Dear H. Hunter Handsfield, M.D. (or any other who may be able to answer):
I have posted the threads from a 2006 discussion. Do you know the END RESULT of this person? I have the exact same symptoms. I was given the same medicines; however, I am not getting better. Furthermore, looking down my urethra with a flashlight, it appears to be some sort of lesion or ulcer on the inside lining of my urethra. The lesion or ulcer is tiny but it is white or greyish in the middle with a red circle around it. The Clinic took a swab of the fluids at the tip of my penis. The swab was too big to be push that far into my penis. Waiting for results. However, when I urinate I go through excruciating pain. And, when my penis head touches my pants or is squeezed it hurts, although not as much as when I urinate.
Can you shed more light? What was the end result for the other person?
Herpes or other possible STD's with these symptoms???
by cboarder
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cboarder
Member since Apr 2006
, Apr 13, 2006 12:00AM
Tags: chlamydia, gonorrhea, oral, penis, test
Doctor HHH, thanks for you wonderful feedback and information. I have been reading this site for several days and find it very helpful.
My Situation is as follows:
I am a heterosexual male and about 12 days I received unprotected oral sex from a female who I do not know the sexual history of during a very intoxicated night. On day 6 I started to have some discomfort when urinating and it turned into a very strong burning sensation when urinating by the end of the day. I had a doctor run a urine dip on me and there was blood in my urine with a higher white blood cell count than normal. She did give me the drug Tequin suspecting a possible UTI. The burning has been decreasing each day, but there is still some discomfort. Also, the tip of my penis is more sensitive and tender than normal since the burning urniation started. If I squeeze the tip I get a paining sensation. On Day 9, she also gave me a 1gm shot of rocephin and on Day 10 I got a perscription for Doxycycline in case of Chlamydia. Now I have been noticing a tightness in my legs going from my buttox down to the calves. Also I have some pain in my back, all of which seem to be from tight muscles, but I'm not sure. I do not have any rashes, sores, itching, or blisters on my penis or anywhere else. Nor do I have any pain in my groin, scrotum, or testicles. My doctor did look at my penis and he said both the outside and inside of my urethra look 100% healthy.
My Questions:
1. Could this discomfort in my muscles be related to herpes HSV-1 and is there any possibility that I could have herpes inside my urethra causing the burning when urinating? If I had herpes in the genital area and no blisters or sores appeared within 21 days, would you suspect myself to be clear of contracting HSV-1 genitally? Do you suspect anything else in this instance?
cboarder
H. Hunter Handsfield, M.D.
Male
Seattle - WA
Member since Sep 2004
Clearly you had sexually acquired urethritis, i.e. gonorrhea, chlamydia, nonchlamydia nongonococcal urethritis (NGU), or perhaps herpes. Since you don't mention it, I gather your doc didn't test you for STDs. S/He should have done that. But if not, you'll probably never know for sure. If you know how to contact your partner that night, you should tell her about your problem and encourage her to get examined and treated.
The relative severity of the pain you describe is more suggestive of gonorrhea or herpes than NGU or chlamydia. Tequin and the other antibiotics would take care of all these except herpes, so the improvement makes herpes less likely. But these are only probabilities, not proof one way or the other. So to answer your specific questions:
1) Yes, your symptoms could be due to herpes (not necessarily HSV-1, could be HSV-2). But no way to be sure, at least not yet; see above.
4) Given the absense of herpes lesions, on balance it is unlikely you have herpes; urethritis alone is an unusual presentation. Most likely, therefore, it is safe now to have unprotected sex with your new partner. But for more certain protection, wait until your herpes test after 12 weeks.
[WITH REGARD TO THIS ONE, THERE ARE NO LESIONS ON THE OUTSIDE. BUT, COULD THE LESION I BELIEVE I SEE ON THE INSIDE BE HERPES.
Good luck-- HHH, MD
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by cboarder
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cboarder
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, Apr 13, 2006 12:00AM
To: H. Hunter Handsfield, M.D.
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H. Hunter Handsfield, M.D.
Male
Seattle - WA
Member since Sep 2004
I did want to clarify that my incident was only oral sex (I received and did not perform on her) so should I be concerned about HSV-2? I thought HSV-2 was only passed through intercourse and not oral sex from reading your past threads? Did I misunderstand something?
herpes? Lastly, if I do have genital herpes, would the sores be any deeper than just inside my urethra?
by H. Hunter Handsfield, M.D.
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H. Hunter Handsfield, M.D.
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Seattle - WA
Member since Sep 2004
, Apr 14, 2006 12:00AM
To: cboarder
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cboarder
Member since Apr 2006
Sorry, I missed the fact that your exposure was oral. * * * and herpes very low risk. You're right, HSV-2 is not an issue, and HSV-1 probably not either. As I said above, "Given the absense of herpes lesions, on balance it is unlikely you have herpes; urethritis alone is an unusual presentation." Also, internal herpes lesions typically are excrutiating--some men describe it as the worst pain they have ever experienced. And more diffuse discomfort ("muscle aching" etc) is not a symptom of herpes or any other STD.
[WITH REGARD TO THIS ONE, IS IT EXCRUCIATING ALL THE TIME OR JUST WHEN THEY URINATE?]
HHH, MD
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by cboarder
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, Apr 17, 2006 12:00AM
To: H. Hunter Handsfield, M.D.
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H. Hunter Handsfield, M.D.
Male
Seattle - WA
Member since Sep 2004
2. Day 14, the pain while urinating has gone away
All of this being said, do you suspect that it was genital herpes causing the burning based on the fact that all other STD's have been ruled out. I know that typcially herpes comes in clusters, could a single bump be an exception to the rule and does that make you believe I have HSV-1 Genitally? Are there any other possibilities besides STD's causing these symptoms?
Thanks for all of your help,
CBoarder
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by H. Hunter Handsfield, M.D.
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H. Hunter Handsfield, M.D.
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Seattle - WA
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, Apr 18, 2006 12:00AM
To: cboarder
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cboarder
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Your sore throat probably is just a cold. I can't really say anything about the penile lesion. Herpes can cause single lesions as well as clusters, so it may be a possibility. What did the doctor who examined you say about it? His or her opinion is more valid than mine can be with just a verbal description.
HHH, MD
This discussion is related to
Herpes or other possible STD's with these symptoms???.