what could it be?

[chayanat108]

I had unprotected oral sex with a woman( she gave to me).  Next day burning sensation on tip of penis and frequent urination.  Went to doctor who gave me ciprox for five days and got no result.  After that I did a urine culture which showed no bacteria.  I again went to doctor who gave me azithromycin for five days (twice a day, one tablet)  Some improvement but still some burning sensation and slight pain in testicles.  Went to doctor again who said that I have chlamydia which sometimes is not cured with azithromycin.  Now taking doxycycline for 7 seven days.  After two days still get intermittent burning in scrotum and rectum and some pressure on testicles, and a bit of pain in testicles. I still have five more days of medicine to go.  Please advise

[chayanat108]

Its confusing because not all doctors agree.  You say 5-7 days and another doctor told me 14 days.  You said my symptoms are mentally manufactured or coincidental.  Seems unlikely if they continued for several weeks and definitely improved with medication.  I mean I know what a swollen testicle feels like and I also know what  the feeling of a grain of sand at the tip of the penis is like.  I also experienced some slight burning in the rectal area. And all of this manifested over a period of 5 - 15 days  and started the day after an encounter with impulse to urinate frequently and some irritation at the tip.

Anyhow, everyone is entitled to their opinion and I appreciate your thoughts.  I am not asking for a reply.

[Edward W Hook, MD]

This will be your final reply.  You can re-test for gonorrhea and chlamydia 5-7 days using a urine nucleic acid amplification test. There are no recommended blood tests.  I anticipate the tests will be negative.

End of thread. EWH

[chayanat108]

So then it is possible that I could have had or still have one of those things because I did not test for them specifically.  

In any case I have continued my doxcycline and have noticed a decrease in symptoms over the last 24 hours and I will continue for the next two days.

I want to know how long after I finish this course of antibiotic can I take an std exam for gonorhea and chlamydia and is that a blood and/ or a urine test.

[Edward W Hook, MD]

No, a general urine culture does not test for gonorrhea or chlamydia. These are specific tests that must be ordered seperately.  EWH

[chayanat108]

Is a general urnine culture for bacteria the same as a specific test for chlamdya or gonorrhea?  The test i did was a general culture for bacteria but it was not a specific test for either of those problems.

[Edward W Hook, MD]

IF you are infected, you should finish the antibiotics that are prescribed.  If you are taking antibiotics that you did not need in the first place, then there is no need to take theentire course.  

As I have tried to indicate, I doubt that you have an infection at all.  Your symptoms may persist until you become less anxious.  EWH

[chayanat108]

Isnt it true that once you start an antibiotic you should finish the course in order not to develop a resistance to that antibiotic?

Do you think I have any kind of urinary infection or all the symptoms just  a mental fabrication?   Its been three weeks since my encounter and I still have similar symptoms as in the beginning, albeit less intense.  How long can this go on?

[Edward W Hook, MD]

The test was negative because it was two days after a five day ciprox treatment.  I think it could have been a false negative.

I disagree, believe your test results

Also I am taking doxycycline and have only finished two days of a 7 day course.  Should i continue?

That is up to you.  Isee no need for treatment.

How can it be that these symptoms appeared just the day after my sexual encounter?  I dont understand.  Are you saying that i have a non specific urinary infection?

Your discomfort is either coincidental or a manifestation of increased awareness of the possibility of infection  EWH

[chayanat108]

The test was negative because it was two days after a five day ciprox treatment.  I think it could have been a false negative.

Also I am taking doxycycline and have only finished two days of a 7 day course.  Should i continue?

How can it be that these symptoms appeared just the day after my sexual encounter?  I dont understand.  Are you saying that i have a non specific urinary infection?

[Edward W Hook, MD]

Welcome to the Forum.  I will do my best to help.  I suspect that the symptoms that you have noticed are not due to an STI.  There are no STIs that produce symptoms within a day or even two days following sexual exposure.  Further, had this been an STI, the medications you have taken would have cured nearly all of them.  Finally, your negative urine test also provides further evidence that you were not infected.  

We not uncommonly hear of problems such as yours on this Forum. Experience has validated that these sorts of situations are almost never due to STIs and in most people the symptoms tend to subside over time and with reassurance that they are not due to STI.  I hope this will be your experience.

Finally, to agb9296 - this is not your thread and while we welcome your reading my comments and hopefully will benefit from them, you should not be inserting questions in other person's threads.  If you have questions specifically for them, contact them separately.  EWH