Worried-not std?

[bold34]

Am married, but have had a few sexual encounters recently. One was with a prostitute, used a condom received oral,and penetrated the vagina for about 10 seconds, all with condom. No ejacualtion. Also received oral with no condom from a guy for about 10 seconds, no ejaculation. A week later I had oral from a guy with a condom on, I ejaculated with condom off, he might have touched his mouth to my penis for a millisecond while ejaculating.

About a week-12 days after the last encounter, I started to get constant pain in my penis, and my urination seemed like it was blocked. It seems like I always have to urinate, and have pain behind my testicles. I've had no discharge whatsoever.

At the 12-day mark, I got a urine test for gonorrhea and chlamydia, results were negative. The next day, I went in to emergency room, they took a swab in urethra to test for chlamydia and gonorrhea, and they gave me the gonorrhea medicine shot and gave me doxy to take. However, the swab tests also came back negative. I also had urine test at hospital for infection, that came back negative.

I went to regular doctor today, didn't tell him of sexual partners. He checked prostate, says I have inflammed prostate, prosititis. He says it's probably bacterial. I asked if he thought I had trich, he said no, I would be having a discharge. He gave me Cipro, and told me to stop taking the doxy.

My concern is, this just seems really coincidental. I'm only 36. Could I have Trich without a discharge? I used a condom with the prostitute, and was only in her for a few seconds, and don't know how I could have gotten it from the oral. Or could both the urine test and the culture test have been wrong for gonorrhea or chlamidya? Is it possible to have two false negatives? I stopped the doxy.

I had sex with my wife once with ejaculation and twice where I pulled out before ejaculation after the encounters...is it possible that I gave her something? Is it possible to have HIV now?

[Edward W Hook, MD]

You are not at risk for anything.  Believe your tests, they are very accurate.  Your starting point was that the chance of STD was near zero, you were then tested and they were negative and if there had been a bacterial STD present (gonorrhea of chlamydia, it would have been totally eradicated.  Trich is not present in the throat so there is no risk of this,  Similarly, there was virtually no risk of HIV from your exposure.  You may have prostatitis (I will not second guess your physician) and cipro is appropriate therapy for this.

My guess, your are anxious about these exposure and this is contributing to your perception of symptoms.  There is also no reason for being concerned aobut giving your wife something from the exposures you describe.  EWH

[Edward W Hook, MD]

No evidence that you have trich.  Time for you to move on.  EWH

[bold34]

Also, latest urine test I had at hospital came back normal, and they said they check white blood cells. Would that be able to tell if no Trich?

[bold34]

They didn't tell me if the swab test was for white blood cells, is that normal for chlamydia and gonorrhea? Also, it may not have been a good test, because I didn't really have a discharge.
I'm still worried, my wife has been having a white/gray discharge that does smell like fish.

[Edward W Hook, MD]

If your swab test taken earlier was also looked at for white blood cells, then the chances that this is trich are vanishingly low.  Men to not give trich to other men (never been reported) or by oral sex so the only way you could have gotten trich was from your encounter with the CSW in which you used a condom.  condoms are proven to help protect against trich.  Putting all of this together with your tests and earlier resutls, I find it really hard to believe this could be trich.  Finally, you have another explanation for the fluid-prostatitis.  My suggestions would be to work through this with your urologist.  You may want to be a swab test for white blood cells as well but I suspect that will be negative.  EWH

[bold34]

Okay, doc, I'm sorry to bother you again, but I just noticed something this morning. When I woke up this morning, at about 9 a.m., I noticed a small drop of clear fluid on my penis. I hadn't urinated for at least an hour. It didn't smell, was clear. Could it have been urine from more than an hour earlier? I might have had this once before a couple of weeks ago, but I pee so often it's hard to tell...but this morning it was obviously a small clear drop of something....I'm so worried that I got trich, because that's a way to contract HIV and easily pass it on...I can't figure out how I may have gotten it, though when I did have one of the encounters, one man may have rubbed his penis on mine, and he had a discharge....
Please help...I'll start another thread if you want me to....

[Edward W Hook, MD]

Although years ago physicians thought that prostatitis was an STD, today we know that this is rarely, if ever the case.  Since you did not have urethritis (penile infection) you would not have STD prostatitis either.  EWH

[bold34]

Dr-

Thank you so much for your answer, I really appreciate it. I guess I'm really confused because this happened right after these encounters, I definitely have something going on with my prostate, and I'm kinda too young for this to come on.
One question, then -- could i have gotten the prostatitis from the encounters, just not through an STD? Some other bacteria? Is that possible?