STDs Expert Forum
Pain in penis, testicles, UTI
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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Pain in penis, testicles, UTI

July 10- I had unprotected oral outside my marriage, around 7-10 days later I started feeling some pain that sounded like STD symptoms- penis pain in the tip, testicle, burning and "hot" feelings.
July- 21 had urine and blood tests, (gono, cly, herps, hiv, ect- ) online service, no dr. appt.
July- 28 all tests negative, but pain persists (burning worse- sleeplessness-upset)- wife told me she was "feeling like the start of bladder infection" (this worried me)
July-30 went to clinc for a dr. appt. , told about symptoms, given urine tests for gono, clymid. and a I asked for a test for UTI- and they treated me for my symptoms of STD infections (they wanted to wait, but I truly was in pain)
The UTI test was ready in min, and they said it was negative for UTI & kidney stones. Given Azrithomician, and another anti-biotic that started with a "C" not cipro.
July 29 Wife went to Dr.  for bladder inf., tested and treated with cipro for a week (first time in 7+ years)
My sympotms (penis being sore, and burning) started to feel better after 24 hrs- and much better in 48.
Aug 9 had unprotected sex with wife-  Aug 13 she started having symptoms of UTI again, and I had the burning start a day before, I seem to also have pain caused by ejaculation/friction.
I am going back to the clinic tomorrow for a follow up visit, I swear this is not all in my head, I was having a lot of anxiety before but not after feeling better, For the last 4 days my symptoms seem to come and go, but I have not been sexually active, ex. masturbation which caused burning after-
It just seems like quite a coincidence that my partner got a UTI  10 days or so after me having oral sex with another woman. I am just worried about everyones health and want to do the right thing. I have kept this to my self, feeling after being tested 2x, ( because of  my brief unprotected oral with another)  that I was not contagious any longer.
Any info would be great.
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300980_tn?1194933000
Welcome to the Forum. Your situation is a complex one which is ultimately best handled through direct interactions with a health care provider. Unfortunately, there are several things that might have gone on.  I'll work through them.

Following receipt of oral sex, the risk of STD is relatively low and of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is almost never and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   You urinary complaints are compatible with gonorrhea or NGU .  NGU is the more common of the two and is best diagnosed with either a swab specimen taken from the penis or testing or the very first part of a urine specimen collected just as you begin urination (with a negative test for gonorrhea, that is no longer a concern).  The health care provider would be looking for an increased number of white blood cells in this situation as an indicator on infection, not for a specific bacteria.  If you had this, when you got the treatment you received, you would have been adequately treated for NGU as azithromycin is the recommended therapy for this condition.  

BUT, if you had spread the infection to your wife, she could have, possible given it back to you.  Ciprofloxacin, the drug she received is not recommended for NGU.

So, what to do.  First you need to be evaluated by someone who is comfortable at dealing with STDs (not all generalists are good at this).  Your local health department would be a good place to try.  If you have NGU, they can tell you.  If this is the case, then you need treatment, as does your wife.

The alternate diagnosis is that this is not an STD and may even be nothing.  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 turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  You acknowledge anxiety.  If your evaluation is negative, your wife has a coincidental UTI and you need to try to work through this.

To be honest, other than the urinary discomfort, I suspect the latter explanation is the more likely of the two but you should get checked to be sure.  Your other symptoms (testicular discomfort, pain at the head of your penis without lesions) really do not suggest STD, nor does the fact that they come and go.

Hope these comments are helpful.  EWH
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Avatar_m_tn
Thanks for the reply, I'm really not too anxious anymore, I was just surprised that my symptoms came back,  and seem to have changed because the symptoms are much more pronounced after ejaculation-
I was tested at a STD clinic in the beginning BTW, and I mentioned the possibility of NGU thats why they tested my urine  in the clinic- I think they said it was a "dip test" - What kind of test checks for NGU, I would like to ask them on my follow up visit to make sure they did the right one,. also I don't have a general Dr.

My partners symptoms cleared up right after the cipro. and I had the  azithromycin  ( I think it was 1g) and no sex for a week and my symptoms totally went away.  
I don't want to ruin our marriage over this, if she goes to the dr.will they know how to treat and test her, I'm sure they would be concerned if cipro didn't work right?  ( I hope this is not unethical to ask but will the finger be pointed at me? ) also, is it a possibility that my infection came from her?
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300980_tn?1194933000
In the "dip test" they do a test for white blood cells.  If it was negative you probalby did not have NGU to start with.  

I cannot tell you what her doctors would test for.  I would test her for STDs but some doctors, for better or worse, don't do it.  You do not know for sure that you had an infections so it is hard to go on to address whether you got it from her or not.  If she were infected, it would, of course, be possible.  EWH
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Avatar_m_tn
I guess my question really is, can NGU kinds of infections happen without a third party being involved sexually? (since it can come from saliva)
Also, can a man give NGU kinds of infections to a female through oral contact ( I didn't clarify before) or just intercourse ?
Do infections in the mouth/gums cause this at all?

Thanks again...
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300980_tn?1194933000
Yes, persons are thought to be able to get NGU through oral sex with a regular partner.  This presumalbly occurs when organisms from the throat are introduced into the male urethra.  As this is a hypothetical, unproven (how would you) circumstance, there are no good answers to how you manage partners in this situation, etc.   Gum disease etc is not relevant

Whether there is a counterpart in women is unknown.  there is not evidence that htis is the case at this time. EWH
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Avatar_m_tn
Dr, last night I my ejaculation was painful and caused a burning sensations the rest of the night. I felt so much better after my first treatment, and have not been anxious, but its not making me happy that I have symptoms again.

I guess I should make a follow-up visit to the STD clinic, but I'm not sure if they can help.
After reading the forums here, my symptoms sound more like Epididymitis, or Prostate infection, could this be a issue. would this kind of infection show up in the dip test they gave me? also, can  this be  a contagious condition also?
Thanks in advance, for this great informational service and patience with me.


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Avatar_m_tn
I was just reading your posting:
"BUT, if you had spread the infection to your wife, she could have, possible given it back to you.  Ciprofloxacin, the drug she received is not recommended for NGU. "
If I was treated, would the antibiotics have prevented reinfection ?

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300980_tn?1194933000
Not sure what the question is, nor what more to say.  EWH
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Avatar_m_tn
If you could please answer these questions... I won't ask another, thanks.

After reading the forums here, my symptoms sound more like Epididymitis, or Prostate infection, could this be a issue ?
Would this kind of infection show up in the dip test they gave me? also, can  this be  a contagious condition also?

You also stated that we might have passed the infection back and forth, but, does antibiotics prevent this if they are still in your system?



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