His and her symptoms

I am in another wise monagamous relationship but about  weeks ago I had a 1 time unprotected oral and vaginal encounter with another-wise monagamous woman.  We had discussed STD's and agreed it was safe not to use protection.  About 4 days later I started feeling like I had urinate more often (not severe, and possibly in my mind) and had some discomfort on the outside of my penis.  I used neosporin on it and that made the end of my penis itch.  I got worried and went to a county STD clinic where they did a visual exam and urethra swab.  They did a gram stain on the swab and send a second swab for gonnorhea (Gonorrhea) and chlamydia testing.  No sign of infection was found.  No white blood cells, no issues.  Gonnorhea (Gonorrhea) and chlamydia came back clean as well.  I have been very concious of my groin since and may or may not be having some irritation in my penis.  My concern is that my normal sex partner commented today that the odor of her urine changed and she had some mild discomfort in the area of her kidney's.  She had a UTI a couple of years ago that she only noticed because of the odor of her urine.  My question is, should I be concerned that I gave her some sort of STD, and if it isn't gonnorhea (Gonorrhea) or chlamydia, what could it be?  I recommended to her that she see her doctor, but I am also concerned about the possibility of it being something that can show I was unfaithful.  Any feedback on the symptoms and the correct medical course I should take for myself?

[Edward W Hook, MD]

Welcome to the Forum.  You have little to worry about.  Your testing was done at a time when test results are highly reliable and tests are quite good.  It would not surprise me that the Neosporin made your penis itch- it causes a number of side effects of this sort.  

I suspect your partner's symptoms are a combination of coincidence and that guilt/anxiety makes you pay closer attention than perhaps you normally do.  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 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.

I think that it is time for you to believe the test results you have and work to move on from this.  Hope my assessment is helpful to you.  EWH

[CuriousGuy119]

I just re-read what I wrote and I meant to say that about 4 weeks ago...  I was tested for the STD's 7 days past exposure if that helps at all.

[CuriousGuy119]

Thank you for the reassurance.  I know this is a big stretch, but any concern about Trich?  Knowing that Trich rarely presents symptoms in men, if it did, does infrequent urethral discomfort after urination make any sense for Trich?  Yes, I realize that it is highly likely to be psycosematic or possibly prostate related, but I wanted to ask.  My s/o has complained of the urine odor, but no discharge or discomfort in her genitals that she relayed to me.

I greatly appreciate your service.  I will read your response and bother you no more.

[Edward W Hook, MD]

PLEASE.  If she had trich, it would show up in her tests. Furthermore trich does not casuse odor.  EWH

[CuriousGuy119]

One other follow-up question.  I consulted my regular doctor today, who examined me and did not see any cause to do any additional testing.  Her only comment was that if I see any discharge to follow up.  Can you re-state how to look for urethral discharge and when?  If I remember correctly, the best time to look is first thing in the morning before urination.  Is that correct?  I partially write this for anyone in the future looking into this to see how things ended.  It looks like they ended good.

[CuriousGuy119]

I am still concerned that I might have discharge.  This morning when I woke up I opened the tip of my penis and didn't see anything, but if I milked it just a little there was some moisture in it.  What is the proper way to evaluate for discharge?  Thank you.

[Edward W Hook, MD]

This will be the last answer as I feel as though each of my answers just fuels your unwarranted paranoia.  Remember, you were tested and the tests were negative.  The tests are a far better indicator of whether or not you had infection than your self-examination.

As far a examination for discharge is concerned, if you had a discharge you should not need to examine yourself for it, it should be obvious.  The discharge can be cloudy or clear and can be small in amount but it should be obvious.  If you have been examined by a trained health care professional (your doctor) who saw nothing to worry about, then you do not have a discharge.  It is normal for men to have small amounts of moisture in the urethra, this is not a pathological discharge.  

I hope this comment helps. It really is time for you to move on or deal with your guilt in some why which is more effective than worrying that you have an STD.  Believe your tests and doctor.  EWH