STD or something else?

[canuck30]

Around 2.5 months ago I began experiencing sever burning in my urinary tract. This was shortly after protected intercourse with a 'professional'. I went to the doctor, and they thought it might be an std. He gave me a 'cocktail' of antibiotics, to be taken on the spot, as well as running urinalysis and blood test. A few days later it got very extreme, painful and burning. I went back to see the Dr and he had the test back... normal. He also prescribed Ciprofloxacin, which I took for 10 days, with no change. I was sent me for more blood work and urine test, including PSA, which all came back normal.

I then went to see a Urologist who also thought I must have an std and prescribed me Doxycycline for 14 days. As well as swabs.

The Doxycycline didn't seem to be working at all, so I went to see another urologist, referred from my GP. He said all test, blood, swabs, urine were normal, but when he checked my prostate it was a little sore and swollen (hard to define, as he hadn't checked it before). He thought there maybe something causing this, perhaps an infection deep in the prostate, which is difficult to check for. He then put a scope up to my bladder, and he said all was normal, though slightly inflamed.

He put me on a long-term antibiotic (cipro 1000mg) for 30 days, in case it is the prostate that is infected. He said it takes much longer with the prostate for antibiotic reach it and take affect. Or, it could be prostatitis, in which case not much can be done. This cycle of cipro did not work.

I have now been going to another Urologist for the past three weeks, where he confirmed the prostatitis, enlarged congested prostate, etc. Also, he took a detailed history, and it was found that I have had symptoms of prostatitis dating back almost 10 years! At those times I thought it just a urinary infection that would flare up for a few hours or a day. It seems I have chronic prostatitis. I am not on a six week schedule of more antibiotics.

The only other medical issue, which I am not sure if connected, is I have a high ALT level, which has been monitored for the past few years, and is a mystery. I have been checked for everything, and I don't drink alcohol. It is usually around 115, but during this onset it spiked at 303.

I have been off work for a while with this, and getting very depressed and anxious. The only thing that gave any relief was Phenazo, and that has stopped being affective. If you feel this is an area you could help with, any suggestions or help would be sincerely appreciated! I am extremely uncomfortable. Burning and discomfort in the perineum, within the urinary tract, through to the tip of my penis post urination. There is no discharge, blood, cloudy urine, etc. Everything seems normal, other then the burning in the tract, which is worse after urinating... NOT during urination. When it isn't burning, there is a gnawing sensation.

I will continue on the antibiotics, but growing more and more concerned. Please give me any advice or point me in a direction that perhaps hasn’t been looked at.

Thank you,

[auntiejessi]

Well, we are limited here - its an std forum.  If you know about ureaplasma, then you should just get tested for that, though the antibiotics you've been on would most likely have cured ureaplasma.

I'm sure its frustrating, but it really does sound like CPPS.

Aj

[canuck30]

I was hoping someone could offer some other suggestion other then Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS). Perhaps ureaplasma or another condition which hasn't been explored.

[auntiejessi]

Wiki has a great article on this - http://en.wikipedia.org/wiki/Chronic_prostatitis/chronic_pelvic_pain_syndrome

I'm sure its frustrating, and we've had others here who have it.  

Aj