Advice please

[Chris1234567]

Hello Dr, on 16th Dec I had a drunken sexual encounter with a female work colleague which resulted in unprotected oral both ways and protected vaginal only for a minute or so as I was so drunk. I regret the whole thing. About 2 days later I felt like the tip of my penis was more moist than normal and that a minute amount of clear 'precum' type liquid was present in my uretha when I checked sometimes. I decided to go to the gum clinic a few days later who swabbed and the Dr said there was a collection of White blood cells and I may have NSU. I was given medication to take there and then which were 4 tablets which was told would cure any nsu. I went away and a few days later I had a chest infection which I saw my gp for and got erythromycin 250 4 times a day. I completed the course. Over the past few days I have been feeling the symptoms of slight 'precum' at times in my uretha. The gum clinic called and said that all my tests have come back negative anyway. My questions are. Is there any way the medication I could have taken would not have cured any NSU I may have had. What could it be if not an STD/Nsu? Or am I just bring completely paranoid? Ps I have not had any sexual contact with anyone since the tests. I am male heterosexual. I have had no other symptoms such as burning urinating etc. The gum clinic took swabs, urine and blood. Please advise as I am worried. Many thanks.

[Chris1234567]

Thank you

[Edward W Hook, MD]

Men have small amounts of urtheral secretions which they can detect from time to time, particularly if they look very hard.  You need to stop worrying and believe your tests.  

This will be my final comment.  EWH

[Chris1234567]

I attended the GUM and the doctor examined me and took a swab from my urethra which she went and examined and said there was no sign of infection/bacteria etc. I am still getting slight 'precum' type liquid every now and then from my urethra and can occasionally feel me penis tip sticking to my underwear. Also the female I had the sexual encounter with was checked and was clear of STD? The Doctor also examined my penis and found nothing unusual. Is there any way I could still have an STD and if not what could the symptoms I am still having be?

[Chris1234567]

Many thanks Dr for all of your advice.

[Edward W Hook, MD]

The effect of the additonal erythromycin you took, "on top" of the azithromycin would only increase the probablity that your NSU would be cured.  It would not reduce the effectiveness.  EWH

[Chris1234567]

by Chris1234567, 21 hours ago
Hello Dr. One last question re my condition. The red sore I had seems to be subsiding with canestan creme. I still feel there is slight discharge at times from my uretha which I can't recall being there before my sexual encounter. I re contacted the gum clinic who confirmed I was tested for chylamidea. Gonnoreah. Syphilis , HIV and all were negative. No mention of nsu which they thought I may have had at the time of examination after the Dr said I had a collection of White blood cells on my swab. I was given the single dose of azithromycin. The following evening I was at my GP who diagnosed me with a weeks worth of erythromycin at 250 4 times per day for a chest infection which I started taking and completed. Would the azithromcycin have worked correctly if I started taking erythromycin the following day? Or would it have helped matters?. I appreciate your earlier comments re noticing things that were already there following an encounter one regrets. I promises this will be my last post.
Many thanks.

[Chris1234567]

Hello Dr. One last question re my condition. The red sore I had seems to be subsiding with canestan creme. I still feel there is slight discharge at times from my uretha which I can't recall being there before my sexual encounter. I re contacted the gum clinic who confirmed I was tested for chylamidea. Gonnoreah. Syphilis , HIV and all were negative. No mention of nsu which they thought I may have had at the time of examination after the Dr said I had a collection of White blood cells on my swab. I was given the single dose of azithromycin. The following evening I was at my GP who diagnosed me with a weeks worth of erythromycin at 250 4 times per day which I started taking and completed. Would the azithromcycin have worked correctly if I started taking erythromycin the following day? Or would it have helped matters?. I appreciate your earlier comments re noticing things that were already there following an encounter one regrets. I promises this will be my last post.
Many thanks.

[Edward W Hook, MD]

Typically HSV lesions show up between 4 and 14 days following exposure.  The sore you are describing could be a drug reaction, a fungal infection or something else.  My advice is to have someone knowledgeable take a look.,  Herpes is unlikely.  EWH

[Chris1234567]

Hello Dr I still have this red sore on the lower part of the head of my penis causing concern. How long after an exposure and possible infection would symptoms for herpes show up. I have read some saying approximate 4days and some saying up to 3 weeks. My exposure was about 3 weeks prior to getting this red sore. Would antibiotics delay any symptoms becoming apparent as I was on penicillin and erythromycin for chest infection not long after exposure. What would the symptoms most likely to be? Thank you.

[Chris1234567]

Many thanks.

[Edward W Hook, MD]

No, this is occuring longer after your exposure than would be expected for genital herpes. should the area become a blister or open sore you should have it tested with a PCR or culture for HSV.  I dsoubt that this will happen.  EWH

[Chris1234567]

Dr I have also noticed today a red mark on the lower part of the head of  my penis which is quiet tender. Could this be a genital herpe some 24 days after the incident?

[Edward W Hook, MD]

Welcome back to our Forum. There was no need to start a new question.  This question could have been asked in follow-up to your earlier question.

My comments have not changed in the interval since our last interval. the medication you received inthe GUM clinic was most probably azithromycin and that is recommended for treatment of NSU.  I urge you to trust your test results.  .  Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned.  This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  I suspect that this is a contributor to your situation.  

EWH