Makes no sense

[justdontgetit]

Thanks for taking my question.  I was getting ready to deploy to Afghanistan and had unprotected oral sex performed on me by someone I didn't know.  No vaginal or anything like that. No encounters of any kind since.  Everything was fine, but about three months after the encounter, I developed a lowgrade itch and slight pain in the tip of my penis.  The tip of my penis is also red from time to time, meaning one time I urinate it is, the next it isn't.  I also seem to get a slight itch inside my eurethra.  The symptoms seems to go away for an hour or so then come back.  They are most noticeable right after I urinate.  It's more annoying than anything.  There has never been a discharge, rash, sores or anything like that.  When I masturbate, my penis becomes very sore for a day or so.  Plus my ejaculation is much less than before.  I went to the doc over here, and he did a urine culture twice.  Both negative for bacteria.  I have been prescribed Doxy, metazolidone(I think that's what it's called), erythromycin, and finally levaquin.  Nothing seemes to help.  I went back today, and he told me that he had treated me for everything that could be wrong "down there", and today gave me diflucan for a yeast infection.  He seems to think it's in my head, and if you ask me, he hasn't a clue so he's just throwing pills at me.  What does this sound like?  These symptoms have been going on for about a month now and it's irritating.  What do you suppose it is?  Is it in my head?  I'm going home shortly, and sex is pretty high on my "to-do" list.  Am I ok?It's making me crazy.

[Kevin Pho, MD]

Difficult to say without evaluation.  Infection would have to be ruled out.  A urine test can evaluated for UTI and STDs (i.e. gonorrhea and chlamydia).  

Dermatitis or a fungal infection is also possible.  A dermatologist can evaluate for these possibilities and treatment can be made with the appropriate steroid or antifungal cream.  

If infection has been ruled out, you can consider anatomical abnormalities like a urethral stricture or urethral polyp which can lead to your symptoms.

These options can be discussed with your personal physician or urologist.

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.

Kevin, M.D.
http://www.straightfromthedoc.com

[justdontgetit]

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[Christie2004]

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