Urethral irritation and red meatus

[JD198010]

About 5 days ago I had unprotected oral sex (maybe 2 mins duration) with promiscuous girl; met her that day and have no intentions of seeing her again since I am already in a relationship.  Yesterday (4 days after) I felt considerable discomfort after peeing and noticed the meatus was reddish but not too bad. No discharge.

Went to urologist; checked urine and found no WBC. Said he would send out to urine to culture for chlamydia and gonorrhea. He prescribed me the 1 time deal Cipro and Zithromax as treatment just in case.

Is this testing and treatment sufficient? Should I worry or test for anything else?

[HowardH]

It's not a mystery "what to ask". Just tell the doctor all you have said here. Then after he or she has examined you, follow his or her advice about possible tests and/or treatment. But stay relaxed in the meantime. Most likely you have no STD and nothing serious.

[JD198010]

Well, that pin sized red spot more or less disappeared in 24 hours so I don't think it was herpes. But I am still having a good deal of discomfort at the penis tip, especially after urination. Something must still be wrong. Is there anything else I should be testing for?

I have a followup but it is 4 days away and I want to know what to ask.

[JD198010]

So I am still having symptoms but with regular discomfort at the urethra opening and meatus. This morning I noticed a single pin sized red spot just 1/4 inch away from the meatus which is sensitive to the touch. Honestly, it doesn't look like a blister and if I were not have any other symptoms I would just chalk it up to skin irritation from either running or masturbating but now I am concerned about herpes since the antibiotics haven't done anything.

I have a followup with the doctor but it isn't until a week from the first visit (so another 4 days). If this thing heals by then they won't be able to test it.

Any advice?

[JD198010]

So as you predicted the cultures were negative. Still, I am slightly confused as to why I am still experiencing some discomfort during and after urination if there is nothing wrong with me.

Still no discharge however still the slight discoloration at the meatus which is where most of the discomfort is located.  I read up on the urine tests and they said do not urinate for 1-2 hours before test. At the time, I think it may have been only 45 minutes, is this reliable or ask for a re-test or swab?

[HowardH]

Oral sex is generally safe, with low overall rates of STD, and despite your symptoms, the borderline redness, absence of discharge, and no WBC all point to lack of any STD. You can expect negative test results.

The treatment you received is not ideal. Ciprofloxacin is no longer recommended (5-10 years out of date) to treat cases with possible gonorrhea. However, this won't be an issue as long as the gonorrhea test is negative, as expected. You are well covered for other STDs, however.