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NGU or All in My Head
Hi I recently received unprotected oral sex with someone, then 4 days later I had a constant urge to urinate but no burning. On the 5th day went to the doctor, with symptoms of no discharge and there was some tingling discomfort in the lower area of my penis but no discharge. I got tested for STDs except herpes ( I have no visible sores or blisters). Sometime my scrotum area would feel warm too The tests also included were amplified for Gonaherra and Chalymdia. All test were negative STDs including no leukocyte, ketones, and nitrites in my urine. Since the first week after seeing the doctor my symptoms have gotten a little better. The outside of my genitals look fine and I have had no discharge; however, three weeks later I still had an urge to urinate and a slight penile tingling every few hours but no discharge.
So I went back for a second STD test (negative) and my urine tests were clear. I was negative for leukocyte, ketones, and nitrites, gonarherra and chlaymida. All ranges of my urine were negative. I was put on am on cipro as it seems to help, but not fully in terms of the urge to urinate. So I told my self this is mostly likely in my head and then the next day my symptoms went away once I believe this was in my head. In fact, since i am worrying about NGU, my lower penis area is tingling again even though i had no syptoms for five days.
Also note, the 37 girl who I received oral from says she got tested and said she is clean of STDs.
Based on this background:
1. What do you guys think this is the chance of an NGU since my urine was clean and there was no discharge?
2. Since my symptoms went away, is it safe to continue sex with my long term partner. She is showing no symptoms. We had sex 2 days after the unprotected event.
3. What do you think that the symptoms were most likely all in my head because of guilt?
4. Would NGU symptoms clear up on their own with cirpo treatment. I received 10 days 250mg bid.
So I went back for a second STD test (negative) and my urine tests were clear. I was negative for leukocyte, ketones, and nitrites, gonarherra and chlaymida. All ranges of my urine were negative. I was put on am on cipro as it seems to help, but not fully in terms of the urge to urinate. So I told my self this is mostly likely in my head and then the next day my symptoms went away once I believe this was in my head. In fact, since i am worrying about NGU, my lower penis area is tingling again even though i had no syptoms for five days.
Also note, the 37 girl who I received oral from says she got tested and said she is clean of STDs.
Based on this background:
1. What do you guys think this is the chance of an NGU since my urine was clean and there was no discharge?
2. Since my symptoms went away, is it safe to continue sex with my long term partner. She is showing no symptoms. We had sex 2 days after the unprotected event.
3. What do you think that the symptoms were most likely all in my head because of guilt?
4. Would NGU symptoms clear up on their own with cirpo treatment. I received 10 days 250mg bid.
Thanks doctor.
MEDICAL PROFESSIONAL
Makes no difference. Move on. You have nothing that will ever harm you or your sex partner(s). Further anxiety driven comments will result in immediate deletion of this entire thread.
Sorry Doctor, but the fact that my urine tests were not first thing in the morning or I did not hold my urine for more than a hour before my testing make difference for picking up STDs?
I am doing better doctor, I just want to make sure I covered all my basis.
Thank you so much, a short yes or no answer is appreciated.
I am doing better doctor, I just want to make sure I covered all my basis.
Thank you so much, a short yes or no answer is appreciated.
Thanks doctor. Take care great work on this site.
MEDICAL PROFESSIONAL
"I was on cipro for about 6 days ... because my syptoms had not went away, I went back for my urine second testing."
"Could the cipro had been the reason my urine was clear with the slight possiblity of NGU not showing up?"
No. You've got it backwards. The reason your symptoms didn't get better on ciprofloxacin is that no infection was the cause. The negative testing afterward confirms that interpretation.
That your partner has no symptoms after sex with her is irrelevant -- makes no difference one way or the other. There are no known female symptoms that correspond to NGU in men (as long as the NGU isn't caused by chlamydia).
Do your best to accept the reasoned, science-based reassurance you have had. You do not have NGU or any other STD from the sexual exposure you are concerned about, and never did. You should be having absolutely no worries about your health or that of your current or future sex partners.
That will end this thread. Take care and move on.
"Could the cipro had been the reason my urine was clear with the slight possiblity of NGU not showing up?"
No. You've got it backwards. The reason your symptoms didn't get better on ciprofloxacin is that no infection was the cause. The negative testing afterward confirms that interpretation.
That your partner has no symptoms after sex with her is irrelevant -- makes no difference one way or the other. There are no known female symptoms that correspond to NGU in men (as long as the NGU isn't caused by chlamydia).
Do your best to accept the reasoned, science-based reassurance you have had. You do not have NGU or any other STD from the sexual exposure you are concerned about, and never did. You should be having absolutely no worries about your health or that of your current or future sex partners.
That will end this thread. Take care and move on.
Please not all my first urine and STD tests were negative before the first dose of cipro
Doc one final question, prior to my second test I was on cipro for about 6 days once my symptoms started after my first doctor visit, because my syptoms had not went away, I went back for my urine second testing. I had stop taking the cipro about 6 days before my second urine test (15 days after my first visit). Could the cipro had been the reason my urine was clear with the slight possiblity of NGU not showing up? Also, I forgot to mention during my first urine test for for Leukocytes eterase, nitrates, and ketones,, I had also a urine culture that was negative for growth.
The reason I am asking is because I thought I saw some discharge 4 days ago, but it turns out it was my uretha skin, so now my tingling/irritation in the urethera, slight urge to pee came back. I just want to make sure that my test results were accurate and the cipro would have not impacted the test results if it was NGU. I am confident nothing else would have impacted the second urine test results .
Also, it was two days after my encounter that I had sex with my woman and then 5 days ago. She shows no syptoms, so again is this good news too?
Based on all this information, what is the % chance for NGU? Just want to move on with my life. Sorry doctor. I just dont want to go see another doctor again if I dont have too. I want to be confident in my test results. No more questions ;)
The reason I am asking is because I thought I saw some discharge 4 days ago, but it turns out it was my uretha skin, so now my tingling/irritation in the urethera, slight urge to pee came back. I just want to make sure that my test results were accurate and the cipro would have not impacted the test results if it was NGU. I am confident nothing else would have impacted the second urine test results .
Also, it was two days after my encounter that I had sex with my woman and then 5 days ago. She shows no syptoms, so again is this good news too?
Based on all this information, what is the % chance for NGU? Just want to move on with my life. Sorry doctor. I just dont want to go see another doctor again if I dont have too. I want to be confident in my test results. No more questions ;)
MEDICAL PROFESSIONAL
Usually, yes.
Thanks for the great news. This definitly puts my mind at ease.
Final question. Would the urine anaylsis test pick up an NGU such as the presence of leukocytes?
Final question. Would the urine anaylsis test pick up an NGU such as the presence of leukocytes?
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
There is a lot of misunderstanding about both oral sex and symptoms of urethritis. Oral sex is low risk for all STDs (including NGU) and zero risk for some. And urethritis generally doesn't cause things like "tingling discomfort", or urinary symptoms like urgency, frequent urination, etc. Without discharge, you can be confident you don't have it. In STD clinics, if there is no visible discharge, we don't evaluate patients for NGU -- both because we never find it, and because most NGU, in the absence of chlamydia, is harmless for either affected men or their sex partners.
In any case, you have been evaluated very carefully with negative results. The reason ciprofloxacin did not completely clearing your symptoms is that no infection is the cause.
For those reasons, I agree exactly with your initial self-diagnosis: "in my head". Actually, I don't like that term, because it implies the symptoms of genitally focused anxiety aren't real. They are very real and have a physiologic explaation -- increased tension in pelvic muscles, essentially the same mechansim that causes pain in tension headaches.
To the direct answers to your questions:
1) "What do you guys think this is the chance of an NGU since my urine was clean and there was no discharge?" No chance at all.
2) Your partner is not at risk of anything.
3) Yes, I'm quite confident your symptoms were due to genitally focused anxiety for the reasons you state.
4) As noted above, your symptoms weren't those of NGU to begin with. But even without treatment, NGU probalby usually (always?) clears up without treatment. The cipro almost certainly had nothing to do with the improved symptoms, except perhaps through placebo effect.
So no worries. You were at little if any risk for NGU and didn't have it. All is well.
I hope this has been helpful. Best wishes-- HHH, MD
There is a lot of misunderstanding about both oral sex and symptoms of urethritis. Oral sex is low risk for all STDs (including NGU) and zero risk for some. And urethritis generally doesn't cause things like "tingling discomfort", or urinary symptoms like urgency, frequent urination, etc. Without discharge, you can be confident you don't have it. In STD clinics, if there is no visible discharge, we don't evaluate patients for NGU -- both because we never find it, and because most NGU, in the absence of chlamydia, is harmless for either affected men or their sex partners.
In any case, you have been evaluated very carefully with negative results. The reason ciprofloxacin did not completely clearing your symptoms is that no infection is the cause.
For those reasons, I agree exactly with your initial self-diagnosis: "in my head". Actually, I don't like that term, because it implies the symptoms of genitally focused anxiety aren't real. They are very real and have a physiologic explaation -- increased tension in pelvic muscles, essentially the same mechansim that causes pain in tension headaches.
To the direct answers to your questions:
1) "What do you guys think this is the chance of an NGU since my urine was clean and there was no discharge?" No chance at all.
2) Your partner is not at risk of anything.
3) Yes, I'm quite confident your symptoms were due to genitally focused anxiety for the reasons you state.
4) As noted above, your symptoms weren't those of NGU to begin with. But even without treatment, NGU probalby usually (always?) clears up without treatment. The cipro almost certainly had nothing to do with the improved symptoms, except perhaps through placebo effect.
So no worries. You were at little if any risk for NGU and didn't have it. All is well.
I hope this has been helpful. Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
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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.
