Aa
If it's not herpes what is it
In mid october I recieved unprotected oral sex from a woman who has herpes 2. 3 days later I statred feeling like there was something in the tip of my penis. It got progesslivly worse. I was tested in mid dec for herpes results negative, I was given antibiotics by 4 different docs. one said eppiditimitis another clamydia another uroplasma.(This medicine things is not an exact science) all urine samples clear. in Jan I believe I had a discharge. gold bb looking and clear white fluid. My uroligist said I was paranoid. (i hope he is right). I was visiting california and went to the er in great pain. I got a sonogram which showed a mass and fluid. I am going back to my uroligist in a week with the sonogram. My PA re looked at my test and thought the HSV(1) might have been high(40) after all and put me on Valtrex. I am on my 5th day and no improvement in the pain. Question is could the fluid on the sonogram been from a herpes lesion inside penis? and if it is not herpes what is it? I am seeing my urologist and want to be informed. He probably hasn't seen an std since college.
MEDICAL PROFESSIONAL
So maybe epididymitis, but that probably can't explain the urethral pain. Not all cases of epididymitis are due to STD -- most likely not, in your case. But do report back after everything is sorted out.
MEDICAL PROFESSIONAL
Welcome the the STD forum. I'll try to help, but please don't expect any definitive answers. It is almost impossible any online source can clear up the cause of a condition that hasn't been diagnosed by repeated in-person professional evaluations. However, for sure you don't have herpes and most likely no STD of any kind.
Herpes was never a serious consideration based on the initial symptoms or exposure. Your partner had HSV-2, which is usually limited to the genital area, so that wasn't a risk. There was a small risk of HSV-1 if your partner also has oral herpes, but the chance was low. More important, although herpes can infect the urethra and cause pain like you describe, that usually happens along with typical herpes lesions on the skin of the penis. Further, hherpes symptoms never last a couple of months. If the initial pain were cased by herpes, it could not have continued from mid-October to mid-December.
The early onset after oral sex (3 days) is consistent with gonorrhea, which certainly can cause penile pain, but usually also causes obvious discharge of pus from the penis. Nongonococcal uretrhtis (NGU) usually takes 7-14 days to cause symptoms, and again discharge is usually the main symptom, not pain. (Chlamydia is one cause of NGU and Ureaplasma is controvesial as a cause -- but chlamydia is not transmitted by oral sex and Ureaplasma probably is not. You don't say the specific antibiotics you took, but most likely four different courses of different drugs would have covered all these possibilities.
Your description of the sonogram results doesn't say where the fluid collection is. Your closing comments suggest the penis, but that seems very unusual. If that's the case, perhaps there is an abscess in there. That might be consistent with an infrequent discharge that might not be present at most times, i.e. when examined by one of your doctors. Herpes doesn't do this for sure, and I have nver heard of an STD doing it, although gonorrhea probably could cause a peri-urethral abscess. Finally, the lack of improvement in your pain while taking Valtrex is additional evidence against herpes as the cause of your pain.
In conclusion, most likely you have no STD and for sure not herpes. Seeing a urologist is exactly the right thing to do; that's the right specialty to evaluate and suggest treatment for a genital area fluid collection, whatever the cause. But don't worry about his or expertise in STDs. In the very unlikely chance this turns out to be something like a gonococcal abscess, s/he will know how to treat it effectively.
I hope this helps. Please return to the forum and let me know the urologist's opinion, and especially a final diagnosis whenever one is made.
Best wishes-- HHH, MD
Herpes was never a serious consideration based on the initial symptoms or exposure. Your partner had HSV-2, which is usually limited to the genital area, so that wasn't a risk. There was a small risk of HSV-1 if your partner also has oral herpes, but the chance was low. More important, although herpes can infect the urethra and cause pain like you describe, that usually happens along with typical herpes lesions on the skin of the penis. Further, hherpes symptoms never last a couple of months. If the initial pain were cased by herpes, it could not have continued from mid-October to mid-December.
The early onset after oral sex (3 days) is consistent with gonorrhea, which certainly can cause penile pain, but usually also causes obvious discharge of pus from the penis. Nongonococcal uretrhtis (NGU) usually takes 7-14 days to cause symptoms, and again discharge is usually the main symptom, not pain. (Chlamydia is one cause of NGU and Ureaplasma is controvesial as a cause -- but chlamydia is not transmitted by oral sex and Ureaplasma probably is not. You don't say the specific antibiotics you took, but most likely four different courses of different drugs would have covered all these possibilities.
Your description of the sonogram results doesn't say where the fluid collection is. Your closing comments suggest the penis, but that seems very unusual. If that's the case, perhaps there is an abscess in there. That might be consistent with an infrequent discharge that might not be present at most times, i.e. when examined by one of your doctors. Herpes doesn't do this for sure, and I have nver heard of an STD doing it, although gonorrhea probably could cause a peri-urethral abscess. Finally, the lack of improvement in your pain while taking Valtrex is additional evidence against herpes as the cause of your pain.
In conclusion, most likely you have no STD and for sure not herpes. Seeing a urologist is exactly the right thing to do; that's the right specialty to evaluate and suggest treatment for a genital area fluid collection, whatever the cause. But don't worry about his or expertise in STDs. In the very unlikely chance this turns out to be something like a gonococcal abscess, s/he will know how to treat it effectively.
I hope this helps. Please return to the forum and let me know the urologist's opinion, and especially a final diagnosis whenever one is made.
Best wishes-- HHH, MD
thanks doc I was treated for epiditimitis maybe not long enough wilco on the report back
The sonogram was of my testicle. It showed a mass and fluid. I have appt with eurologist this week. thanks for your prompt and thorough answer.
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.
