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Concerned

6-7 months ago I had an ill advised encounter with a woman who I did not know her sexual history.  It was protected vaginal intercourse and unprotected oral.

A few weeks after the encounter, the tip of my penis turned red around the meatus.  There was no discomfort, no burning, itching or discharge.  I saw a physician and told him about the encounter and he was not too concerned because my urine came back clean.  Over the next few weeks I had some issues with starting and stopping of my urine stream when I was voiding.  I went into a urologist and was diagnosed with potential prostatitis and was put on a 4 week course of bactrim.  I had read that chlamydia and gonorrhea could be the cause of prostatitis.  I had a complete STI test done and all came back negative.  I talked to the original doctor and he made the comment that the Bactrim may have caused a false negative for chlamydia and gonorrhea and prescribed zithromax (1g) and a shot of rosephin as a preventative.  I informed my girlfriend and her Dr. prescribed zithromax (1g) and a single dose of ciprofloxin.

Everything seemed to be ok but a few months later the prostate problems came back and I was put on a month of Levaquin.  I finished the course of Levaquin about a week ago and my meatus is still red and I am concerned that if I did have either of these infections that they may have reoccured.

Is there a chance that the initial treatments for my girlfriend and I did not clear up the infection completely?  Is Levaquin a treatment for these and would the extended course have cleared these up?  I do not have the classic symptoms of either of these maladies but my urinary tract does not feel 100% right.

I appreciate any help you can give.

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207091 tn?1337709493
COMMUNITY LEADER
Prostatitis can be difficult to treat.

The bactrim wouldn't have cured gonorrhea or chlamydia, but it might have inhibited the growth of it enough to alter a test result.  However, even if it did, you received the correct medication, and it would have subsequently been cured.

I think you need to follow up with your urologist, and you might want to google chronic pelvic pain in men and you will find all kinds of good info about prostatitis.

AJ
Helpful - 0
Avatar universal
Bactrim is not an effective treatment for either gonorrhea or Chlamydia, thus it should not have interfered with any testing you had done. Your sexual contact was protected and you are at almost no risk for STd`s. Your symptoms are consistent with NGU or prostatitis.  Irecommend a follow up with your urologist. Remember, prostatitis can be difficult to treat. Take care
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492652 tn?1252945408
I doubt you contracted chlamydia or gonorrhea from the encounter you describe.  You had protected vaginal intercourse--of course this isn't zero risk, but condoms greatly reduce the chance you will acquire an STD, especially the two you are concerned about.  In any case, this doesen't sound like a typical symptom for an STD, especially without discharge.  If you had chlamydia, the Zithromax would have cleared it up.  If your problem persists, I would get another opinion and you could always get re-tested for STDS (to ease your mind).  I'm not sure about the Bactrim affecting your test results, but I'm sure somebody else on the forum will be able to comment about this and help you better :)  
Good luck,
Em
Helpful - 0
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