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Infection / Pain in Penis

After a month or so of having unprotected sex with my girlfriend:

I have pain in the penis and bumps that resemble pimples on head of penis, I felt a strong burning and itching feeling and the urge to urinate.  A doctor diagnosed it as yeast infection.  prescribed Fucidin H for 7 days - the bumps did go away after 5 days but pain never did.
The tip around the opening still had a red irritation.  Was told it was still the yeast infection and to use Canesten. Might have been white discharge (hard to tell due to Canesten). After a few weeks Canesten didn’t work.

Was prescribed pms-metronidazole and 1% HC PWD in 2% Ketoderm cream, used for 2 weeks with no results, off and on cream for 2 months later and still no help.

Took doxycycline 4 weeks.  Discomfort went away (urithritis?), but infection still present.

Had rashes 3 weeks into taking doxycycline, so its not treating infection (few courses of sex probably irritated it). 1 week later took diflucan - No results with diflucan, rules out yeast infection?

Not sure if this ties, week or so prior to symptoms girlfriend did have a throat infection. Had unprotected sex and oral sex where she needed antibiotics to cure it – could this have passed anything on to the penis? Or could I have had a bacteria infection due to the severe irritation probably from all the creams I have used Are their bacteria specific tests I should be doing? If so what?

Symptoms:
- Stinging when urinating,
- head of penis looks red and swells after sex, the head is wrinkly after erection
- tip of penis and opening hurts

Not circumcised, Both been STD tested and negative, have been swabbed in urethra for bacteria and negative.  Note: no symptoms of balinitis when swabs or tests were done. What further tests recommended to diagnose this problem? Also can this effect my fertility?

Going to Urologist and Dermatologist in few days and would like to know your professional opinions so that I can discuss and find a solution to this problem.
5 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Not knowing what you have, I will not recommend or guess at what additional treatment you do or do not need.  There is nothing more this forum can do for you.  This thread is over.
Helpful - 0
Avatar universal
Thanks for your comments and suggestions doctor. Would you happen to suggest some medicines that treat Urithritis other than Doxycyline? This might be something to discuss when I see the specialists in the next few days. I just want to be prepared as I have had this problem for 6 months. Also do you think a penis scope would be beneficial or a painful waste of time?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I do not believe that the penile pain and other symptoms are due to any infection that the two of you are sharing or trading back and forth.  However, one approach is for the two of you to stop having sex entirely for a while, e.g. 1-2 weeks, to see what happens with symptoms -- then follow your doctors' advice.

This situation is sufficiently complex that you cannot expect definitive answers by online searching, whether on this or other forums or "Telehealth", which I don't know about.  Rely on your personal health care provider(s) and if that isn't working out, ask for referral for another opoinion.
Helpful - 0
Avatar universal
I'm the gf of the above writer.  Would you be able to suggest any specific bacterias that we can tell the doctor to test next week?  We are really desperate for an answer and solution to the problem as it is affecting our relationship immensely.  

I understand that you cannot diagnose something that you can't see, however, if we at least go to the appointments with some suggestions, perhaps we might be able to help out the doctors??  Also, we called Telehealth in our province and they suggested an ultrasound, does that sound like a test that might be able to find where and type of bacteria my bf has?? THANK YOU FOR YOUR HELP!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  I wish I could help, but can't do much in situations like this.  Whether the problem is STDs, other genital infections, or virtually any health problem, after multiple doctor visits and treatments the answer almost never is available from an online source who hasn't examined someone.  All I can do is repeat what you have already been told by your own providers: your symptoms don't suggest any STD; and any STD that could possibly have caused your symptoms would have been cleared up by the treatments you have had.

It does seem likely this started as a yeast infection, which you could have caught from your partner.  All women have yeasts in their vaginas some of the time, and men can get infected, especially if uncircumcised.  Whether resitant yeast is a continuing problem, or whether it is now complicated by some sort of allergic reaction or other irritation, I cannot say.  Nonspecific balanitis is not an STD, and not a condition STD specialists are expert at managing -- so I can't help there either.

A urologist is not likely to help much.  Yours may be on top of this sort of conditions, but it is outside their usual training and experience.  However, a dermatologist makes sense.  That's what I would do if I were in your situation.

Whatever is going on, no STD is a likely explanation -- and that is the limit of this forum's expertise.

Good luck--  HHH, MD
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