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Need kind guidance std or what?
Hi Dr,
9 mo ago I had unprotected oral/protected vag sex at massage parlor (I'm male)
No symptoms that I ever saw. After 2 months I freaked out about it. Complete anxiety. Here's the events:
7 weeks tested through Internet via Quest for full panel: S/G/C HIV HSV1/2 and heps. All negative but hsv1. Not worried. I've never had outbreak that I can remember but my wife has it.
8 weeks tested for trich pcr at labcorp. Negative. Started feeling symptoms. Felt Like something was inside tip of penis. No discharge. No pain urinating. Always felt like urine left in urethra. Frequent urination. Went to urgent care. Dr saw nothing. Didn't think I had anything. Urinalysis clear. Saw some blood in urine.
9 weeks went to primary. Dr saw nothing. Ran same tests but trich. Same results plus blood in urine.
Went 5 months feeling okay.
2 weeks ago,I'm feeling same symptoms again. Now, though, I've been getting an infrequent stabbing pain in rectum and sometimes in lower ab area. 2 weeks ago I talked myself into masterbating to see if I had any pain. 2 mornings in a row I did this. No pain at all but I felt like I didn't get full release. Here is what concerned me most; later both mornings I had some discharge. It was a very small amount of clear, fishy smelling liquid. Just enough to cover the glans. Each day the discharge never once I urinated. And it never came back.
I wen to Uro last week to check the blood in urine and he found nothing via ultrasound and said my urine was completely clean. No blood, WBC, yeast, fungi, bacteria.
Here are a few of my many concerns:
1) should I be worried about the discharge?
2) can I trust the trich test? I hear it is hard to detect but it was Pcr test.
3) how about the other tests?
4) what about something I did not test for? M Genitallium?
I understand about anxiety, etc, which is why I felt so much better after seeing my primary. But these symptoms feel too real, especially the discharge.
9 mo ago I had unprotected oral/protected vag sex at massage parlor (I'm male)
No symptoms that I ever saw. After 2 months I freaked out about it. Complete anxiety. Here's the events:
7 weeks tested through Internet via Quest for full panel: S/G/C HIV HSV1/2 and heps. All negative but hsv1. Not worried. I've never had outbreak that I can remember but my wife has it.
8 weeks tested for trich pcr at labcorp. Negative. Started feeling symptoms. Felt Like something was inside tip of penis. No discharge. No pain urinating. Always felt like urine left in urethra. Frequent urination. Went to urgent care. Dr saw nothing. Didn't think I had anything. Urinalysis clear. Saw some blood in urine.
9 weeks went to primary. Dr saw nothing. Ran same tests but trich. Same results plus blood in urine.
Went 5 months feeling okay.
2 weeks ago,I'm feeling same symptoms again. Now, though, I've been getting an infrequent stabbing pain in rectum and sometimes in lower ab area. 2 weeks ago I talked myself into masterbating to see if I had any pain. 2 mornings in a row I did this. No pain at all but I felt like I didn't get full release. Here is what concerned me most; later both mornings I had some discharge. It was a very small amount of clear, fishy smelling liquid. Just enough to cover the glans. Each day the discharge never once I urinated. And it never came back.
I wen to Uro last week to check the blood in urine and he found nothing via ultrasound and said my urine was completely clean. No blood, WBC, yeast, fungi, bacteria.
Here are a few of my many concerns:
1) should I be worried about the discharge?
2) can I trust the trich test? I hear it is hard to detect but it was Pcr test.
3) how about the other tests?
4) what about something I did not test for? M Genitallium?
I understand about anxiety, etc, which is why I felt so much better after seeing my primary. But these symptoms feel too real, especially the discharge.
MEDICAL PROFESSIONAL
Asymptomatic NGU (without chlamydia) is not considered an important health problem either for men or their sex partners. Therefore, most STD clinics and STD experts make no attempt to look for or to diagnose asymptomatic NGU. So I encourage you to drop this line of thinking.
Based on all that has been said so far, as well as it's association only with voiding, suggests the fluid is orginating from the prostate gland (or seminal vesicles) -- and that it doesn't indicate anything important is wrong. If the intermittent discharge continues, you should follow up with your doctor. In the meantime, you really shouldn't be at all worried. It is quite clear you have nothing that will ever be harmful in any important way. It's time to move on.
That will end this thread. I won't have any further comments or advice.
Based on all that has been said so far, as well as it's association only with voiding, suggests the fluid is orginating from the prostate gland (or seminal vesicles) -- and that it doesn't indicate anything important is wrong. If the intermittent discharge continues, you should follow up with your doctor. In the meantime, you really shouldn't be at all worried. It is quite clear you have nothing that will ever be harmful in any important way. It's time to move on.
That will end this thread. I won't have any further comments or advice.
Hi Dr
Just a follow up question for clarification. I'm comfortable that I didn't contract any of the usual stds via the specific tests that were done twice. Trich test only done once but as you mention I could not have gotten it from oral anyway. So my concern is NGU, or more actually that I could be a carrier of something like MG, even without usual symptoms. As for my sexual history, other that that episode, which is now a full 9 months away, I has unprotected sex 6 months ago with my long term partner. I haven't had any sexual contact in 6 months, but the whole thing still haunts me. I've been trying to get past it but it comes and goes, meaning my symptoms like frequent urination along with the anxiety, etc. Well today I've been thinking about it a lot, reading through the boards and when I got home to go to the bathroom I thought to myself, imagine if I saw underwear stains now, how much that would flip me out. Well, wouldn't you know it, I have a few light, yellowish dried stains on the front of my white underwear. I never really looked before so I don't know if they have been there from before, or if it is dried urine that trickled out.
So I'm concerned all over again. Being that I have not has sex in over 6 months, 9 months from my incident, 2 rounds of specific tests (pcr, naat) were negative, 3 different urinalysis done with no WBC, bacteria, or anything else, what are the chances that I've carried a bacterial std like m genitalium for this long and it is now causing me issues. Do you think that the stains are just my urine dribbling out? I'm trying hard to lean towards it all being normal and to move on. By the way, the 2 incidents of discharge were now 3 weeks ago, cleared up each time once I urinated, and a week later went to the URO who told me urinalysis was perfectly clear. Leading up to today's discovery I haven't noticed any discharge coming out of my penis, just the stains. Even when milking the penis, nothing.
Thanks for your help.
Just a follow up question for clarification. I'm comfortable that I didn't contract any of the usual stds via the specific tests that were done twice. Trich test only done once but as you mention I could not have gotten it from oral anyway. So my concern is NGU, or more actually that I could be a carrier of something like MG, even without usual symptoms. As for my sexual history, other that that episode, which is now a full 9 months away, I has unprotected sex 6 months ago with my long term partner. I haven't had any sexual contact in 6 months, but the whole thing still haunts me. I've been trying to get past it but it comes and goes, meaning my symptoms like frequent urination along with the anxiety, etc. Well today I've been thinking about it a lot, reading through the boards and when I got home to go to the bathroom I thought to myself, imagine if I saw underwear stains now, how much that would flip me out. Well, wouldn't you know it, I have a few light, yellowish dried stains on the front of my white underwear. I never really looked before so I don't know if they have been there from before, or if it is dried urine that trickled out.
So I'm concerned all over again. Being that I have not has sex in over 6 months, 9 months from my incident, 2 rounds of specific tests (pcr, naat) were negative, 3 different urinalysis done with no WBC, bacteria, or anything else, what are the chances that I've carried a bacterial std like m genitalium for this long and it is now causing me issues. Do you think that the stains are just my urine dribbling out? I'm trying hard to lean towards it all being normal and to move on. By the way, the 2 incidents of discharge were now 3 weeks ago, cleared up each time once I urinated, and a week later went to the URO who told me urinalysis was perfectly clear. Leading up to today's discovery I haven't noticed any discharge coming out of my penis, just the stains. Even when milking the penis, nothing.
Thanks for your help.
MEDICAL PROFESSIONAL
A prostate problem may be possible. My main recommendation still stands: regardless of when your discharge occurs, try to time a visit with your urologist when it is present; or perhaps he would be willing to give you equipment to collect some of it on a swab and bring it to the office for evaluation.
I continue to believe it unlikely that you have an STD.
I continue to believe it unlikely that you have an STD.
Hi Dr.
Thank you for your response. Two rounds of tests were pcr/naats or whatever current standard is. Two other rounds were standard urinalysis.
The discharge was not first thing in AM. It was a few hours later between urinations. I've never had it before and there was such a strong odor. Like the end of a long day odor. Thoughts?
Also, my most recent urinalysis was done only an hour after I voided. Uro said he would still see something if it was there.
Currently I feel rawnes in urethra with occasional pin prick type feeling can I hope/assume it will go away as I work past this?
Just asking, what symptoms does m genitallium cause.
That's all from me. Can't thank you enough.
Thank you for your response. Two rounds of tests were pcr/naats or whatever current standard is. Two other rounds were standard urinalysis.
The discharge was not first thing in AM. It was a few hours later between urinations. I've never had it before and there was such a strong odor. Like the end of a long day odor. Thoughts?
Also, my most recent urinalysis was done only an hour after I voided. Uro said he would still see something if it was there.
Currently I feel rawnes in urethra with occasional pin prick type feeling can I hope/assume it will go away as I work past this?
Just asking, what symptoms does m genitallium cause.
That's all from me. Can't thank you enough.
MEDICAL PROFESSIONAL
Welcome to the forum.
You've really gone overboard with the testing! You had a very low risk exposure, since oral sex is low risk in general for STDs and condom protected vaginal sex is complete protection. You were at absolutely no risk for some or all the infections you were tested for, including trichomonas. And your symptoms are really not suggestive of STDs; there are none that cause any of the sympotms you describe. A scant amount of clear urethral discharge is generally not abnormal, especially in the morning and not returning after urinating; it's probably just normal pre-ejaculate fluid produced during normal nocturnal erections.
The apparent blood in your urine is the only symptom you mention that might be worrisome, but no STD causes that; and in any case, if a urologist couldn't find anything wrong, there should be no worries about it.
To your specific questions:
1) As noted above, your discharge doesn't sound abnormal. If you remain concerned about it, see your urologist again, first thing in the morning before you urinate the first time.
2) You can't catch trich by oral sex, and the vaginal sex was condom protected. But in any case, you had the best test available and it is reliable.
3) Half of all adults in the US have positive blood tests for HSV-1, mostly from asymptomatic oral infection in childhood. I can't comment on other test results, since you don't say exactly which ones were done. But negative results on all the standard STD tests are highly reliable.
4) M. genitalium would not cause symptoms like yours.
I have to believe your symptoms are due largely, and perhaps entirely, to the physical manifestations of genitally focused anxiety over a sexual choice you regret. Whether or not that's the explanation, you can be sure you have no STD or any other infection acquired during that event.
Best wishes-- HHH, MD
You've really gone overboard with the testing! You had a very low risk exposure, since oral sex is low risk in general for STDs and condom protected vaginal sex is complete protection. You were at absolutely no risk for some or all the infections you were tested for, including trichomonas. And your symptoms are really not suggestive of STDs; there are none that cause any of the sympotms you describe. A scant amount of clear urethral discharge is generally not abnormal, especially in the morning and not returning after urinating; it's probably just normal pre-ejaculate fluid produced during normal nocturnal erections.
The apparent blood in your urine is the only symptom you mention that might be worrisome, but no STD causes that; and in any case, if a urologist couldn't find anything wrong, there should be no worries about it.
To your specific questions:
1) As noted above, your discharge doesn't sound abnormal. If you remain concerned about it, see your urologist again, first thing in the morning before you urinate the first time.
2) You can't catch trich by oral sex, and the vaginal sex was condom protected. But in any case, you had the best test available and it is reliable.
3) Half of all adults in the US have positive blood tests for HSV-1, mostly from asymptomatic oral infection in childhood. I can't comment on other test results, since you don't say exactly which ones were done. But negative results on all the standard STD tests are highly reliable.
4) M. genitalium would not cause symptoms like yours.
I have to believe your symptoms are due largely, and perhaps entirely, to the physical manifestations of genitally focused anxiety over a sexual choice you regret. Whether or not that's the explanation, you can be sure you have no STD or any other infection acquired during that event.
Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
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STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
