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STDs (Expert Forum)
Am I spinning my wheels
Answered by
University of Washington
Seattle - WA
Welcome to the STD Forum, which 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.
Am I spinning my wheels
by overanalysis101, Aug 14, 2006 12:00AM
Dear Dr. Please review and respond
My Current History:
47 year old male on business trip, staying a friends house that had unwanted unprotected sex for <2min from a 53 year old woman who jumped in my bed after drinking 45 days ago (No sex for her for 2 years, she just came back from globe trotting...states she is clean) until I pushed her off at 11pm and made her leave because I am married. (I was turned on though and after she left I masturbated 2 x with lotion.)
By 6am I had burning in Urethra and itching that got progressively worse.
I panicked...went to clinic and over the next 30 days have had the following meds.
1g Zith PO
125mg Rocephin IM
1.5g Z pack PO
Ofloxacin 400mg Po
Flagyl 2g PO
Doxy 100mg BID x 14
2.4 Bicillin...and finally Pyridium
To date no lesions, discharge, drip and - GC 1 day after encounter, -Syph via Blood test after 3 weeks however, I have had itch in urethra consistantly (Some days worse than others) and a feeling of dull pain in left testicle (Epididymis) along with hot testicles on occasion)
Could I have an STD that did not react to Meds? Did I kill my normal flora and creat a superinfection?..Am I just Nuts?
Additional note: 5 days ago had sex with my wife...was feeling ok...but symptoms are returning again...(I know she is clean)
Am I overreacting here?
PMH. Cystoscopy for uretral injury 10 years ago revealed out pouching in urethra.
Thanks for any advice
OverA
ps. Thanks for the great forum
My Current History:
47 year old male on business trip, staying a friends house that had unwanted unprotected sex for <2min from a 53 year old woman who jumped in my bed after drinking 45 days ago (No sex for her for 2 years, she just came back from globe trotting...states she is clean) until I pushed her off at 11pm and made her leave because I am married. (I was turned on though and after she left I masturbated 2 x with lotion.)
By 6am I had burning in Urethra and itching that got progressively worse.
I panicked...went to clinic and over the next 30 days have had the following meds.
1g Zith PO
125mg Rocephin IM
1.5g Z pack PO
Ofloxacin 400mg Po
Flagyl 2g PO
Doxy 100mg BID x 14
2.4 Bicillin...and finally Pyridium
To date no lesions, discharge, drip and - GC 1 day after encounter, -Syph via Blood test after 3 weeks however, I have had itch in urethra consistantly (Some days worse than others) and a feeling of dull pain in left testicle (Epididymis) along with hot testicles on occasion)
Could I have an STD that did not react to Meds? Did I kill my normal flora and creat a superinfection?..Am I just Nuts?
Additional note: 5 days ago had sex with my wife...was feeling ok...but symptoms are returning again...(I know she is clean)
Am I overreacting here?
PMH. Cystoscopy for uretral injury 10 years ago revealed out pouching in urethra.
Thanks for any advice
OverA
ps. Thanks for the great forum
Doctor's Answer
by H. Hunter Handsfield, M.D., Aug 14, 2006 12:00AM
, Aug 14, 2006 12:00AM
Others have responded before me (below); I didn't read all their comments carefully, but their main points are correct. However, I don't agree about testing for herpes, which is not a likely explanation.
There are at least 4 strong arguments against STD as a cause of your symptoms. Each by itself is definitive; in combination, there simply is no chance. 1) No STD can cause such immediate symptoms. Leaving anxiety/emotion-driven symptoms aside, the only possibility for onset of pain within 8 hours is some sort of chemical irritation, as from soap (e.g., if you masturbated in the shower) or an irritating lubricant of some sort (e.g., with spermicide). 2) From your description, it is not believable that your partner had an active STD she could have transmitted to you. 3) It is rare for STD to cause urethral pain without discharge. 4) Except for herpes--which is not likely--any possible infectious cause would have been eradicated by the treatments you were given. (Had you been my patient, I wouldn't have prescribed any of them.)
No, you are not "just nuts". However, as I have said before, whenever a person suspects his or her own symptoms are due to anxiety or stress, they probably are right. I doubt that alterred bacterial flora, as a consequence of antibiotics, are the explanation.
Whatever is going on, almost certainly it is nothing serious, ie nothing that will ever harm you or your wife. You might just have to live with it--in which case your symptoms might fade away with time. I'm going to close this response with one I have used several times before, including just yesterday:
"It is a fact of life that human beings get various aches and pains. Out of the blue there is knee pain, a headache, abdominal discomfort, a stich in the side, tingling down a leg. Sometimes such problems are continuing or recurrent, yet no specific cause ever is found and clearly no important infection or disease is present.
Why should the genital area be any different? Not every symptom means disease. People with such symptoms of course should see a health care provider. But when a comprehensive evaluation comes up with no good explanation, and if the symptoms persist after treatment of the potential infectious causes, it is wrong to assume a serious health problem. Just as some people have to learn to live with unexplained but benign headaches or abdominal pain, others have to live with unexplained genital symptoms.
Our genitals have a special place in our psyches, and unexplained discomfort can be harder to ignore than a painful joint or even a headache. But the principle holds. It's fine to look for harmless things that might help control symptoms. But potentially harmful treatments (e.g., repeated high doses of antibiotics, potent pain controllers) make no sense, and doctor-shopping (or internet shopping) for different answers is fruitless."
Best wishes-- HHH, MD
There are at least 4 strong arguments against STD as a cause of your symptoms. Each by itself is definitive; in combination, there simply is no chance. 1) No STD can cause such immediate symptoms. Leaving anxiety/emotion-driven symptoms aside, the only possibility for onset of pain within 8 hours is some sort of chemical irritation, as from soap (e.g., if you masturbated in the shower) or an irritating lubricant of some sort (e.g., with spermicide). 2) From your description, it is not believable that your partner had an active STD she could have transmitted to you. 3) It is rare for STD to cause urethral pain without discharge. 4) Except for herpes--which is not likely--any possible infectious cause would have been eradicated by the treatments you were given. (Had you been my patient, I wouldn't have prescribed any of them.)
No, you are not "just nuts". However, as I have said before, whenever a person suspects his or her own symptoms are due to anxiety or stress, they probably are right. I doubt that alterred bacterial flora, as a consequence of antibiotics, are the explanation.
Whatever is going on, almost certainly it is nothing serious, ie nothing that will ever harm you or your wife. You might just have to live with it--in which case your symptoms might fade away with time. I'm going to close this response with one I have used several times before, including just yesterday:
"It is a fact of life that human beings get various aches and pains. Out of the blue there is knee pain, a headache, abdominal discomfort, a stich in the side, tingling down a leg. Sometimes such problems are continuing or recurrent, yet no specific cause ever is found and clearly no important infection or disease is present.
Why should the genital area be any different? Not every symptom means disease. People with such symptoms of course should see a health care provider. But when a comprehensive evaluation comes up with no good explanation, and if the symptoms persist after treatment of the potential infectious causes, it is wrong to assume a serious health problem. Just as some people have to learn to live with unexplained but benign headaches or abdominal pain, others have to live with unexplained genital symptoms.
Our genitals have a special place in our psyches, and unexplained discomfort can be harder to ignore than a painful joint or even a headache. But the principle holds. It's fine to look for harmless things that might help control symptoms. But potentially harmful treatments (e.g., repeated high doses of antibiotics, potent pain controllers) make no sense, and doctor-shopping (or internet shopping) for different answers is fruitless."
Best wishes-- HHH, MD
Thank you though...I sincerely appreciate your thought
I am glad this forum exists for us.
Have a great week
OverA