Still Strugling - Mycoplasma G ?

[pp13]

Hi ,

I am a 32 year Male who had an Protected intercourse and unprotected oral exposure with a CSW in Thai land 4 months ago.

http://www.medhelp.org/posts/STDs/Messed-up-/show/1939664

25 days ago I had dysuria like symptoms without discharge , doctors ruled out STD but still treated me for NGU with a 14day doxy course (100 mg twice a day)

Tested Negative for - Chlamydia / Syph / HIV / HSV 1 and HSV2 etc The blood work came back ok (CBS ESR  ) the Routine Urine test never showed any WBC (had 5 tests - first void urine)

I had sex with my wife after my exposure and before the doxy treatment. and resumed active sex life with my wife after the doxy.

Never Tested for Gono (as no discharge)

Its been four months now since the exposure and my symptoms are intermittent unilateral testicular ache moving to the leg and slight burning ( at times) .

Met a urologist and he suggest a contraction of the pelvic muscles causing the pain.

Met a VD specialist and he mentioned that Mycoplasma G could be a cause of all and prescribed a heavy dose of (ceftriaxone - 1 gm Intra muscular ) followed by 5 days of 1 gm of azithro . He mentioned that doxcy is not reliable for Mycoplasma G. The same was prescribed for my wife ( I have not started the medicine)


Questions

1) Would NGU due to Mycoplasma G cause elevate WBC in Urine. Or the Lack of WBC rule out NGU of any type? (we don't have a specific test for MG )?
2) My wife was never treated - is this a cause of concern ?
3) My anxiety levels are high ( primary cause of the pain as suggested by the Urologist)

What should I Do ?

Regards

[joey90675]

You mentioned you've done urine test, but no WBC; was there urine culture test done?
If there culture is negative, then bacterial infection may possibly be negative, although some atypical bacteria are known to be fastidious (hard to culture)

It is generally said that the more partner you have, the higher the chance one can "accumulate" HPVs. Based on that, CSWs are definitely reservoir for HPVs and these are transmitted via skin contact, esp via anal, oral or genital skin / mucosal contact.  

Any lymph nodes bulging?  Viral infection can also cause lymph nodes to swell and this can cause pain sensation radiating in a way related to the position of the lymph node(s) affected - this pain could manifest like it is conducted in between two locations eg between thigh muscles / testicle)

There are more than 100 types of HPVs known till now; and some of them are considered high risks. The symptoms like warts could appear although it does not necessarily appear all of the time; Precancerous lesions could also appear without ppl knowing it.  

All standard tests like urine culture, culture sensitivity, HIV test, chlam, HSV/1/2, Syphilis will show neg result for HPVs.  In some hospitals/labs, test for high risk HPVs could be available..but usually this is meant for women ie they take vaginal swab and then do the PCR test.  Such test is also limited to detect the most commonly known high risk HPVs (like 6,11,16, 18 to name a few)

Based on my experience, HPV can also cause bacterial like dysuria (NGU) and genital pain symptoms without WBC elevation in the urine - I do believe this is  our immune system trying to clear it out, but HPVs are known to have its own way to evade the immune system and thus the 'battle' causes this continual inflammation which can cause genital pain

I think for men, urethral swab can also be used for HPV PCR screening
If you have been infected, chances are your wife would hv gotten it too from you

[Vance2335]

1) It might, but only way to rule it out 100% is to test for it.
2) No

[pp13]

Dear Vance ,

Last questions ,

1) Would NCNGU or GONO cause elevated WBC in the Urine (and does a lack of it rules out an STD)
2) Would a Semen Analysis showing no WBC also further rules out an STD ?

[Vance2335]

We don't give medication advice here.

[pp13]

Thanks Vance ,

http://www.medhelp.org/posts/STDs/Messed-Up/show/1973904

Above mentioned link is my interaction with Dr. Hook

I have gone to the Expert forum , Where  DR. Hook ruled out STD. Unfortunately I have exceeded the follow up comments and my question on Mycoplasma G remain unanswered.

Any comments of the dose that the VD specialist recommended ?

Regards  

[Vance2335]

1. Normally any kind of foreign bacteria will elevate the WBC, but I don't know about MG.
2. I am not sure
3. This is something I do see a lot, called phantom pains.

Best advice I can give is to pay and post in the expert forum, they know more about MG, symptoms, treatment and transmission.