Pain in Tip of Penis

[e616]

I am a 27 year old male who has been suffering from pain in the tip of my penis for about 2 months. The pain varies from mild to severe and comes and goes. The pain is like a sharp shooting pain only in the tip of my penis.  I first noticed the pain about a week or so after having sexual intercourse and receiving oral sex from my girlfriend. She has oral HSV-1 so I was worried that I may have contracted it. I have been tested for STDs (including herpes) and all tests have come back negative.  I have seen two different urologists who diagnosed me as having atypical prostatitis. The urologist performed a cystoscopy and determined there to be nothing anatomically wrong regarding my prostate/urethra/bladder.  All my urine tests have come back good. I have been on a slew of antibiotics (Doxy, Septra, Levaquin, Keflex) that have not helped the situation at all.  I have been taking Flomax for a couple weeks and that hasn’t seemed to really do anything either. Sometimes the pain is so severe I have a hard time functioning throughout the day. It seems I have a little redness around the tip of my penis that seems out of the ordinary for me, but every doctor I’ve seen said that it is normal looking. I have had a long history (years) of feeling the urgency to urinate and urinating frequently. I’m not sure if that is related to this issue at all. I don’t have any discharge.  I don’t have any immediate pain after/during ejaculation, but it seems the next few days after the pain is the worst. I have been really good about drinking a lot of water and avoiding very acidic foods, but the issue still remains. Exercising and taking baths seems to help with the pain a little bit. Urinating actually soothes the pain. I have been taking a UTA capsule to curb the pain which seemed to initially work, but now it doesn’t help much. The pain feels the worst when I’m at work (sitting all day).  My urologist thinks that the pain should eventually go away in time, but I’m becoming very discouraged and stressed about the situation. What could this problem be?

[e616]

Thank you for the advice.

[drez820]

I had similar pain...now is getting away. It wasn´t bacterial nor a virus...my urologist treated me with muscular relaxing treatment and anti-inflamatory treatment. I much better. the cause was anxiety, giving me a high muscular tone in the pelvis floor....i this could help you

[gracefromHHP]

the cream you were given shouldn't have been used for more than a week. the steroid in it can cause thinning of the skin and more damage to the skin so it should be limited. I'd try at this point using an otc antifungal powder twice a day in the genital area for a week and see if that helps any too.  you've been on a lot of antibiotics at this point so some fungal over growth certainly would not be unusual.  a topical fungal infection wouldn't show up in a routine urinalysis.  this would be for the redness you are noticing, not all this pain you are experiencing.

if your prostate is inflamed or recovering from infection, sitting puts a lot of pressure in that area. try adjusting your chair at work some as well as make sure you get up more often and walk around to take pressure off that area.  avoiding caffeine, spicy foods and alcohol is also often helpful for some men.

no reason to think this is a std related issue.  genital herpes can cause urethritis type pain but you'd almost always have obvious genital lesions along with it and you haven't so not like it's that.  

continue to follow up with your urologist as needed and best of luck finally getting rid of this pain :)

grace

[e616]

Hello. No, they didn't mention Candiasis specifically, but my GP first prescribed me a Nystatin/Triamcinolone cream. I used that for a couple weeks, but it didn't really help. Would a yeast infection show in the urinalysis?

[Life360_Dave]

Hi and welcome. Did you doctors mention Candiasis. its like a yeast infection in women that men do get also. Its a fungus and i believe treated with antifungul creams