Help!!!

[grouper]

On 1/1, I experienced a burning sensation when urinating.  The next day I went to a walk in clinic where the doctor treated me for gonorrhea (a shot with 1,000 ccs of antibiotics) plus an oral antibiotic for possible chylmedia.  The oral antibiotic was administered in a single dose of four pills.  I also provided a urine specimen for testing and should have the results shortly.  My recent sexual exposure has been with my wife (unprotected oral) and with two female sex workers (also unprotected oral).  All of this occurred in the last 10 days or so.  After doing some reading on your site, it appears unlikely to me that I have gonorrhea because I have no discharge or other symptoms.  Chylmedia seems unlikely, too, because it is not transmitted by oral sex.  Assuming the test confirms this belief, it appears that I may have NGU.  As I read about NGU, I recalled that my wife had a serious dental related infection and that we had oral sex just before she had oral surgery.  Is it possible that I contracted NGU from my wife?  I am starting to think that this is more likely than having contracted it from one of the other women I have had oral sex with in the last couple of weeks.  Although the doctor assured me that I would cured of any bacterial infection in 24 hours or so, I still have a burning sensation when I urinate.  What should I do? Is it reasonable to assume that the antibiotics I was given yesterday will also treat and cure the NGU?   Can I infect my wife if we resume sexual relations? (Her infected tooth has been removed and she no longer has an infection.)  Should my wife be tested and treated?  Will any of this cause my wife to question my sexual fidelity assuming I do not test positive for gonorrhea or clymdia?  I am worried sick about all this and hoping there is a way to resolve this problem without jeopardizing my marriage because I made two incredibly stupid mistakes.  Many thanks.

[Edward W Hook, MD]

Burning on urination without discharge could be any of the problems you mention but it could also be nothing at all.  Did the doctor you saw do a swab test or just treat you?  The reason I ask is because if he/she did, and if white blood cells were seen when it was done, then you could have a repeat swab to check for the presence of white blood cells to help sort this out.

If you had any of the STDs you mention (and I agree that these are the most likely ones to attribute your symptoms to), you have received highly effective, recommended therapy and thus have no reason to be concerned.  That the symptoms are still there suggests that this may be anxiety.  The best way to sort this out is to check with the same physician who recently saw and treated you.  I see no reason from what you've described about giving something to your wife or vice versa.

Hope this helps.  EWH