STDs and the prostrate

I had unprotected vaginal sex with a women in 1997, within a week of being with her I had one morning when it hurt to urinate. Then the sysmpoms went away. About 2 months after that I was diagnosed with NSPB.(non specific bacterial prostisits)pain at the tip of the peinus and slight discomfort above the right testicle. This went till 2000, I thought the initial diagnosis was incorrect so I had the doc do a swab for Chylmidia, and the swab was negative. Can STDs hide in the prostrate and not show up on a swab. I heard Chylmidia is diffult to find using the swab seeing it was 3 years since the possible contact. Can STDs hide in the prostrate?. Have you ever heard of a STD ( possible co-infection) causing a false negative HIV test?

[Kevin Pho, MD]

Yes, it is still possible to have an infection in the prostate despite a negative swab.  

I would consider a thorough digital rectal exam to ensure the prostate isn't tender.  

Prostatic abscesses can also be difficult to treat and evaluate.  Imaging the prostate can be considered - a transrectal ultrasound would be a reasonable test to consider.

This option can be discussed with your personal physician or in conjunction with a urology evaluation.

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.
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