STDs Expert Forum
Tingling sensation at tip of penis - urethritis?
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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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Tingling sensation at tip of penis - urethritis?

Hello doc. This is a great site... very imformative.
39 days ago I had sex with a promiscous older woman(50) that I met in a bar in Nova Scotia. I have been in a monogamous relationship for several years, so I soon became very concerned about STDs. The sex was unprotected BJ followed by protected vaginal for about 45 minutes, then unprotected vaginal for about 4 or 5 minutes. The next day I felt a tingling/mildly itchy feeling at the tip of my penis. 5 days later I went to my family doctor (who is definitely NOT an STD expert). He presribed 1 gram of azythromycin followed by 500mg amoxicillin 3x daily for 7 days. The sensation was not noticed for about 2 weeks. 19 days after contact I had an HIV antibody test and HIV RNA PCR test done. Both negative. However, shortly after the HIV test, I began to notice the penis tingling senation again. I went back to family doctor and was given 2 gram dose of metronidazole, followed by 500mg metronidazole twice daily for 3 days. After treatment (today), I sometimes feel the penile tingling sensation. Some days I feel it, some days I don't. I have no discharge and no pain during urination.

Not infecting my girlfriend is my utmost concern, so I would like an expert opinion.  1-Would the buffet of antibiotics I took likely cure the common bacterial STDs?
2- Since its been 39 days and I have not had any genital sores, can I stop worrying about herpes.
3- Can I feel comfortable resuming my normal sex life with my girlfriend? (we usually don't use condoms since she is on birth control pills)
4- Are there any test I should have done concerning the tingling feeling at the tip of my penis?
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Right off the bat, I want you to read this other thread.  It probably appliles to you:
http://www.medhelp.org/forums/STD/messages/4153.html

'The next day I felt a tingling/mildly itchy feeling at the tip of my penis.'  Strong proof against any STD.  No infection can cause symptoms less than 36-48 hr after exposure.  Good likelihood of anxiety magnifying  normal body sensations.

'1 gram of azythromycin followed by 500mg amoxicillin 3x daily for 7 days.'  After that treatment, no chance of an STD that could cause such symptoms.

'2 gram dose of metronidazole, followed by 500mg metronidazole twice daily for 3 days.'  Ditto.

'Some days I feel it, some days I don't.'  Strong evidence against infection as the cause.

'I have no discharge and no pain during urination.'  More evidence of same.

Answers to your specific questions.  1) Yup.  2) Yes.  3) Yes.  4) No. Forget it.  You don't have anything except nerves.

Good luck--- HHH, MD

2 Comments
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Thank you for the thorough and thoughtful response.  After browsing through other forums on this site and others, I have noticed that many doctors provide only short anecdotal responses that basically tell the person to have a Doctor examine their concern.

I will take you advice and ignore the tingling.  It actually has subsided since reading your response earlier this morning. Thanks again Doc.  I really feel that you are performing a great service.
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H. Hunter Handsfield, M.D.Blank
University of Washington
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Edward W Hook, MDBlank
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