Aa
Scared this might be Herpes
My history: I am a 32 year old male and have been married nearly 10 years now. I have had sex only with my spouse my entire life, and the same with her. That is, until recently.
My Problem: About two weeks ago, we had a threesome, and I had unprotected sex with a friend of ours (twice that night). Then nothing else since. This friend, which we have known for years, told us that she hasn
My Problem: About two weeks ago, we had a threesome, and I had unprotected sex with a friend of ours (twice that night). Then nothing else since. This friend, which we have known for years, told us that she hasn
MEDICAL PROFESSIONAL
As your provider apparently suspected, it seems possible you had nongonococcal urethritis (NGU), which can be due to chlamydia and other things. Doxycycline (Virbramycin) is one of the standard treatments. I'm puzzled that he didn't send the specimen for chlamydia or gonorrhea testing; those should have been done. On the other hand, your symptoms came on too soon; chlamydia and NGU generally don't cause symptoms until 7-14 days have passed, and usually discharge is a more prominent symptom than pain. Further, the persistent symptoms after 7 days treatment argues against these.
Some cases of NGU are due to viruses, like adenovirus, which doesn't respond to antibiotics. Herpes also is possible, but your symptoms are atypical; most people with new herpes would develop genital lesions (blisters, sores), not only the urethral symptoms. Trichomonas is theoretically possible, but most infections in men are asymptomatic and pain isn't the main symptom anyway.
In other words, I'm not sure what's going on. Unfortunately, it's too late (after the antibiotic) to test now for gonorrhea or chlamydia. Perhaps your new urine test was to check for trichomonas; but if your doc really suspects it, most likely he will just treat you for it (single dose treatment with either of 2 drugs, metronidazole or tinidazole). But a good possbility is that you have nothing wrong at all, just anxiety magnifying otherwise normal body sensations. You should ask your provider his opinion about that possibility.
If there are no clear answers, and if your doc believes you had some sort of infection (i.e., not just anxiety), your wife will need to be examined and perhaps treated. Perhaps she already knows this; you don't say whether she was part of your threesome.
Good luck-- HHH, MD
Some cases of NGU are due to viruses, like adenovirus, which doesn't respond to antibiotics. Herpes also is possible, but your symptoms are atypical; most people with new herpes would develop genital lesions (blisters, sores), not only the urethral symptoms. Trichomonas is theoretically possible, but most infections in men are asymptomatic and pain isn't the main symptom anyway.
In other words, I'm not sure what's going on. Unfortunately, it's too late (after the antibiotic) to test now for gonorrhea or chlamydia. Perhaps your new urine test was to check for trichomonas; but if your doc really suspects it, most likely he will just treat you for it (single dose treatment with either of 2 drugs, metronidazole or tinidazole). But a good possbility is that you have nothing wrong at all, just anxiety magnifying otherwise normal body sensations. You should ask your provider his opinion about that possibility.
If there are no clear answers, and if your doc believes you had some sort of infection (i.e., not just anxiety), your wife will need to be examined and perhaps treated. Perhaps she already knows this; you don't say whether she was part of your threesome.
Good luck-- HHH, MD
More to add: It
How long would it take the genital lesions to appear? It
MEDICAL PROFESSIONAL
In every case of herpetic urethritis I have seen, the external lesions started at about the same time as the urethral pain and always within 1-2 days later. But in theory it could take up to 2+ weeks. Time to resolution of lesions varies from 1-4 weeks, shorter with recurrent outbreaks, longer with the initial episode.
I doubt you have herpes.
HHH, MD
I doubt you have herpes.
HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
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.
