STDs Expert Forum
ANAL ITCHING 7 DAYS AFTER INTERCOURSE
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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ANAL ITCHING 7 DAYS AFTER INTERCOURSE

I am a 53 year old male. 7 Days after extramarital intercourse an itching sensation began on my anus. Intercourse was held only once with the lady. No anal pemetration, just straight sex penus-vagina. I do not have discharges. It does not seem to be HPV or herpes since  I have been seen by local Mds without a diagnosis.  It has been going on for 1 year now and transformed into soreness and subtle pain ensues mostly when I sit down. Sensation intensifies when I sit down. If I am lying down the sensation of pain and soreness goes away almost inmediately. I was wondering whether I might have Chlamidia (but I have no discharge of any sort) or some other type of infectious disease. I believe that it must have been some type of infectious disease since it was triggered by the extra-wife intercourse. I have spoken to the lady as to whether she might have had some type of STD but she denies it strongly stating that she keeps rigid medical controls and no such diagnosis has been made. I got a doppler echo done on my anus as well as an inspection and no diagnosis turned out. I was given ample spectrum antibiotics plus antiinflammatories and condition got somewhat better for a couple of months but it is back again.  Bottom line is subtle pain and discomfort appear when I sit on my ***. Do you have any ideas?

Tags: Anusitis
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The symptoms you describe are not immediately suggestive of any particular STD and it would be most unusual for you to have a typical STD without direct inoculation of the infectious agent.  Anal itching is a rather non-specific problem and can be caused by an enormous number of processes, infectious and otherwise.  Among the most common causes fo this complaints of this sort are fungal infections which might be hard to detect, intermittent and would be more likely in someone who had received antibiotics.  Alternatively, your symptoms are certainly also consistent with hemorrhoids which, unfortunately are more common as folks get a bit older over time.  This might be detected with a sigmoidoscopy, have you had one yet?

Those are my leading thoughts.  I hope they are helpful.  Also, I would point out that your awareness of these symptoms may not be entirely coincidental.  Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital or rectal sensations than in periods when they are not concerned.  This in turns leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  Perhaps this was a contributor to your situation.  EWH
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H. Hunter Handsfield, M.D.Blank
University of Washington
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