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Distracting Shooting pains in Penis and itching
Dear Doctor Handsfield
Thank you for your reassuring and informative responses
4 months after receiving oral sex I am still experiencing daily (intermittent throughout the day) medium (not debilitating but quite distracting) shooting pains/tingling in the tip of my penis and itching in my genitals and rectum, which is also not debilitating but quite noticeable. I have had two Herpes 1 & 2 tests ( First after 4 weeks, then @ 10 week I had HSV IGM and HSV 1/2 IGG Herpeselect), all of which were negative. In the month after exposure I had a single dose of Azythromycin , then 2 weeks of Cipro and 1 week of Docycycline. Multiple urine dip sticks showed no white blood cells. Your colleague has confirmed that there is probably nothing to worry about and the symptoms may be a result of prostatitus or a small anal fissure that irritates the prostate, but after 12 weeks the symptoms persist and are mostly more of a distraction because I don't want to spread anything if I have it.
1. Assuming your instinct is still to counsel that whatever I have is probably not a communicable STD, if there were any one or two guesses of something communicable, no matter how improbable, that could be tested or examined, what might it be.
2. In past bouts of Prostatitus, which I have had for over 20 years, whatever symptoms I had resolved within weeks, so I am not confident, and am avoiding sex with my wife which is creating a problem. Thanks
3. I know there is a very small possibility the antibiotics were not effective on gonorrhea, but if that were the case, how would the symptoms likely have progressed by now?
Many thanks
Thank you for your reassuring and informative responses
4 months after receiving oral sex I am still experiencing daily (intermittent throughout the day) medium (not debilitating but quite distracting) shooting pains/tingling in the tip of my penis and itching in my genitals and rectum, which is also not debilitating but quite noticeable. I have had two Herpes 1 & 2 tests ( First after 4 weeks, then @ 10 week I had HSV IGM and HSV 1/2 IGG Herpeselect), all of which were negative. In the month after exposure I had a single dose of Azythromycin , then 2 weeks of Cipro and 1 week of Docycycline. Multiple urine dip sticks showed no white blood cells. Your colleague has confirmed that there is probably nothing to worry about and the symptoms may be a result of prostatitus or a small anal fissure that irritates the prostate, but after 12 weeks the symptoms persist and are mostly more of a distraction because I don't want to spread anything if I have it.
1. Assuming your instinct is still to counsel that whatever I have is probably not a communicable STD, if there were any one or two guesses of something communicable, no matter how improbable, that could be tested or examined, what might it be.
2. In past bouts of Prostatitus, which I have had for over 20 years, whatever symptoms I had resolved within weeks, so I am not confident, and am avoiding sex with my wife which is creating a problem. Thanks
3. I know there is a very small possibility the antibiotics were not effective on gonorrhea, but if that were the case, how would the symptoms likely have progressed by now?
Many thanks
MEDICAL PROFESSIONAL
There is no such thing as antibiotic-resistant chlamydia, and your symptoms don't suggest chlamydia anyway. Don't assume an STD is the cause just because your symptoms involve the genitals; the large majority of genital health problems are not sexually acquired. And as I said above, your symptoms do not suggest any STD anyway.
That's all for this thread. As I said above, this forum cannot help you.
That's all for this thread. As I said above, this forum cannot help you.
Hi Dr. H
Because I had already taken the multiple courses of antibiotics I was not tested for Chlamydia. What are the chances the symptoms relate to drug resistant chlamydia?
Thanks
Because I had already taken the multiple courses of antibiotics I was not tested for Chlamydia. What are the chances the symptoms relate to drug resistant chlamydia?
Thanks
MEDICAL PROFESSIONAL
No STD causes the symptoms you describe, multiple STD tests have been negative, and you have been treated with a mix of antibiotics that would have cured any infection that possibly could be responsible for such symptoms. Prostaitis -- or, perhaps more accurately, the male pelvic pain syndrome (that's what used to be called chronic nonbacterial prostitis) -- is a better bet. That's not an STD, so it is outside the scope of this forum.
1) I have no advice about other infections to test for. I can't think of anything.
2) Patterns of pain and discomfort due to the pelvic pain syndrome can vary widely and can change over time. That the pattern is different now does not mean it isn't the same old problem. Most likely it is. I see no reason you cannot safely have sex with your wife; you have nothing that can harm her, and having sex won't hurt you either.
3) You're barking up the wrong tree. Gonorrhea doesn't cause the sorts of symptoms you describe.
You might want to read up on the chronic pelvic pain syndrome. Google that term; you'll find lots of information. Start with the excellent Wikipedia article, which will be near the top of the google hit list. I'll bet you see a lot that sounds like what you have.
You're going to have to work with your own provider on all this. Sorry I can't be more helpful. Good luck.
HHH, MD
1) I have no advice about other infections to test for. I can't think of anything.
2) Patterns of pain and discomfort due to the pelvic pain syndrome can vary widely and can change over time. That the pattern is different now does not mean it isn't the same old problem. Most likely it is. I see no reason you cannot safely have sex with your wife; you have nothing that can harm her, and having sex won't hurt you either.
3) You're barking up the wrong tree. Gonorrhea doesn't cause the sorts of symptoms you describe.
You might want to read up on the chronic pelvic pain syndrome. Google that term; you'll find lots of information. Start with the excellent Wikipedia article, which will be near the top of the google hit list. I'll bet you see a lot that sounds like what you have.
You're going to have to work with your own provider on all this. Sorry I can't be more helpful. Good luck.
HHH, MD
You are reading content posted in the STDs Forum
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.
