Aa
What in the world do I have?
Hi. I am a 61 year old, white male. In the past, I had been VERY heterosexually active. I am now in an exclusive, monogamous relationship. Three years ago, I was diagnosed with BPH, and prescribed a 5-alpha reductase inhibitor. My urine stream improved. Frequency abated. So the drug worked. I asked my urologist to consider putting me on the standard dosage of Depo Testosterone, strictly as an exogenous source of free testosterone, due to malaise, fatigue, etc. He was reluctant, but did so anyway. To summarize, I'm taking a daily dose of .05 mg of Avodart and a minimal dose of Depo Testosterone once per month. My question: Why does it feel as though my prostatic urethra is ON FIRE? Granted, the pain is intermittent, but it's definitely there, and it's been persistent over three years. I'm most sensitive to the burning in the days immediately following the injection. My urologist did a DRE and found no evidence of bacteria. I had asked him to prescribe an antibiotic, and he adamantly told me no. I'm wondering if I could be in the beginning stages of prostate cancer (after adjusting for Avodart my PSA is well below the normal level of 3), or is it possible that I have a sexually transmitted infection, such as HSV-2, or is it possible that an undetected chlamydial infection could be causing this burning. I've never had any sort of "outbreaks." Finally, the burning sensation began when I started taking Avodart AND Depo Testosterone injections concomittantly, just over three years ago.
COMMUNITY LEADER
Hi and welcome. Burning in the urethra is not a sign of prostate cancer. What did the uroligist say the burning was from? Did you ask him?
Life360 - He doesn't know. He feels safe in ruling out prostate cancer, and as I've already mentioned, there are no signs of infection in the specimen he took. Good, bad, or otherwise, I'm giving up Depo Testosterone injections for about six months. If you do have any advice / suspicions, I'd be glad to hear them. Thanks for getting back to me.
have you been tested for herpes ? typically it's not a part of routine std testing so you'll need to check to be sure.
did you and your current partner get full std testing prior to starting to be intimate together?
is it likely you are having intermittant urethral pain from chlamydia that you would've contracted a few years ago? no it is not.
grace
did you and your current partner get full std testing prior to starting to be intimate together?
is it likely you are having intermittant urethral pain from chlamydia that you would've contracted a few years ago? no it is not.
grace
Thanks for your response, Grace. I, too, am suspect of a sexually transmitted infection, though as I've already mentioned, except for urethral burning, I don't have any of the other clinical "visible" signs. Outbreaks, etc. I'm wondering what the "unseen" clinical manifestations could possibly be for herpes / chlamydia in a male. The conventional wisdom is that "males are asymptomatic." In other words, I'm wondering if testing might reveal something I've overlooked. Moreover, my research has taken me to Herpes Simplex 16 and 18 as a possible idiopathic cause of what is purportedly "prostatitis," or "BPH." Thanks again, Grace.
think you are confusing herpes and hpv. also hpv wouldn't cause you any symptoms.
you are probably sick of hearing this but honey as you age, the ole prostate is bound to start giving you some trouble. no real reason to think this is std caused at all.
you are probably sick of hearing this but honey as you age, the ole prostate is bound to start giving you some trouble. no real reason to think this is std caused at all.
Grace, About 20 years ago, a woman with whom I was intimately involved (monogamously) presented with cervical issues during a routine pap smear. It was HPV. Cryo therapy took care of it. I'm not sure if I infected her, or whether it was the man she had just stopped seeing. I would be asymptomatic, but since I've had other relationships hence, none of those women had any issues. You said, "as you age, the ole prostate is bound to start giving you some trouble." Your quote is practically word for word from the mouth of my urologist. I think I probably NEEDED to hear an objective, unbiased, additional opinion, and I thank you for it. It's just that I've never heard of any other man having urethral burning; burning - for all intents and arguments - which has no causative evidence behind it, other than a sexually transmitted infection. Thanks again.
most hpv infections clear themselves from the body over time. the types that cause cervical cell changes /cancer, tend to not cause any symptoms at all.
you can also seek out type specific herpes igg blood testing too to know your status if you haven't had it since your new partner. once you get over 50, 1 out of every 3 adults has hsv2. it can cause urethritis symptoms but if your urologist is manually examining your prostate and feeling that it is enlarged, odds really are that it's a prostate issue going on.
you can also seek out type specific herpes igg blood testing too to know your status if you haven't had it since your new partner. once you get over 50, 1 out of every 3 adults has hsv2. it can cause urethritis symptoms but if your urologist is manually examining your prostate and feeling that it is enlarged, odds really are that it's a prostate issue going on.
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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.
