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POst NSU Symptoms
Hello,
24th July had unprotected oral encounter. Began to feel pain in the tip of penis (no discharge). Went to UK GUM clinic. Had swab urine test for ch/gon all came back negative.
Two weeks later symptoms persist, burning in head of penis and in urethra. Returned to gum clinic who repeated tests, said they found some pus cells in the swab and treated my with Doxy 100mg twice a day for 7 days.
One week later symptoms persist, return to GUM clinic. Repeat tests all negative and now presenting with dysuria and very bad burning and needle like pain at head of penis. Penis head very sore to touch. Doctor finds nothing and sends me to GP to get prostate checked.
At the weekend I thought it might be thrush from using Dox so used canesten cream and fluconazole tablet, symptoms still remain.
Went to doctors today, had prostate examined all ok, sent urine samples off again. Doctor prescribed Daktacort and naproxen for the pain. Asked me to return this Friday and if symptoms remain I am to be referred to a urologist.
Im wondering if this is a viral infection, I have no lesions or sores and its nearly a month post contact. My penis is a little red just under the head but no sores, no rashes of any kind. Just a burning sensation in and around the head and dysuria.
Any ideas? Going out of my mind here :(
24th July had unprotected oral encounter. Began to feel pain in the tip of penis (no discharge). Went to UK GUM clinic. Had swab urine test for ch/gon all came back negative.
Two weeks later symptoms persist, burning in head of penis and in urethra. Returned to gum clinic who repeated tests, said they found some pus cells in the swab and treated my with Doxy 100mg twice a day for 7 days.
One week later symptoms persist, return to GUM clinic. Repeat tests all negative and now presenting with dysuria and very bad burning and needle like pain at head of penis. Penis head very sore to touch. Doctor finds nothing and sends me to GP to get prostate checked.
At the weekend I thought it might be thrush from using Dox so used canesten cream and fluconazole tablet, symptoms still remain.
Went to doctors today, had prostate examined all ok, sent urine samples off again. Doctor prescribed Daktacort and naproxen for the pain. Asked me to return this Friday and if symptoms remain I am to be referred to a urologist.
Im wondering if this is a viral infection, I have no lesions or sores and its nearly a month post contact. My penis is a little red just under the head but no sores, no rashes of any kind. Just a burning sensation in and around the head and dysuria.
Any ideas? Going out of my mind here :(
so ive done a bit of digging and found this information with regards to NGU/NSU from user "HowardH"
CDC treatment guidelines suggest a specific sequence for NGU that doesn't respond to treatment: Initial NGU should be treated with either azithromycin (single dose) or doxycycline 7 days; if it persists (by professional exam, not just symptoms), give the alternat drug, i.e. azithro or doxy, whichever wasn't used first, PLUS metronidazole to cover trichomonas; and if still persists, try moxifloxacin, generally considered the best drug against M genitalium. Specific testing for M gen is not recommended, because approved testing is not widely available.
The CDC recommendations do not distinguish NGU acquired by genital versus oral sex. For oral, it probably is reasonable to go through the same sequence, but there is less confidence it would work, because neither trich nor M gen is known to be acquired by oral sex. OTOH, these drugs have activity against a wide range of other bacteria (probably including most oral bacteria), so it is still a reasonable sequence to try.
See your doctor to confirm you still have active urethritis. (Urinary discomfort without visible discharge usually doesn't count.) If so, remind him or her of the CDC recommendations. (They can be confirmed on line at www.cdc.gov/std. The current guidelines are dated 2010, but no change is expected in new 2015 guidelines that probably will be released in the next month or two.)
*****
I've had treatment with Doxy for 7 days. Do you think it's necessary to be treated with these other aforementioned antibiotics to treat the less well known possibilities of this infection, such as trich, m gen etc?
CDC treatment guidelines suggest a specific sequence for NGU that doesn't respond to treatment: Initial NGU should be treated with either azithromycin (single dose) or doxycycline 7 days; if it persists (by professional exam, not just symptoms), give the alternat drug, i.e. azithro or doxy, whichever wasn't used first, PLUS metronidazole to cover trichomonas; and if still persists, try moxifloxacin, generally considered the best drug against M genitalium. Specific testing for M gen is not recommended, because approved testing is not widely available.
The CDC recommendations do not distinguish NGU acquired by genital versus oral sex. For oral, it probably is reasonable to go through the same sequence, but there is less confidence it would work, because neither trich nor M gen is known to be acquired by oral sex. OTOH, these drugs have activity against a wide range of other bacteria (probably including most oral bacteria), so it is still a reasonable sequence to try.
See your doctor to confirm you still have active urethritis. (Urinary discomfort without visible discharge usually doesn't count.) If so, remind him or her of the CDC recommendations. (They can be confirmed on line at www.cdc.gov/std. The current guidelines are dated 2010, but no change is expected in new 2015 guidelines that probably will be released in the next month or two.)
*****
I've had treatment with Doxy for 7 days. Do you think it's necessary to be treated with these other aforementioned antibiotics to treat the less well known possibilities of this infection, such as trich, m gen etc?
ok thanks.
Hopefully its just residual inflamation but im not sure that would result in dysuria.
Hopefully its just residual inflamation but im not sure that would result in dysuria.
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Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
