Am I imagining things with my crazy mind?

[airflighter]

Four months ago I had unprotected oral  I had arranged a massage through Craiglist while drunk, showed up at "her friend's apartment" and I pretty quickly fell asleep on the table. I awoke to her laughing, saying she  tried to get me off with a BJ but I was too drunk.

Freaked out completely, since I'm married and have a great wife I love deeply and I haven't ever done something like this, I felt horrible and paranoid.  I took some Kerflex I had, full dose for 3 weeks. Stayed off sex for a month and no symptoms during.

A month ago  my wife had microscopic blood in her urine.  My high anxiety from my fears and guilt made me worry myself sick, flare up my recurrent herpes, imagined tingling in my penis. One time, just once, after peeing I thought I noticed a tiny bit of some residual clear sticky fluid. But not after that.  Never, any painful urination. After many tests, my wife was deemed fine. I felt better.

Anxiety always there for me,  last week, my herpes came back hard and the tingling feeling has stayed for a week, with breakout now gone.  Also had chills and malaise. For some reason I had started thinking about it all again.

Three days ago, we think I passed a gallstone and the day was VERY traumatic, and it wrecked havoc on my body   I had urine and blood tests.  Everything "normal"..The day after I had a prostate exam.  Result: enlarged prostrate (I'm 52). Since that exam (aggressive, ouch) I feel very sensitive in prostate, groin and abdominal area. The urgency to pee was crazy at first but getting better.

Now. I have these sensitive feelings, no pee pain, but extra need to urinate.  Logically, it's the stress, prostrate invasion, gallstone, knowledge of enlarged prostate and my 4 month old fears.

But fears remain in my head, constantly. Can you alleviate them?

[H. Hunter Handsfield, M.D.]

You obviously are very anxious and overreacting.  Therefore, my guess is that I cannot alleviate your fears.  All I can say is that receiving a BJ is pretty safe sex, with only low risk for any STD.  The cephalexin (Keflex) would have eradicated gonorrhea or syphilis, two of the infections that could   have been acquired by oral sex.  And you describe no symptoms to suggest you acqured an STD.

If you remain nervous, all I can suggest further is that you visit a health care provider for direct examination and perhaps testing.  But almost certainly nothing will be found.

No ongoing discussion, please.  There is no additional information that is likely to change my opinion or advice.  Best wishes--  HHH, MD

[airflighter]

My only followup is you said "gonorrhea or syphilis, two of the infections that could   have been acquired by oral sex"  That means Chlamydia or something else would not be one that would be transmitted via oral sex? That's my only followup question I promise.

Thanks.  Seriously, I do feel better now.

[H. Hunter Handsfield, M.D.]

The other possibilities are herpes due to HSV-1 and nongonococcal urethritis (NGU), which sometimes might be caused by normal oral bacteria.  Chlamydia is rare if ever transmitted by oral sex.  NGU from oral bacteria probably is harmless, and if you caught HSV-1 you would probably know it from symptoms, so they are not major concerns.

[airflighter]

I thought I'd just post a clarification.  I thought I took the Kerflex for three weeks, but I checked and it really was three 500mg pills per day, for 12 days. (from about day 2 or 3) In another post you made somewhere here you mentioned that it really should be 14 days (not that you recommend Kerflex) and the cure isn't sure for gonorrhea or syphilis, so I thought I'd mention it, just in case it's meaningful for others who read this thread (or me I guess).

But, just to let you know, I realize now I was just panicky, stressed and guilt-ridden, because it was all just so out of character for me, and it happened so (stupidly) unplanned.. I was going crazy. I'm fine now.  All I've got now is that damn pee-difficulty stuff that goes with an enlarged prostrate, and I'm sure knowing it's enlarged is causing my mind to make those symptoms even worse. :)