looked normal he prescribed ciprofloxacin for a 10 day dose and if sympthoms still persisted he precribed metronidazole for ten days in case of prostitas....Sympthoms are still here and im half way through the metronidazole.. i finshed the ciproflaxcin ten days ago already...

Symptoms

my urnine is very dark.. only recently.. im thinking its the antibiotics.
no discharge..
every now and again.. maybe every two or three days i may have a small itch at the tip of the penis. its also a little inflamed
ejaculation doesn't hurt
urination is not painful.
my partner has no sympthoms.
a very mild burning  between my scrotum and anus mainly whilst driving or lying down, the feeling can come and go.
taken 2 lots of doxy + two x  1 azithromx antibitoc 3 months ago

have been retested 4 times since for chlamydia all negative.. last test 10 december 09

What could it be ?

[helpplease775]

Is what i have likely to be sexually transmitted,? ie should my partner be worried.? im still confused about the meatus and the way it looks now , slightly swollen and the small opening at the tip (like an eye of a needle)

ill head back into the urologist next week to follow up on the  urine test ..

Thanks again

[Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD]

Hello,
What you can be sure about is that you do not have Chlamydia or Gonorrhoea.  The tests were certainly negative, but also you have had an array of antibiotics that would have treated the vast majority of infections capable of causing the symptoms that you have been experiencing, including Mycoplasma, Ureaplasma, Trichomona, Gardnerella, etc. It is possible that you might still have a different kind of micro-organism responsible for an infection.  However it is more likely that you might have developed either chronic urethritis (sometimes also in the form of sterile urethritis) or even prostatitis (hence the pain between the scrotum and the anus).  These are conditions sometimes difficult to diagnose and treat, and one might need a long term course of oral antibiotics, even months.  There is even a strong psychological effect in the symptoms as one tends to focus in the symptoms, almost expecting them.  I think that if your symptoms continue you need to see your urologist once again.  You need a urine test to check for white blood cells, typical of NSU (non-specific urethritis, or even of chronic urethritis) as well as a blood test for a PSA, always raised in cases of prostatitis.   All these investigations might shed some light in your case in order to find the right treatment.  I am sorry I cannot be more specific but it is not always easy to give advice in this type of cases.
Best wishes,
Dr Jose Gonzalez-Garcia

[helpplease775]

ps i can post some pictures if you like