Aa
Concerned/Confused
I am a white male, 34 years old.
On April 19th of this year I received unprotected oral sex with an assumedly promiscuous person. This is the only sexual contact I have had since, and before that it was over a year.
Being paranoid about the encounter, I went to the local clinic about 2 weeks later and had a full STD panel. I was complaining about frequent urination, but wasn't really sure if it was paranoia. To be on the proactive side, the clinic gave me a shot as well as the one day dose of the medication they usually give to people with Chylamidia or Gonnoreah. The std panel came back negative.
A week two later I was complaining about an irritation in my urethra - not horrible but unpleasant. I was prescribed cipro for 7 days. I went back a week later, complaining of some unpleasantness still there, as well as some pain in my lower back. I told the doctor I was worried about possibly contracting herpes. This was 5 weeks after the encounter. Everything I have read tells me that's possibly not enough time, but the doctor told me it was extremely accurate. They tested my blood and negative for both HSV 1 and 2.
Now the pain started to shift between my buttocks and penis. No uncomfortableness peeing, no discharge, just occasional pain. However, it had become severely painful to sit. We did another std panel, again all negative. This is when I was sent to a urologist.
After a rectal exam, the nurse practitioner said my prostate was swollen and could be the source of my pain. I was prescribed 4 weeks of cipro. During about week 4 I felt like I had noticed a minor improvement.
I have now been off cipro for over a month, and the pain in buttocks has returned in full force. Sometimes pain in the penis, but mainly buttocks and thighs while sitting. My job requires me sitting 8 or more hours a day. Some days, not all, the skin at my anus is extremely red. My butt and thighs have always had acne problems, but now I'm looking at what I used to feel was normal and making myself more paranoid. The zits or red spots are not in clusters, don't hurt, and are not watery.
So what can this be? Can prostatitis cause all of this? Can this be herpes? Something else? Input or answers appreciated.
On April 19th of this year I received unprotected oral sex with an assumedly promiscuous person. This is the only sexual contact I have had since, and before that it was over a year.
Being paranoid about the encounter, I went to the local clinic about 2 weeks later and had a full STD panel. I was complaining about frequent urination, but wasn't really sure if it was paranoia. To be on the proactive side, the clinic gave me a shot as well as the one day dose of the medication they usually give to people with Chylamidia or Gonnoreah. The std panel came back negative.
A week two later I was complaining about an irritation in my urethra - not horrible but unpleasant. I was prescribed cipro for 7 days. I went back a week later, complaining of some unpleasantness still there, as well as some pain in my lower back. I told the doctor I was worried about possibly contracting herpes. This was 5 weeks after the encounter. Everything I have read tells me that's possibly not enough time, but the doctor told me it was extremely accurate. They tested my blood and negative for both HSV 1 and 2.
Now the pain started to shift between my buttocks and penis. No uncomfortableness peeing, no discharge, just occasional pain. However, it had become severely painful to sit. We did another std panel, again all negative. This is when I was sent to a urologist.
After a rectal exam, the nurse practitioner said my prostate was swollen and could be the source of my pain. I was prescribed 4 weeks of cipro. During about week 4 I felt like I had noticed a minor improvement.
I have now been off cipro for over a month, and the pain in buttocks has returned in full force. Sometimes pain in the penis, but mainly buttocks and thighs while sitting. My job requires me sitting 8 or more hours a day. Some days, not all, the skin at my anus is extremely red. My butt and thighs have always had acne problems, but now I'm looking at what I used to feel was normal and making myself more paranoid. The zits or red spots are not in clusters, don't hurt, and are not watery.
So what can this be? Can prostatitis cause all of this? Can this be herpes? Something else? Input or answers appreciated.
I have no doubt you have "very real pain". That doesn't mean it doesn't have a psychological origin. If you have read about CPPS, you should even have seen a description of the physiologic reason for the pain -- increased tension or spasm of the pelvic muscles. It's the same way headaches result from muscle tension, which is why tension headaches also often have a psychological origin.
I would agree that the brain can manifest many symptoms, which was probably the case before my herpes results. After that I thought I was in the clear, until all of these symptoms have caused very real pain. I appreciate the response however.
These symptoms probably are psychological, and not due to any infection from the oral sex event. Judging prostate inflammation and enlargelment on rectal exam is very imprecise and I'm not sure you even had prostatitis -- which is why the cipro hasn't helped much.
Before the expert forums went on hold, the doctors on the STD expert forum often advised people like you to look up "chronic pelvic pain syndrome", which is often the result of anxiety about genital health, sexual exposures, etc. I think there's a good Wikipedia article.
Before the expert forums went on hold, the doctors on the STD expert forum often advised people like you to look up "chronic pelvic pain syndrome", which is often the result of anxiety about genital health, sexual exposures, etc. I think there's a good Wikipedia article.
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You are reading content posted in the STDs / STIs Community
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
