Oral Sex Then Prostate Infection... anything else?

[Marriedguy70]

I am a male who participated in unprotected grinding with another male and I was the recipient of fellatio. During my orgasm, he bit my penis - breaking the skin - and I ejaculated into his mouth.

While I dealt with the penis pain, I began to experience dripping urine during the night 2 days later, burning pain and a constant feeling to go 3 days later. On day 4, I saw a doctor and was diagnosed with Dysuria and Prostatitis. Was prescribed CIPRO (500MG) for 2 weeks.

At my urging, doctor gave me a Chlamydia/GC test and suggested a herpes test because of the wound on the penis... although he said, "That's clearly a bite, but let's test to be sure."

By now, Day 9 since incident, penis injury from bite has healed.  Still some tenderness from prostate infection, pressure in lower stomach and a slight itch on tip of penis and exterior of testicles.

Chlamydia/GC and Herpes tests come back negative. These tests were taken 4 days after possible exposure. Doctor said no reason to retest. I know HIV risk to be low.

I asked about NGU as possible cause for prostate infection. Doc said no way to test for that and, if it was cause, Cipro would knock that out of me anyway.

So here I am, feeling like I dodged a bullet but still worried. Seems crazy to develop a prostate infection so soon after my encounter when it had never been a problem before. At this point, is there anything else I should be worried about or ask my GP about when I see him for follow-up visit to prostate infection in 1.5 weeks?

Thanks everyone!

[jayjay47]

Its so weird I have had the same symptoms .. mine was protected oral however her saliva dripped on my scrotum. I developed red burning scrotum, prostitus and had all the test.. neg. I suspected yeast from reading online. Why has this not been diagnosed.. there has to be some type of bacteria that these docs is missing.. Concerned!

[theguy44]

Also, Grace, I was wondering if you can further explain how a prostate infection can occur. Can it occur in the absence of a UTI? How is it tested for? What kind of anti-biotics are used to treat?

Thanks

[theguy44]

Hello Marriedguy70,

I've had a similar experience about 3 weeks ago (heterosexual) and am wondering if you can further explain the symptoms you experienced and where you are at now. It's been very stressful/anxiety ridden 3 weeks and I'm awaiting an appointment with a urologist.

Much appreciated

[Marriedguy70]

My issue has nearly been resolved - prostatitis - nothing more. It presents itself with scrotal itching/burning, significant pelvic pain and aches for weeks/months (depending on severity). I've had two docs tell me it was unrelated to the oral sex experiment.

I did want to mention that briefly discussed NGU in the post. My doc - and the docs on here with an NGU question - said the symptoms came on too soon. Read here: http://www.medhelp.org/posts/STDs/Complicated/show/1745877

It would be helpful to keep that timeframe in mind when discussing NGU with others. It would not have shown in 2-3 days as I described and that could have reassured me.

[Marriedguy70]

Grace - you are right. I've allowed a stupid mistake with a low risk activity to haunt me. Your board has helped me as far as HIV education and you believe the herpes risk to be low (again, no symptoms now 30 days). After one more check up with my doctor, I'm going to try and put this behind me. Do you have any other advice?

Many thanks!

[gracefromHHP]

you should be out of your bed, keeping yourself as busy as possible and keeping far, far away from the internet and std info dear. you are your own worse enemy about this.

[Marriedguy70]

Again Grace - thanks for everything.

Now 25 days post exposure (and there may not even be an exposure as partner said he was clean). No sores/lesions. Should I be lying in bed worrying about testing in 3-4 months?

[Marriedguy70]

Thanks Grace - I appreciate your reply. I was ill informed prior to my experience.

The Internet is so full of horror stories. I keep self diagnosing myself with a prodrome (the itching) and some sites say you'll get itching with no sores. My GP seems pretty ill informed (almost a fear monger) in these areas. It's all very confusing.

I am grateful to have you and your team.

[gracefromHHP]

your guilt and anxiety are the biggest issues, not any additional risk that this is another std.

herpes won't cause these symptoms plus you've had no obvious lesions either which almost always accompany herpes infections of the urogenital tract.  

[Marriedguy70]

Grace and Vance - you've been most helpful. And I promise, last question...

I developed this prosate infection within 2 days of my oral experience, which is being improved through CIPRO. It's certainly freaked me out so I'm probably a bit more anxiety ridden than anything. My activities were receiving oral and frot from someone who said they had never had an STD. There were no visible sores.

Some of the symptoms of prostatis and the reported side effects of CIPRO mimic that of herpes... (sore back, painful urination, lethargy, itching). I also have lack of appetite and a slight nausea.

The docs diagnosed prostatitis (not herpes) so I have no reason to doubt them.I guess I'm wondering if I have both prostatis and herpes (which may not be possible to tell without the blood test)?

It's been 22 days - no sores, no shooting pains, no fever, no headaches. I have a sore back, a slight pain in my penis and scrotum as if I was kicked in the crotch. There's a tiny, tiny bit of itching... almost internal, as if it's an infection healing.

I was disatisfied with my GP and am seeing a urologist when the CIPRO is finished.

Can you offer any insight into whether or not you think my activities warrant a test and if these symptoms show herpes?

If so, when's the earliest I can test?

Thanks again for your help!

[gracefromHHP]

smegma is normal and not indicative of any infection.

if you aren't sure if this is normal smegma or yeast from the antibiotics, go back to be seen again.

[Marriedguy70]

On Cipro for a prostate infection - likely caused by an NGU - and after nearly 10 days on the antibiotic, I've noticed that the smegma on my penis is much thicker than usual, somewhat drier, and COMPLETELY without odor. Is this the result of the antibiotic? Or is the change in my smegma indicative of something else? Thanks!

[gracefromHHP]

odds are it's jock itch causing the itch.

cipro treats ngu fine too. no need for more testing at this point. give these antibiotics time to work.

[Marriedguy70]

And why am I itchy in my crotch with no bumps or rashes... it's almost like an internal itch... hard to describe. Maybe Cipro reaction/healing process?

[Marriedguy70]

Would the 2 week course of CIPRO (500mg x 2 a day) wipe out not only the prostate infection but also the NGU itself? Or do I need to be tested and treated for NGU separately?

[Vance2335]

I am not sure if it's a specific test but they can look for bacteria.

[Marriedguy70]

So my doc says there was no test for NGU... and you say there is? Can you clarify?

[gracefromHHP]

that's ok time for gonorrhea. we recommend waiting at least a full week for both but 4 days is also fairly accurate.

[Marriedguy70]

Grace - thanks for that. So 4 days works for chlamydia testing - what about GC?

[gracefromHHP]

4 days post encounter was only accurate for chlamydia testing. herpes igg blood testing won't be accurate for 3 -4 months post encounter.

let the antibiotics you are on do their job. Wait at least a week after you have finished them and if symptoms are still present, return for more follow up and testing.  

what is normal mouth bacteria, isn't always so normal in our urogenital tracts at all. Not unusual to develop ngu ( which we can test for ) or prostatitits from oral sex.

to best protect yourself, if your clothing is off, a condom should be worn! this protects you, saves you worry and saves you testing and needless treatment. only give and receive protected oral sex too :)

grace

[Marriedguy70]

Are there other STDs I should be worrying about?