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Genital discomfort after ejaculation

1:  It seems that after every time I ejaculate, whether it be from masturbation or sex, I would feel like a light throbbing or mild stinging pain at the middle to tip of my penis.  Usually this pain starts within 3 hours of my ejaculation and is felt the most while I'm sitting down. I can't really recall feeling it while standing or walking execpt for one time during the first two weeks I've started feeling it.

2:  Itching or irritation around my genitals.  The itching always occurs in singular spots on my scrotum or penis. Most of the time its not bad, but right now I find my self having to use 1% hydrocortisone cream for relief.  

3:  I don't know if this is normal but I've also noticed a clear sticky discharge from my penis, about a drop worth.  This is the least common of all the symptoms I've experienced.

From inspecting the area there are no rashes, bumps, ulcers, lesions, or any other abnormalities on of any kind on my genitals.  I've always used a condom during sex and my last sexual encounter was almost 4 weeks prior to my first noticeable symptoms and that was only receiving oral sex with a condom on. The last time I had vaginal sex was at least another 2 weeks before that.  I've already been to an std clinic and tested negative for HIV, Gonorrhea, Chlamydia, Syphilis, Hepatitis (I think it was B).  The std doctor told me my symptoms sound like Non specific urethritis.  She gave me what a 2 pills of azithromycin before I got the results of my second test and had no effect.

Right now I don't know what to think, I'm trying to set up an appointment with my regular doctor next week but I'm starting to get frustrated trying to figure this out (I've tried WebMD.com but their virtual doctor seems to general).  I'm crossing my fingers that this is not herpes or anything untreatable, so I want to get your opinion on what this might be.  Thank You
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I didn't say they should look like pimples.  Read my reply above and pay attention this time.

This thread is over.  I will delete any further comments without responding.
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Avatar universal
they don't look like pimples or anything, its just that the skin is a pure black color compared the rest of the area.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No STD causes such a thing.  As a guess, they may be blocked sebaceous glands.  Blackheads are fairly common on the penis, often so tiny they aren't noticed until someone examines himself more closely that normal.  Try pressing on one like you would a zit or your face.

In any case, definitely no STD causes such a thing.  If the blackhead idea doesn't pan out, point them out to your doctor one of these days.
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Avatar universal
I have one more thing that I would like to get your opinion on, after examining my penis more closely, I've noticed some black colored spots on my penis.  Three of them are on the skin underneath and one that I think might be on the top of the head since when I look at it in light it shines a little bit compared to the rest of the skin.  I'm black and I want to know if the spots are any cause for concern, I can't really recall that that these were always there because they don't stand out much and don't cause any irritation execpt for the one time today I felt an itch right in the area of the spot on the head of my penis.
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Avatar universal
I've had 4 different partners in the last 3 months but I used a condom with each one.  I've already tested for the stds you've mentioned twice already (both tests were about 4 weeks apart) and the std doctor told me I had nongonococcal urethritis. She gave a single dose of azithromycin while a waited for the results of the second test. To add, I never have 2 or more of those symptoms happening at the same time and the usually persist occasionally through the next day.

But as long as this doesn't sound like an std, will keep me from worrying since I try to be ultra careful when having sex.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
These symptoms are not typical for any STD.  Post-ejaculation pain is more likely due to some other urological problem, such as a prostate problem or an abnormality in the seminal vesicles.  "Clear sticky discharge" could be due to urethritis, but such scant discharge can be entirely normal, especially first thing in the morning.  Alternatively, this also could be due to a prostate gland problem.

You don't say much about your sexual lifestyle, so I really can't evaluate whether you are at significant risk of STD.  To be safe, you should see a health care provider.  Most likely s/he would recommend STD testing, such as a urine test for gonorrhea and chlamydia, and physical examination and perhaps urine testing to detect nongonococcal urethritis.  But my bet is that these all will be negative.  If so, the next step is to see a urologist to evaluate for prostate and other internal genital problems.  In the meantime, don't be too worried.  This doesn't sound like anything serious.

Good luck--  HHH, MD
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Avatar universal
For #1 the pain feels like it is inside the urethra to be exact.
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