Dripping pre ejaculatory fluid without being aroused and more so when aroused

[rcntexas]

Hi,

I am a 29 year old male and for the past several months I have been having intermittent testicular pain/discomfort and sometimes inconsistent ejaculations. I have gone to the Urologist twice and they performed a variety of test including an Ultrasound upon a visit to the first doctor. Anyway recently I have been leaking/dripping pre ejaculation even when not aroused and alot more comes out when aroused. I wouldn't be entirely concerned but recently I had a sexual encounter with a woman whose sexual history I do not know though I believe she would be considered low risk. It was a partially unprotected encounter (condom broke). Anyway should I be concerned about an STD? All that is coming out is CLEAR STICKY Pre ejaculation fluid which is more so after urination. There is no discharge or burning upon urination. I still have intermittent testicular pain but now am staining my underwear and when aroused the precum is enough to leak through my pants. I was previously checked for an infection before this sexual incident at the Urologist and he did not find bacteria in my Urine. Again everything was normal and considered my condition benign.

Also note that I started on some anti-depressants/anti-ADD medication a couple of months ago that has ejaculatory side efects. I personally believe I have something wierd going on with my prostate but who knows. Again my main concern is having an STD like the Clap or Clamydia (chlamydia). Thanks in advance for any insight.

[Kevin Pho, MD]

If the condom broke, then there would be an increased risk for an STD.  In addition to the urinalysis which you had, I would also suggest testing for STDs such as gonorrhea or chlamydia.

You should also ensure that the pre-ejaculate is not in fact some sort of penile discharge, which also can be suggestive of an STD.

If those tests are negative, I would consider a prostate examination as the next reasonable test.  This can be performed via a digital rectal exam.  If imaging is needed, a transrectal ultrasound would be the test of choice.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.

[rcntexas]

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[chiva]

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