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Persistent Inflamed & Irritated Meatus
Hello,
Thanks for any help anyone has to offer.
I've been suffering from an inflammed and irritated meatus for just over seven weeks now and I'm really confused as to what's causing it or how to fix it. I'm in a foreign country at the moment so access to healthcare and consequently explaining my problem in a foreign language hasn't been the easiest. For that reason, I'm writing here to see if anyone could lend some advice.
I suppose all of this started in late December when I received a sort of rough unprotected handjob from a sex worker. I believe she was using lube she had previously put in her anus to rub my penis. In other words, she was reaching to her anus to get the lube and then rubbing my penis with it. She rubbed the tip (meatus) with her thumb in a circular pattern, and did so pretty intensely although it didn't bother me too much at the time. A few days later I saw that the tip of my penis looked slightly different. It looked as if there were two pursed lips instead of a straight slit like before. But that was it. I had no other symptoms. I figured it was just a little traumatized after the handjob. But would go away.
Then in the month of January, I had quite a lot of unprotected sex with a girl who has since been tested and came out clean. In February, about two months later from my encounter with the sex worker and a few weeks after I stopped having regular sex in January, some real irritation started. I could best describe the condition as irritation and very slight inflamation of at the tip of the penis. It comes and goes in intensity but at its worst moments, it's very pink and burns slightly when I pee just at the tip of the urethra. The size of the pursed lips also vary depending on how bad the irritation is and also, along with the redness small bumps come and go. The bumps though however are ever so slight and usually disappear within a couple days together with the redness. They don't appear anything like warts or herpes sores. Spotted redness might be a better description. The other thing I noticed is that my urethra appears to be slightly wider and open, revealing the sensitive wet part of my urethra, almost as if my it's trying to breath. I think this might be why it gets irritated from rubbing against my clothing. I've also noticed more discharge than usual from my penis. I'm not sure if it's precum but basically, it's clear, has no scent, and a has the consistency of mucas and I've noticed more than usual when checking my underwear at the end of the day. The last thing that's different is that after I pee, I notice that there's a a little extra drip than usual, even after I clean up with toilet paper, the tip of my penis is moist.
Wearing boxers and walking (or any kind of movement really) aggravates it as I think my underwear ends up rubbing the tip of my penis. So I have switched completely to using tight underwear and stopped doing aerobic exercise. None of my symptoms resemble anything like the pictures of herpes or genital warts I have seen online and both the determatologist and urologist I have seen agree and dismissed the possibility of either. I was tested in February for HIV, syphilis, hepatitis B, gonorrhea, and chlamydia, and all of the tests came out negative. I also had two urine tests and both came out normal.
The dermatologist I saw first in February recommended soaking my penis in a warm mixture of water and sodium bicarbonate twice a day. It didn't help. The urologist I saw in March prescribed a cream that contains Gentamicin, Betamethasone, & Miconazole, which is supposed to clear up any irritation caused by a yeast or fungus infection. I used that twice a day for a couple weeks but the condition did not get any better and he then told me to stop using it. So basically, now I'm just wearing tight underwear, I don't use any lotion and am careful when washing it with dove soap ensuring that no soap gets into or near my urethra. I'm not having regular sex and when I masturbate do so in a gently manner only a couple times a week. However, I've noticed that the couple times I have had sex since this condition started, my penis was extra sensitive and I ejaculated rather quickly.
Part of me thinks that maybe it is an infection due to bacteria from the girls anus. Another part of me thinks maybe it's purely physical trauma. But I do notice that when I'm tired and have had a late night, the condition worsens which leads me to believe it's tied to the strength of my immune system. But really, this could be all in my head..I don't know.
So, if you've taken the time to read all the way to the end, thank you. I'd really appreciate any ideas on what might be causing this or what I could do in terms of treatment or other tests. Are there other STDs or STIs which could be the culprit that I haven't been tested for? Thanks so much in advance, I'm worried this might never go away.
Thanks for any help anyone has to offer.
I've been suffering from an inflammed and irritated meatus for just over seven weeks now and I'm really confused as to what's causing it or how to fix it. I'm in a foreign country at the moment so access to healthcare and consequently explaining my problem in a foreign language hasn't been the easiest. For that reason, I'm writing here to see if anyone could lend some advice.
I suppose all of this started in late December when I received a sort of rough unprotected handjob from a sex worker. I believe she was using lube she had previously put in her anus to rub my penis. In other words, she was reaching to her anus to get the lube and then rubbing my penis with it. She rubbed the tip (meatus) with her thumb in a circular pattern, and did so pretty intensely although it didn't bother me too much at the time. A few days later I saw that the tip of my penis looked slightly different. It looked as if there were two pursed lips instead of a straight slit like before. But that was it. I had no other symptoms. I figured it was just a little traumatized after the handjob. But would go away.
Then in the month of January, I had quite a lot of unprotected sex with a girl who has since been tested and came out clean. In February, about two months later from my encounter with the sex worker and a few weeks after I stopped having regular sex in January, some real irritation started. I could best describe the condition as irritation and very slight inflamation of at the tip of the penis. It comes and goes in intensity but at its worst moments, it's very pink and burns slightly when I pee just at the tip of the urethra. The size of the pursed lips also vary depending on how bad the irritation is and also, along with the redness small bumps come and go. The bumps though however are ever so slight and usually disappear within a couple days together with the redness. They don't appear anything like warts or herpes sores. Spotted redness might be a better description. The other thing I noticed is that my urethra appears to be slightly wider and open, revealing the sensitive wet part of my urethra, almost as if my it's trying to breath. I think this might be why it gets irritated from rubbing against my clothing. I've also noticed more discharge than usual from my penis. I'm not sure if it's precum but basically, it's clear, has no scent, and a has the consistency of mucas and I've noticed more than usual when checking my underwear at the end of the day. The last thing that's different is that after I pee, I notice that there's a a little extra drip than usual, even after I clean up with toilet paper, the tip of my penis is moist.
Wearing boxers and walking (or any kind of movement really) aggravates it as I think my underwear ends up rubbing the tip of my penis. So I have switched completely to using tight underwear and stopped doing aerobic exercise. None of my symptoms resemble anything like the pictures of herpes or genital warts I have seen online and both the determatologist and urologist I have seen agree and dismissed the possibility of either. I was tested in February for HIV, syphilis, hepatitis B, gonorrhea, and chlamydia, and all of the tests came out negative. I also had two urine tests and both came out normal.
The dermatologist I saw first in February recommended soaking my penis in a warm mixture of water and sodium bicarbonate twice a day. It didn't help. The urologist I saw in March prescribed a cream that contains Gentamicin, Betamethasone, & Miconazole, which is supposed to clear up any irritation caused by a yeast or fungus infection. I used that twice a day for a couple weeks but the condition did not get any better and he then told me to stop using it. So basically, now I'm just wearing tight underwear, I don't use any lotion and am careful when washing it with dove soap ensuring that no soap gets into or near my urethra. I'm not having regular sex and when I masturbate do so in a gently manner only a couple times a week. However, I've noticed that the couple times I have had sex since this condition started, my penis was extra sensitive and I ejaculated rather quickly.
Part of me thinks that maybe it is an infection due to bacteria from the girls anus. Another part of me thinks maybe it's purely physical trauma. But I do notice that when I'm tired and have had a late night, the condition worsens which leads me to believe it's tied to the strength of my immune system. But really, this could be all in my head..I don't know.
So, if you've taken the time to read all the way to the end, thank you. I'd really appreciate any ideas on what might be causing this or what I could do in terms of treatment or other tests. Are there other STDs or STIs which could be the culprit that I haven't been tested for? Thanks so much in advance, I'm worried this might never go away.
I was wondering, since we all have had no luck with this problem, has anyone out there had a semen culture? or any tests done on their semen?
I know i have and most of you have had every test we can think of with no positive results.
I know i have and most of you have had every test we can think of with no positive results.
Check wikipedia on Lichen Sclerosis.. it says that exact cause not really known, but genetic, infection, autoimmunity are among the reasons. Note that CMV is linked to autoimmunity. HPV is also suspected to cause LS.
Ehm, for those who think EF (E.faecalis) has a role in the problem:
http://www.ncbi.nlm.nih.gov/pubmed/?term=enterococcus+faecalis+prostatitis
Itseems EF is recognised as an agent for CBP ie chronic -bacterial- prostatitis.,
So those who were negative on standard STD test, and claimed that their problem is due to EF...might have only assumed that they were positive to EF ..since they claimed EF is ignored by the diangnostic lab /doc? I am not sure if such assumption is correct, as EF [according to the above refs] -is- recognised as an agent for CBP
http://www.ncbi.nlm.nih.gov/pubmed/?term=enterococcus+faecalis+prostatitis
Itseems EF is recognised as an agent for CBP ie chronic -bacterial- prostatitis.,
So those who were negative on standard STD test, and claimed that their problem is due to EF...might have only assumed that they were positive to EF ..since they claimed EF is ignored by the diangnostic lab /doc? I am not sure if such assumption is correct, as EF [according to the above refs] -is- recognised as an agent for CBP
Hi guys I have had this problem for years now and I think I found what it is, the name of the thing we have is Lichen sclerosus I found it looks really similiar to what I have what do you guys think?
Hi guys I have had this problem for years now and I think I found what it is, the name of the thing we have is Lichen sclerosus I found it looks really similiar to what I have what do you guys think?
Actually the ref you quoted for the NAAT (nucleic acid test) were targeting the plasmid in Chlamydia trachomatis [CT]. That is part of CT genome.
The ELISA test for CT scanned IgG and M from the host/human that have been infected.
In contrast, ELISA test for CT screening try to detect antibodies that have been produced by the host due to infection from CT , be it recent or non recent
I am not sure of how broad the current diagnostic test in detecting antibodies against various strains of CT; but I am quite sure it must be poly-clonal antibody(ies) to ensure good coverage
After all, the diagnostic test detecting IgG and M must hv been approved by regulatory body; I am not sure of the NAAT though indicated above. That is the problem with NAAT, although it is very specific, it can be misleading if the strain has a mutation in the region scanned
The ELISA test for CT scanned IgG and M from the host/human that have been infected.
In contrast, ELISA test for CT screening try to detect antibodies that have been produced by the host due to infection from CT , be it recent or non recent
I am not sure of how broad the current diagnostic test in detecting antibodies against various strains of CT; but I am quite sure it must be poly-clonal antibody(ies) to ensure good coverage
After all, the diagnostic test detecting IgG and M must hv been approved by regulatory body; I am not sure of the NAAT though indicated above. That is the problem with NAAT, although it is very specific, it can be misleading if the strain has a mutation in the region scanned
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