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Confused by NSU

Diagnosed with NSU after a drunken incident with non regular partner. Not sure if condom was used or not.
Treated with 1g Zithromax.
Retested - Clear
Unprotected oral with regular partner (both ways). No exposure with regular partner took place after the above incident before I took the zithromax.
Retested for NSU - Clear
Unprotected oral with regular partner (both ways)
Retested for NSU - >5wbcs
Treated with 1g Zithromax
Retested for NSU - Clear
No sexual exposure then got retested a few weeks later - >5wbcs
Treated with Doxy & Metrodizonale
Retested months later (in meantime protected vaginal sex with regular partner once or twice) - >5wbcs
Teated with 1g Zithromax & Doxy
Retested 3 weeks later (no exposures) - >5wbcs
Treated with Doxy & Metrodizonale, no retest.
All sex with regular partner only was protected since then.
Retested for NSU 4years later & clear.
Then had hand to genital exposures with regular partner.
Retested for NSU in a private clinic 2months ago - >5wbcs
Treated with 5days of Zithromax.
Retested for NSU 4 weeks later - Clear.

1) I have been told by numerous public sti clinics that there is no concern. My last visit was to a private clinic 2 months ago (where I was treated with 5days of Zithromax) & even though I explained all the above history he didn't seem concerned. I asked was my partner exposed to Mycoplasma after the initial zithromax "failed" when I had unprotected oral with her. He said no. Would this be correct?
2) Is this an sti or was it ever? I'm not even sure the drunken incident even took place. Maybe its just guilt/anxiety for possibly betraying my regular partner?
3) Went to a urologist & he did cystoscopy & stated non bacterial prostatits. I have had symptoms matching this. I know these conditions overlap. Correct?
4) 1g Zithromax may not be sufficient to deal with Mycoplasma Genitalium. However is it safe to say this wasn't caused by MG. Why? My history states: When I took initial 1g Zithromax it went away but came back so MG is a possibility at that point. I was given a further 1g on second occassion months later & it went away but came back, so possibly the Zithromax is not strong enough to eliminate possible MG. Presumably if it was MG then 1g Zithromax was doing no good & it was now resistant against it. However I then was given a 3rd 1g & it went away for 4years. So is MG ruled out based on this as i didn't take Moxi or 5days of Zithromax prior to the 4years clear spell? Note: Doxy was also taken prior to the 4year clear spell but this isn't good against MG.
5) Could this be due to herpes. I have never had any symptoms of this. Sex with my regular partner has been protected but she has not had any symptoms either (i.e. from our skin to skin contact). Should I get a type specific HSV test? Would it give a definitive answer as to whether I have it or not?
6) Through all this I am still with my regular partner. She was tested previously & was clear. We want to commence unprotected sex but I can only do this when I know I have no chance of passing anything on. Was the initial 1g Zithromax sufficient for everything & all antibiotics since have been of no use?
5 Responses
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3149845 tn?1506627771
COMMUNITY LEADER
If you had an NSU that was contractable, took meds but did not get rid of it and had unprotected vaginal sex then it could be passed to the receiver (could).
These Mycoplasms are a group of very small bacteria lacking a cell wall making them unaffected to many common antibiotics which target cell walls. You could be passing this back and forth to eachother if the timing and testing and treatments are not being coordinated.
Helpful - 0
Avatar universal
My query above was "I asked was my partner exposed to Mycoplasma after the initial zithromax "failed" when I had unprotected oral with her. He said no. Would this be correct?"

I think your reply was "The clinic is correct in you giving it to your partner from your encounter but again a low risk from your normal flora." This doesn't seem to tally up with what the clinic said. Can you clarify again please in relation to this. Are you referring just to normal flora as opposed to Mycoplasma Genitalium?

All the tests were carried out correctly (swabs & urine taken. Urine held overnight or >4hrs). The NSU has recurred in times even when there was no sex with regular partner.

The urologist also stated that prostatitis isn't caused by an sti so mycoplasma getting into the prostate wouldn't be an issue I would have thought?

I have never been diagnosed with Mycoplasma Genitalium but Trich, Gono, Chlym has been ruled out so I am concentrating on bugs that could be a possible cause. Is MYcoplasma Genitalium a dangerous bug?

I think I have always had some symptoms (pain on passing urine) even prior to any sexual encounters due to tight foreskin and not drinking enough fluids.

Helpful - 0
3149845 tn?1506627771
COMMUNITY LEADER
Some times NSU,s are a little tricky to get rid of and take a few trips to the doctor to get to the bottom of as you just experienced. Unprotected oral is low risk but possible to contract NSU
1. It is possible that you recaught NSU from your partner as mouth flora can cause this. The clinic is correct in you giving it to your partner from your encounter but again a low risk from your normal flora.
2. If you were tested in the proper times for STI,s and tested negative, and were done correctly, eg. via swab or urine test, they are  conclusive its not an STI.
3. Yes NSU can cause prostritus with mycoplasma.
4. Reoccuring NSU is not  symptom of herpes
5.If you tested negative and dont have any symptoms and your partner also then there is nothing to transmit.

Are you having symptoms now?



Helpful - 0
Avatar universal
I was tested for Chlamydia, Gonn, Trich, Syphilis, HIV, Hep and they were all negative from the very outset. The only thing that showed up was NSU which cleared up but still recurred a number of times as explained in my first post. I wasn't tested for Herpes (HSV2). I have had cold sores since childhood though. With regards symptoms it is difficult to say what is anxiety related and what is not.
Helpful - 0
3149845 tn?1506627771
COMMUNITY LEADER
If you tested negative and were given the ok by the doctor then theres no NSU to transmitt. And if your not having symptoms like urethra discomfort and/or burning while urinating.Were you tested for all sts including gono, chlamydia, syphilis and herpes?
Helpful - 0
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