HELLO DR

[sleeplessguy01]

In the last 2 years I’ve had sex with 6 women. Out of all those women 4 have been CSW. I always use condoms and out of all 6 of them two of them went down on me without a condom. Two years ago I got this pain in my testicles and around my perineum. I had got this pain after a woman I hardly knew gave me oral sex until completion. I didn’t have any discharge, just pain. I got diagnosed with prostatitis. They gave me Levaquin and it went away. It came back 5 months later and I got the same treatment. Well in the past month or so I visited 2 CSW. I use a condom with both and only one gave me unprotected oral. I started getting lower back pain again, and in my perineum and testicle discomfort. After I pee I feel burning, but there is no discharge and even my thighs hurt. It even hurts in my lower stomach. I understand this might be my prostatitis flaring up again, but I wonder could it be an std? it seems like I got these symptoms after having sex with the CSW. I did use a condom and their was no breakage. I do remember not peeing after I was done maybe that could be a cause. During my last experience when she was on top I did feel the condom stretching hard towards the head of my penis like if it was going to rip but we changed positions and I inspected the condom and it was okay. Could my prostatitis be linked to a possible STD? I notice that if I haven’t had sex in a while and I start these symptoms seem to comeback. I know this is an STD forum, but with all my condom protected experiences what are my chances of having HIV? I always use condoms. I have no discharge just burning after I pee.

[H. Hunter Handsfield, M.D.]

You may have had true prostatitis, but if you did, it probably was not due to an infection.  But prostate examination is very imprecise, so this information does not change my opinion.  In any case, your problem clearly is not an STD -- and that's the only topic for this forum.  My advice remains that you follow up with direct evaluation, preferably by a uologist.  Good luck with it.

[sleeplessguy01]

thanks doctor, but I did get an exam and the doctor said my prostate was boggy and he found a place in my testicles that when he pressed on it I had a lot of pain

[H. Hunter Handsfield, M.D.]

CPPS can occur at any age.  You are young for true prostatitis but as I said, I doubt that is the problem.

[H. Hunter Handsfield, M.D.]

Welcome back to the forum.

Since you have consistently had condom-protected sex, it is not a realistic possibility that your pelvic pain/prostate problem is due to an STD; and in any case, no STDs cause the sort of pain you describe.  STDs also do not cause prostatitis.

As the urologist told you 2 years ago on the Urology forum, and as I suggested at the end of our discussion at that time, your symptoms are most consistent with an emotional origin.  My belief is that you have chronic pelvic pain syndrome (CPPS), which is often (usually? always?) the result of genitally focused anxiety.  I further suspect you never had an infectious form of prostatitis (regardless of the apparent improvement of symptoms with Levaquin).

I suggested 2 years ago that you read up on CPPS.  Did you do that?  If not, this is the time to do it.  Here are a couple of links that should help.  I'll bet that as you read about the symptoms, you will find that your match up very well.

http://en.wikipedia.org/wiki/Chronic_prostatitis/chronic_pelvic_pain_syndrome
http://www.harvardprostateknowledge.org/what-is-chronic-nonbacterial-prostatitis-chronic-pelvic-pain-syndrome

In any case, this clearly is not an STD problem.  Any connection between your symptoms and your sexual exposures is psychological, not the result of any infection.  If your symptoms continue or you remain concerned, seek medical care, preferably from a urologist.

Good luck--  HHH, MD

[sleeplessguy01]

I am 29 yr old male, isnt it to early for me to get prostate problems