I did not say your symptoms are not "real". Anxiety can cause symptoms that are just as real, with physiologic (not mental) origins, as a broken leg can cause. With the male chronic pelvic pain syndrome, the pain probably originates in the pelvic musculature.
You have my only recommendations. Did you do the online reading I suggested? There is no test for any STD (or any other infection) that I can think of. Your symptoms do not suggest epididymitis. Some urologists would consider an ultrasound of your prostate, as part of the workup for CPPS, but I have no experience with that. In any case, there is no realistic chance you have anything that will ever harm you or a sex partner. If I were in your situation, knowing what I know, I would probably cease seeking health care about it -- but even if I did, I certainly would not hesitate to have sex with my wife.
Thank you for the response.
With all due respect, my "heightened level of anxiety" is not due to HIV fears. The symptoms I feel are real (i.e. discomfort, tenderness, overly warm testicles). Irrespective of the tests I had performed, I wanted to know if you could recommend any other ones? Given the time frame, would an infection still be detected based on the above? My biggest fear is that I have "something" and pass it on to my partner
What about an ultrasound? Would that show Epididymitis? Is there a formal test for epididymitis?
Thanks again.
No STD is a likely cause of "pain and discomfort in my left testicle and lower abdomen for over a year now". Ditto for the other symptoms you describe. Your STD tests have been negative and a doctor has reassured you -- which is pretty much always more reliable than any speculation a distant online expert could make. I'm not convinced you have "chronic epididymitis" either, but in any case no STD -- and that's as far as this forum goes. In response to your specific question, I have no advice for additional testing. Instead, you should rely on your own doctor's advice; or if not certain of his expertise, ask for referral for another opinion, perhaps from a urologist.
You have been asked many questions on several community forums, especially the HIV community forum, for almost 2 years. The general tone suggests a rather heightened level of anxiety -- and certainly all the symptoms you describe here are classical for genitally focused anxiety. You may have the chronic pelvic pain syndrome, which used to be considered a form of prostatitis but is probably usually (always?) anxiety-related. You might google that phrase, then start your reading with the excellent Wikipedia article, which will be near the top of the google hit list. If or when you see your doctor or a urologist about your symptoms, you might ask him or her about possible psychological origins of most of your problems in this area.
Best wishes-- HHH, MD