Virus or Fungus?

Within the past three weeks I had intercourse with a new partner. We discussed our sexual history and mutually had no STDs to speak of.  After sex I did not shower right away. Within five days I began to feel a burning sensation in my scrotum and tip of my penis with a mild clear discharge after urination. As a precaution, my physician began a course of antibiotic treatments and also a 7 day course of FAMVIR although there have been no visible lesions. Having completed the treatment, I continue to feel a burning sensation in my scrotum and in the area of the anus as well as a mild stinging on the tip of my penis.  The discharge is very mild, clear, and leaves a silky (almost like spider string) mark with my urine. Could this be signs of STD or some other skin reaction.

[Kevin Pho, MD]

The prostate would be the first thing that comes to mind.  I would assume that basic tests like a urinalysis and tests for gonorrhea and chlamydia have already been performed.

You can consider a prostate exam to evaluate for prostatitis, as well as sending off any prostatic fluid off for analysis and culture.

A transrectal ultrasound can be done to evaluate for any abscesses.  

There are some cases of prostatitis that require an extended course of antibiotics.

You can discuss these options with your personal physician.

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

[hairymike]

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