Changedmyways

[changedmyways]

I have 3 questions. (1) Based on the information below which action most likely caused my infection with NGU? (2) What was the risk that my spouse has been exposed to any std based on the information below? [I believe condom failer on 9/11/07 was the cause but the symptoms came really fast 2(days)---not sure if NGU symptoms come that fast.

8/23/07 oral sex from a prostitute with a condom----------According to many post this is a very low risk--
The 8/23/07 oral sex was the first time I had sex with anyone other than my spouse since 1999. And before I got married I went 3 years without any type of sex (other than masturbation).
9/5/07 vaginal sex with my spouse (the last time we had sex and we do not sleep together)
9/8/07 hand job from masseuse who masturbated herself(and some rubbing of penis on her inner thigh)
9/10/07 My wife's right eye red and sensitive to light(is this std related?)----she went to the eye doctor a few days later--they gave her eye drops.
9/11/07 vaginal sex with a condom (possible used/expired or low grade condom--did not see where it came from nor did I see any pakaging afterward). She also used a vibrator beforehand and her wetness was all over my scrotum afterward.
9/13/07 Nightime--Felt symptoms of tingling/burning penis/scrotum
9/14/07 Gon/Chla tested negative-----doctor at std clinic diagnosed me with NGU and given 4 pills and Cipro 2/day 7 days. I did not test for a full panel of std's.
9/20/07 Spouses eye is better--but still a little red---I am on my last 2 cipro pills but still scared concerned that it may not clear--maybe anxiety.

[H. Hunter Handsfield, M.D.]

First, you don't say how the NGU was diagnosed.  According to the history you give, I would wonder whether the diagnosis is accurate.  The symptoms you describe are not typical, so if the STD clinic provider did not actually document an abnormal urethral discharge and/or inflammation (white blood cells) in your urethra, the diagnosis may be in question.  And you are exactly right that NGU symptoms don't show up in 2 days; it always takes at least 5 days and usually 7-14 days.  On the other hand, most STD clinics' diagnoses of NGU probably are reliable.  But even if you had NGU, some cases are relapses of past infections, so you didn't necessarily catch it recently.

But the rest of my responses assume you indeed have a new case of true NGU.

You cannot catch NGU through a condom or by a hand job.  So it seems sex with your wife is the only possibility. Some cases of NGU are due to respiratory viruses that can also infect the genital tract, in particular some strains of adenovirus.  And adenovirus often causes conjunctivitis, so that sort of fits.  Other cases of NGU are due to normal oral bacteria, so if your wife performed fellatio on you, that's a possible source.  Note that neither of these possibilities has any implication about your wife having other sex partners.

Bottom line 1: Confirm that a definite diagnosis of NGU was made. If not, your symptoms are equally compatible with chemical irritation (e.g., from lubricant, especially if the condoms contained spermicide) or with something else nonsexually transmitted.

Bottom line 2:  Just complete your antibiotic treatment as prescribed, then follow up with the STD clinic if you remain concerned.

Bottom line 3:  Your wife should be treated if that hasn't yet been done.  It's a good bet she doesn't really need it, but that is standard practice, and better safe than sorry.

Good luck--  HHH, MD

[changedmyways]

Sorry---3rd question was the eye problem with my spouse....and the title should have been Which exposure most likely caused NGU infection.

[changedmyways]

Just to clear some things up: The doctor dabbed the head of my penis on a small flat piece of glass and got a sample of my urine which was off color and cloudy. Also one of my symptoms was I frequent urination. They have a lab on site and gave me the results in about 25-30min.
My wife hasn't performed fellatio in about 5-6 months.  
I know anything is possible but I 100% believe my wife has not had sex outside of marraige.
Thanks for your help

[changedmyways]

Also the doctor is very reputable. He was on TV. Dr. Arani was chosen as TOP AMERICA PHYSICIAN by Consumer's Research Council of America in 2007. The clinic is for profit---It cost me about 425.00 for the test/office visit/meds---the service was great and I paid because I wanted quick results. I could have went to planned parenthood for free but the appointment would have been in 3-4 days.
                                                                                                                                                  

[changedmyways]

wasn't trying to pub the clinic---I just wanted clear up possible doubts of misdiagnosis. If someone is low on cash I would suggest a free clinic because this did hit me in the pocket.

[Tommy420]

I've actually been to Dr. Arani before.  What did he say was the cause of the NGU?  Doc, to clarify, Dr. Arani performs a urethra swab test for NGU.

[changedmyways]

I also left out something that may have been a factor. I put rubbing alcohol on my penis/scrotum after the massage---and I put a good amount (even around the pee hole) on after the 9/11/07 vaginal sex---(I did this to kill germs--(and no shower available)--I know now that this is a no-no). I read that chemical irritants may cause urethitis and Doc HHH said so in this post. My innitial symptoms were burning sensation around scrotum/tingling/mild irritation inside near tip of penis/frequent urination/dribble/cloudy urine----I had no discharge(even when milking the penis). These symptoms were heightened about a day and 1/2 after 9/11/07.

[H. Hunter Handsfield, M.D.]

Makes no difference in my opinion or advice.