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Ureaplasma or other NGU?

I had unprotected sex and oral sex about 2 months ago. 3 to 4 weeks after I noticed the tip of my penis feels irritated. It doesn't burn when I urinate or blisters. Occasionally I'll feel like I have the urge to pee a little while after I've already gone. So I went to get tested and I was negative for chlamydia and gonorrhea. The doctor gave me zithromax anyways just to be sure. The symptoms come and go. A few days I'll be completely fine then my mind starts to think about it and then I notice the irritation or the urge to pee.

Since then I've been tested again and negative. No white blood count at all in my urine test. Could this be a NGU or Ureaplasma? If I had any type of infection whether bacteria or viral, I'd show some sort of blood in my urine correct?

Also on a side note, I was treated for a lung infection with cipro orally for two weeks, zithromax for 5 days and I received zosyn thru IV infusion for two weeks. Would any of those medications cause these symptoms? Also do any STDs cause muscle burning pains in the thighs?
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Glad to help.  EWH
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Avatar universal
Thank you so much for the advice and information Dr. Hook. You've definitely calmed my nerves.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Thanks for the clarification.  While having had vaginal sex does somewhat increase your risk for infection, the risk remains low and he nature of your symptoms, the negative tests, and the therapy you received all inidcate that you did not acquire an STI from the exposure you describe.

As for ureaplasma, its role as an STI is contraversial at best.  It is well known that Ureaplasmas are normally present in the genital tract and thus if you were to test (yes, urine can be tested for ureaplasma but I see no reason for you to do so), without signs of inflammation (white blood cells), treatment would not be recommended.  

As I said in my orinal reply, in persons with STIs, symptoms do not come and go.  EWH
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Avatar universal
I apologize  Dr. Hook for the confusion but I also meant I had vaginal sex at the time of the oral as well. Thank you again for the help and advise.

Does a urine test show Ureaplasma? I'm just trying to understand symtopms, tests, and treatments. Do symptoms usually come and go with any STD or STI?
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum. I'll be happy to comment.  I think you can rest assured that you did not acquire an STI from your receipt of oral sex and that your current symptoms are not due to an infection acquired this way.  Receipt of oral sex is an inefficient way to acquire STI and the only STIs acquired with any meaningful frequency through oral sex are NGU, gonorrhea and perhaps herpes.  Your symptoms do not fit any of these.  Your negative tests and the absence of inflammation, (white blood cells in your urine) are strong evidence that you were not infected.  Had you been infected, WBCs (which by definition are present in persons with NGU) would have been detected and a test would have been positive. Further, your recent antibiotics would have cured any STI had you gotten one.  finally, the fact that your symptoms come and go is likewise incompatible with STI.

Rather, my guess is that your intermittent symptoms may be due to the fact that when you look for symptoms, you are more likely to notice normal sensations which we typically do not notice when we have other things to distract us.

At this time, there is no reason to be concerned that you acquired an STI from the exposure that you describe, no reason for further testing and no reason for further antibiotics for this problems.  I hope that these comments are helpful to you,.  EWH
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