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Possible herpes

So here's my scenario: i'm a gay male, and always use protection when it comes to anal sex - but do not when it comes to oral sex.

i recently started seeing a guy a few weeks ago; and just this past thursday i noticed some burning while urinating. on friday, it did not go away so i went to a clinic and had a UA done. they said i had a UTI and gave me 1000mg of zithormax for one dose. on saturday night, the pain was still there while urinating, so i went to the ER. they tested me for gon and chlamydia (cotton swab). they gave me a shot in the arm, and also 500mg of Cipro to take 2x a day for 10 days. they also gave me pyrridium for the pain. UA done at the ER said i still had bacteria and claimed it a UTI

Monday i went back to the clinic for a follow up. I started having a clear discharge from my penis and still pain while urinating. the DR at the clinic said i probably have herpes. there are no visible sores anywhere around my penis and when he looked inside he said he couldn't see anything. but said i was probably "shedding" (hence the discharge). there is no blood in the urine.

i'm now on valtrex and ultram and have to wait about another 8 days for the herpes cotton swab test to come back (he said the blood test would show positive in many people, and that the cotton swab test was more accurate for actual genital herpes). i've been on both the valtrex and ultram for 3 days now and no releif from the pain while urinating. i'm still taking the Cipro from the ER as well. and there is still a little bit of clear discharge (noticable on my boxers at the end of the day). the penis is slightly swollen at the tip and it is very sensitive too.

I don't have any back pain, and there's no rashes anywhere. it doesn't feel like i have to pea often; but when i do it burns the entire stream. my bladder is a little sore; but not painful. the dr said my lymphodes in my groin where only slightly swollen.

any thoughts on if this is herpes or not? if the antibiocs didn't do anything, i'm assuming it's herpes. i know you can get it by skin-skin contact even if the other person is asymptomatic (which, my most recent partner is asymptomatic). i've only had anal sex with my most recent partner and the last time i did was last year (and it was protected). i've had one UTI in the past and that was cleared up with zithromax and a shot (there was blood discharge w/ that episode last june...and all STD tests came back negative on that).
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Avatar universal
Azithromycin is a standard treatment for NGU. Beyond that I know nothing about the recommended dosing. I am not a doctor. Continue to work with yours.
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Avatar universal
wouldn't the azithromycin (1g, one dose) and/or Cipro (500mg 2x a day) have treated the NGU? i'm only on day 5 of the Cipro.
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Avatar universal
If you had unprotected oral then I would think gonorrhea or NGU would be more likely explanations than herpes. If your symptoms do not improve you should be tested and probably treated for NGU.
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Avatar universal
shoot, i think i may have mis-typed that....with my most recent partner, we've had oral and anal sex (protected anal, unprotected oral). the last time i had anal sex besides with him was last year, but have had a few encounters of unprotected oral earlier this year.

the DR that i saw on monday at the clinic said he would have not diagnosed it as a UTI based on the original UA. he never said would he would have diagnosed it; but said the bacteria amount was too low, in his opinion.
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Avatar universal
There would usually be skin lesions with herpetic urethritis. And if you only had condom-protected sex with your most recent partner, then you could not have contracted it or any other urethra STD.

Oral sex can transmit urethral STDs, primarily gonorrhea and NGU, but it sounds like it has been a few weeks since you have had oral; symptoms usually appear within a week or two after exposure.

I find it very curious that the clinic told you that you had a UTI on Thursday, then gave you a preliminary diagnosis of herpes on Monday.

You have had two separate urinalyses that have showed a UTI. I would put my money on that as the cause of your symptoms rather than herpes or another STD.
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