August 3 2023. This is a long story please bear with me.
For my sexual history, I had a complete STD panel in February, all negative. I had two sexual encounters in April & early June, both protected. On June 29 this year, I hooked up with a male partner I haven't seen in many years. In the moment we didn't use protection. They assured me they were on PrEP medication for HIV, but I began a month-long regimen of PEP for my own peace of mind. That regimen ended July 27. I also had a very brief encounter with a new person on July 9, Mutual masturbation with about 10 minutes receiving oral which was interrupted and didn't finish. I also frequently masturbate using an oil-based lubricant.
My issue, on July 23 I woke up with white fluid collected on the tip of my penis. I have never experienced something like this before. I did have a solo masturbation session the night before using my normal lube. It could have been aggressive? The fluid didn't exactly resemble a wet dream, it was a pinky nail sized droplet just coming out of the penile opening when I woke up. After cleaning, since then I've noticed that if I sit still a small drip will periodically leak from the tip of my penis. It appears clear, but I think if I go a long time (i.e. overnight) without wiping it will collecting into a whitish droplet. I can't say that there is pain or burning, but when I sit still there is a faint tingling sensation that I'm aware of at the tip. And sometimes a feeling like I need to urinate even if I do not.
July 23 I purchased a UTI test strip from the drugstore. The colors for Leukocytes indicated an active urinary infection?
July 24 There was more white discharge when I awoke. Possibly not as much as before but some could have wiped off while sleeping. A telehealth provider suggested a Gonorrhea, Chlamydia, and Trichomonas exam so I went to lab testing center and ordered those plus a urinalysis.
July 25 More discharge in the morning. Another UTI test strip came back in the negative range. Received results of previous days test, all STDs were negative and the urinalysis was in the normal range. I went to an urgent care and showed all results to a doctor. He said it was odd but with my symptoms so far he gave me one injection of ceftriaxone and a prescription for 1 gm of azithromycin. He also took a urine sample for another test for the same STDs, a urinalysis, and a urine culture to look for bacteria. I took the prescription as soon as I got home.
July 26 similar discharge in the morning, Minimal amount. clear dripping throughout the day
July 27 similar discharge in the morning, minimal amount. Took my final round of PEP. Received results of doctor-ordered tests: STDs negative, urinalysis normal, urine culture-no growth. 3rd UTI test strip, slightly seemed to give color indicating at least some sort of urinary tract problem.
July 28 small amount of discharge in the morning, whenever I think the clear dripping has stopped I notice a tiny amount. Tingling, need to urinate sensation still present.
July 31 There was not a large amount of morning discharge. mostly the clearish fluid surrounding the opening. I think if enough of the clear fluid were to collect in one place though then it make take on that cloudy white hue again. I took Azo max strength pain relief for the discomfort. Which feels sort of like tingling after urinating or as if someone was pinching the tip of my penis.
Aug 1. I'm not super certain if the Azo has been working. But the orange urine and leakage freaks me out. I switched to Azo Urinary defense which does not have dye. I think it temporarily dulled the discomfort.
Aug 3. I still take the Azo defense maybe once or twice a day with food. I'm afraid to take it too often because the box says you should not take it more than a few days. The leaking and discomfort has continued periodically. When I sit perfectly still I feel that unpleasant sensation which im still hesitant to call burning more like pinching inside the penis head. My urine is no longer orange from the first round of Azo. This morning when I woke I didn't see much other than the clear fluid, however before using the restroom I noticed that if I squeezed a droplet out it took on a very faint cloudy appearance.
Does anyone have any input? I am trying not to wig out but my brain is going to all the worst places right now. I think I am past the incubation window for the most common stds, so if I had them I would have thought they would show on one or both of the tests after I presented symptoms. I obtained a referral for a urologist, but they cannot see me for quite some time.Should I return to an urgent care & request antibiotics for a UTI in the meantime? I can't reliably tell how much my symptoms have diminished. The stress is genuinely getting to me. It's all I have thought about for the last two weeks. I have not had a real appetite lately, because my stomach is balled up with anxiety. Often I'll wake in the middle of the night thinking about it. I did try to engage in some self pleasure the other day but I'm terrified of aggravating or causing some further infection. More tests would also get expensive, as my grandfathered insurance plan does not have to meet the affordable care act guidelines of providing some preventive services.