STD symptoms but tests are negative

[traveler2008]

I am 40 and male.  A condom went down 80% of the way when having sex with a girl around Aug 5th.  About 10 days later up to now I have been having serious pressure in my pelvic region, pain at times with my balls, the tip of the penis is very uncomfortable at times, have some low pain after ejaculation.  I am really tired and depressed.  I finally went to a doctor at a clinic about two weeks ago.  She took blood and urine and tested me for Chlamydia, Gonorrhea, Trich, and possibly other things.  In the meantime she put me on various antibiotics aggressively that wipe out the three things I mentioned.  It has been two weeks and I still feel the same.  I have an appointment with a Urologist this Thursday.  Perhaps it is Prostatitis and not connected to anything sexual at all?  

In 2003-04, I was in Iraq and since coming back have been told that only 15% of my sperm are ok.  I also have a small hard thing in the scrotum that feels like a calcification.  Could that be it possibly?

[Dr Smitha Mathews]

Hi,

Your symptoms do seem to point toward prostatitis. In prostatitis, the infective organisms may be located only within the prostate and/or kidney and come into the urethra during ejaculation. If they are not flushed away by urine, they would continue to be present in the urethra and try to grow there causing irritation and pain. As the pain is intense at the end of urination the infection could be within the bladder or the prostate.

You will need to have a urinalysis done, preferably from a sample collected just after ejaculation. This is to identify organisms that stay within the prostate and come out into the urethra during ejaculation. This should be followed by a culture sensitivity test to determine which antibiotic the organism is sensitive to.

Antibiotic therapy is prescribed based on the organism isolated and the antibiotic sensitivity that has been reported for the organism. In prostatitis, the course may be for a minimum of 15-20 days and even longer.

Ensure that you keep your fluid intake over 2000 ml per day and avoid irritants, such as caffeine, alcohol, and spicy foods. Also avoid sitting for long periods of time or on surfaces that are not well padded.

If you do indulge in intercourse during the period of treatment, ensure that you practise safe sex (condoms) so as to not infect your partner.

Do keep us posted on your doubts and progress.