need help

[jay523]

hi im a male 21 years of age i was diagnosed with chlamydia and NGU, the doctor gave me antibiotics for both and symptoms seem to have gone away for about a month. i was also tested for herpes,hiv,syphilis,and that came up negative. its been about 6 months now and i just never felt normal again i havent had sex with any new partners i get tingles and a burning sensation in my pubic area the head of my penis gets dry when i experience these pains and red spots seem to come and go i dont have any burning or itching on the spots they just apear and go after about one day.also my testicles get very sensitive when all this is present i also had a ultra sound done on my testicles and nothing the doctor said it was fine i went back and had a blood herpes test and the doctor said it was negative. this i causing lots of stress in my life and no one can give me answer also i have a spot where my pubic hair is that is ligther the the rest of my skin on the rigth side that recently appeared it doesnt itch or burn it just appeared there its about half of an inch .also after i masterbate evrythings seems normal but the head of my penis begins to get a burning sensation. if u can please give me an idea or suggestion that would help me alot thx ...

[H. Hunter Handsfield, M.D.]

I would like to help, but really cannot offer much.  If your doctor can't find anything wrong to explain your symptoms, especially after such an extensive evaluation (including testicular ultrasound), there is nothing a distant online expert can do.  If we had a patient with concerns such as yours in my STD clinic, and thought he needed further evaluation, we would refer him to a urologist -- this isn't the sort of thing that STD experts manage themselves.

I will just say that your symptom do not suggest continuing chlamydia, NGU, or other STD, and your test results confirm that conclusion.  More than anything else, what you describe sounds most like anxiety-related symptoms, i.e. stress or other psychological factors magnifying normal body sensations.  Given your negative examinations and test results, you can be certain that you have nothing that ever will be harmful, either to you or a future sex partner.

In other words, perhaps the best thing is to just go on with life, knowing nothing serious is going on.  Most likely, your symptoms will just fade with time.  If that doesn't happen, continue to work with your current providers about next steps in evaluation.

Best wishes--  HHH, MD

[jay523]

thx alot my doctor thinks its all in my head but i know pain when i feel it but i must admit since i contacted ngu and chlamydia i have gone through lots of depression and any little thing i feel in my body worries me i have made an appointment with a urologist for the first of the month thx for your time ..

[H. Hunter Handsfield, M.D.]

"I know pain when I feel it" does not conflict with "all in my head".  Psychologically generated or exaggerated pain is real pain.  Since your own provider believes it, you should too -- and you should accept his advice about it.