I am a 26-year old male. On May 23 I lost my virginity to a CSW in the red-light district in Amsterdam. I had both protected oral and protected vaginal sex. The condom was in the CSW's mouth before being placed on my penis - so my penis may have been exposed to her saliva as a result. Tested for Gonorrhea and Chlamydia at 5 and 18 days after the incident - results were negative. Tested for Herpes I/II at 23 days after the incident - results were negative. No blisters/lesions. Since this incident, I've been encountering pain in urination (on a scale of 1 to 10, the pain is about 2/3) and intermittent pain in left testicle that has recently gone up to a level 4/5. Last week, I had trouble sleeping at night because of the pain.
Here are the medications I have take so far:
- May 28 - 250mg of Rocephin (injection) and 2g of Azithromycin (single dose) - these were prescribed to treat Gonorrhea and Chlamydia (just in case) before I got the results of the tests
- June 16 - One week of Doxycycline - 100mg tablets (twice per day) - prescribed to treat possible NGU
- July 12 - 2g of Metronidazole (single dose) - prescribed to treat possible Gardnerella/Trichomoniasis infections
I have been to a couple of urologists and every time I provide my urine sample I am told that WBC levels look normal. However, last week, I decided to get the AZO test strips, and with all three test strips provided, the result was clearly positive for Leukocytes.
1. What could be causing my symptoms?
2. In the US, STD tests do no include Mycoplasma/Ureaplasma, Trichomonas or Gardnerella. In your opinion, should I ask my urologist to order these tests for me?
3. Is it possible that I have been exposed to a bacterial infection that is resistant to all the anti-biotics I've taken?
4. I read that Cipro is recommended for UTI infections. Would your recommend this?
5. Is it possible that I have non-bacterial prostatitis? Why would I get these symptoms right after my first sexual exposure?