Aa
NGU or prostate or nerves?
In October and November of 2010 I had 4 encounters outside of my marriage. All were protected vaginal w/unprotected oral. In December I started getting odd urinary symptoms including incomplete voiding, a feeling of fullness in the lower abdomen, dribbling. Did not notice any discharge but when I'm anxious I tend to checking my penis alot and milking it to see if anything unusual is present. I have not had any discomfort or burning when I urinate
In Mid-december went into a walkin clinic. Did a urinalysis w/ a dipstick test and looked in a microscope. Told it was clean. Sent the urine in for chla. and gon testing,both neg. Gave me 2 weeks of Levaquin 500mg/day
Things seemed ok but the urinary symptoms came back. Then one night I noticed my semen was orange and full of jelly-like chunks. Next day it appeared I sometimes had some slight clear discharge for a couple of hours mid-day. I'm not a reliable judge of what is discharge and what may be urine dribbles etc. I never notice it in the morning its more after I urinate and its not all day or all the time.
Went back to the same clinic Same ua w/ dipstick & microscope They said it was very clear. I got 2 weeks of cipro 2xper day 500mg and 30 days of 500 mg levaquin. Cipro was finished yesterday. Still occasionally get urinary symptoms though I can go for a few days without any. There is occasionally a drop of moisture at the end of my penis. Always clear seems like urine leaking. Some days thats not present.
Last week, I went to see my regular doc. Did another UA which came back normal. I don't think the doc knows too much about STDs. He told me that a clean UA doesn't mean there is not NGU. He said it can hide.He also is testing my urine for gon. and chlamydia (again). I went 5 days in a row last week w/no urinary symptoms and no sign of discharge. Problems back today.
Is there anything STD related that I should worry about? I'm worried about infecting my wife.
In Mid-december went into a walkin clinic. Did a urinalysis w/ a dipstick test and looked in a microscope. Told it was clean. Sent the urine in for chla. and gon testing,both neg. Gave me 2 weeks of Levaquin 500mg/day
Things seemed ok but the urinary symptoms came back. Then one night I noticed my semen was orange and full of jelly-like chunks. Next day it appeared I sometimes had some slight clear discharge for a couple of hours mid-day. I'm not a reliable judge of what is discharge and what may be urine dribbles etc. I never notice it in the morning its more after I urinate and its not all day or all the time.
Went back to the same clinic Same ua w/ dipstick & microscope They said it was very clear. I got 2 weeks of cipro 2xper day 500mg and 30 days of 500 mg levaquin. Cipro was finished yesterday. Still occasionally get urinary symptoms though I can go for a few days without any. There is occasionally a drop of moisture at the end of my penis. Always clear seems like urine leaking. Some days thats not present.
Last week, I went to see my regular doc. Did another UA which came back normal. I don't think the doc knows too much about STDs. He told me that a clean UA doesn't mean there is not NGU. He said it can hide.He also is testing my urine for gon. and chlamydia (again). I went 5 days in a row last week w/no urinary symptoms and no sign of discharge. Problems back today.
Is there anything STD related that I should worry about? I'm worried about infecting my wife.
MEDICAL PROFESSIONAL
I understand your concern. The evidence shows however that this is not an STD. We use the tests becasue they help to determine what is going on. They need to be believed. Sometimes prostate infections take multiple and/or longer courses of antibiotics to resolve
EWH
EWH
MEDICAL PROFESSIONAL
Glad to hear that you feel this way. It is really time for you to put this behind you an move forward. I anticipate that you will. This will end this thread. Take care. EWH
Dear Dr. Hook,
I write to offer my apologies if it appeared I doubted or discounted your advice. You have been very helpful and compassionate to me....and many others on here. Unfortunately for me, it took me a visit with a urologist to fully accept what you told me through this thread.
He took my history, examined me, looked at me directly and said, basically, "you do not have non-gonnococal, non-chlamydia NGU". The fact that he was familiar with the terminology was very encouraging since I had chalked him up to being just an "old guy's urologist". The discharge on examining me was crystal clear and he supposes it is a combination of things: 1) after antibiotic treatment, the different glands in that area will sometimes produce more "stuff", 2) a response to repeatedly examining, twisting and looking, and 3) normal stuff that is there anyway. He told me I needed a psychologist more than a urologist. He also said that there was no clinical reason to perform another UA which I had requested, but that he would....on his dime. He asked me "what do you think the results will be if I do this for you?" And it was totally clear. Of course.
My whole outlook on everything has changed since my visit with him. I thanked him profusely for his help and his compassion....it was a late visit and we were the last one's remaining in the building. He could see I was clearly in distress about it.
And I thank you as well for your compassion and knowledge.
Warm regards.
I write to offer my apologies if it appeared I doubted or discounted your advice. You have been very helpful and compassionate to me....and many others on here. Unfortunately for me, it took me a visit with a urologist to fully accept what you told me through this thread.
He took my history, examined me, looked at me directly and said, basically, "you do not have non-gonnococal, non-chlamydia NGU". The fact that he was familiar with the terminology was very encouraging since I had chalked him up to being just an "old guy's urologist". The discharge on examining me was crystal clear and he supposes it is a combination of things: 1) after antibiotic treatment, the different glands in that area will sometimes produce more "stuff", 2) a response to repeatedly examining, twisting and looking, and 3) normal stuff that is there anyway. He told me I needed a psychologist more than a urologist. He also said that there was no clinical reason to perform another UA which I had requested, but that he would....on his dime. He asked me "what do you think the results will be if I do this for you?" And it was totally clear. Of course.
My whole outlook on everything has changed since my visit with him. I thanked him profusely for his help and his compassion....it was a late visit and we were the last one's remaining in the building. He could see I was clearly in distress about it.
And I thank you as well for your compassion and knowledge.
Warm regards.
Persistent clear discharge continues today.
I appreciate and thank you for your time throughout the thread. I know you won't respond, and that is ok.
Since Einstein was probably talking about me when he made that statement, I had another UA done yesterday. Came back totally normal.
Today however, noticeable discharge upon awakening and has persisted through the day. I'm hoping that it is caused by constantly pulling it out to look, which included twisting it to look at. Quite often too. Some milking of the penis as well, though I've been trying not to.
Oh well, urologist on Monday.
Since Einstein was probably talking about me when he made that statement, I had another UA done yesterday. Came back totally normal.
Today however, noticeable discharge upon awakening and has persisted through the day. I'm hoping that it is caused by constantly pulling it out to look, which included twisting it to look at. Quite often too. Some milking of the penis as well, though I've been trying not to.
Oh well, urologist on Monday.
MEDICAL PROFESSIONAL
Straight to your questions, then it will be time for this thread to end:
1. You have been tested and treated. Between the two there is essentially no chance that you have an STD that you might transmit to your wife.
2. Infectious uretheritis, by definition has WBCs present. I would argue with the 30% esitmate and doubt that there was a reference accompanying the statement you cite. People can have discharge without haveing NGU. In fact, it is normal for men to have genital secretions present which can sometimes be detected, particularly if they are looking hard (perhaps due to heightened concern) for it.
3. Einstein said that a definition of insanity is to keep doing the same thing again and again and to expect different results. The reason we have tests is to guide our decisions. They need to be believed.
4. See above. I do not think that your wife is in jeapordy, Thus I don't know how to answer this "what if" question.
EWH
1. You have been tested and treated. Between the two there is essentially no chance that you have an STD that you might transmit to your wife.
2. Infectious uretheritis, by definition has WBCs present. I would argue with the 30% esitmate and doubt that there was a reference accompanying the statement you cite. People can have discharge without haveing NGU. In fact, it is normal for men to have genital secretions present which can sometimes be detected, particularly if they are looking hard (perhaps due to heightened concern) for it.
3. Einstein said that a definition of insanity is to keep doing the same thing again and again and to expect different results. The reason we have tests is to guide our decisions. They need to be believed.
4. See above. I do not think that your wife is in jeapordy, Thus I don't know how to answer this "what if" question.
EWH
You are definitely not the one being difficult here. I appreciate your patience though.
A couple more short questions and I will no longer bother you, except to report the results of my urologist visit.
1. In your first response you said: "Your wife is not at risk for STD acquired in the exposures you describe." Ignoring negative UA tests, since I am dubious, is that because an STD or urethritis caught from unprotected oral cannot cause any symptoms or trouble in my wife once gonorrhea and chlamydia are excluded?
2. I have read numerous places, including eMedicine that 30% of patients with NGU do not have leukocytes in urine specimens. This is why I am having trouble believing the UA results, or feeling that a negative UA signifies nothing to worry about. Especially considering continuing to notice "discharge". Again, yesterday I was totally fine. But Saturday and Monday morning I was driving for a couple of hours, looked, and there was definitely something there. Both times though I woke up in the morning with a erection and the times I looked I did have to defecate. Today the occasional moisture is back too. I just don't understand it.
3. Is it possible to have something that does not show up on 3 UAs? If so, might it show up on a 4th? None of the places who performed them seemed particularly knowledgeable about STDs. The directions said to collect mid-stream, but I did first catch.
4. If a month of levaquin didn't knock it out, could it cause symptoms or problems in my wife?
I'm going back to the doc's today for the gon./chlamydia test their lab forgot to submit at the time of my third UA. I have requested another UA at the same time.
I apologize for being such a pain.
A couple more short questions and I will no longer bother you, except to report the results of my urologist visit.
1. In your first response you said: "Your wife is not at risk for STD acquired in the exposures you describe." Ignoring negative UA tests, since I am dubious, is that because an STD or urethritis caught from unprotected oral cannot cause any symptoms or trouble in my wife once gonorrhea and chlamydia are excluded?
2. I have read numerous places, including eMedicine that 30% of patients with NGU do not have leukocytes in urine specimens. This is why I am having trouble believing the UA results, or feeling that a negative UA signifies nothing to worry about. Especially considering continuing to notice "discharge". Again, yesterday I was totally fine. But Saturday and Monday morning I was driving for a couple of hours, looked, and there was definitely something there. Both times though I woke up in the morning with a erection and the times I looked I did have to defecate. Today the occasional moisture is back too. I just don't understand it.
3. Is it possible to have something that does not show up on 3 UAs? If so, might it show up on a 4th? None of the places who performed them seemed particularly knowledgeable about STDs. The directions said to collect mid-stream, but I did first catch.
4. If a month of levaquin didn't knock it out, could it cause symptoms or problems in my wife?
I'm going back to the doc's today for the gon./chlamydia test their lab forgot to submit at the time of my third UA. I have requested another UA at the same time.
I apologize for being such a pain.
MEDICAL PROFESSIONAL
I'm not trying to be difficult here but, i fyou were my patient I would tell you that this is not an STD and refer you to a urologist and tell you to work with them going forward.
For urological problems, a urine test, typically with a microscopic evaluation unless the chemical tests are totally negative, is typically as good or sometimes even better than a swab test.
Please realize that it is normal for men to have small amounts of genital secretions, which typically go unnoticed, from time to time. This is in part a function of anxiety induced, heightened awareness.
Hope this helps. Goo luck., EWH
For urological problems, a urine test, typically with a microscopic evaluation unless the chemical tests are totally negative, is typically as good or sometimes even better than a swab test.
Please realize that it is normal for men to have small amounts of genital secretions, which typically go unnoticed, from time to time. This is in part a function of anxiety induced, heightened awareness.
Hope this helps. Goo luck., EWH
Thank you Doctor. I am seeing the urologist on March 14th. I imagine they will do another urinalysis on me, since I have to come in early. Should I request a swab and gram stain instead? Is that a better test than a UA for presence of WBC? If they do a UA should they do a look with the microscope too?
What would you do if I were your patient? Tell me my anxiety has too strong a hold on me? I do want to trust that 3 clean UAs is good enough, especially when the person who did the microscope work on one told me acted even sort of surprised that she saw absolutely nothing. But then I will get a drop of clear liquid at the end of my penis and it all comes back. I wish I could just stop looking. The other day it was fine for a number of hours in the morning, then I stood up to do some things, and there it was. That happened a couple of times. The next day, absolutely nothing. Day after that was fine until one instance in midmorning. Sigh. I
What would you do if I were your patient? Tell me my anxiety has too strong a hold on me? I do want to trust that 3 clean UAs is good enough, especially when the person who did the microscope work on one told me acted even sort of surprised that she saw absolutely nothing. But then I will get a drop of clear liquid at the end of my penis and it all comes back. I wish I could just stop looking. The other day it was fine for a number of hours in the morning, then I stood up to do some things, and there it was. That happened a couple of times. The next day, absolutely nothing. Day after that was fine until one instance in midmorning. Sigh. I
MEDICAL PROFESSIONAL
Yes, a negative UA is strong evidence that you do not have NGU. EWH
Thanks again. I talked to me regular doc's office today. Their lab had forgotten to submit my urine for the gon. and chlamydia testing the last time I was in. I have already tested negative via a urine test, before any antibiotics, so I will probably not have this done again. I am confident with the results of that.
My final question, with my warm thanks for this service, is: is one negative UA test (let alone 3 of them) pretty definitive on excluding NGU? Thanks. All were first catch. I have read things that they may miss STDs, but there were no blood cells or anything.
Again, many thanks.
My final question, with my warm thanks for this service, is: is one negative UA test (let alone 3 of them) pretty definitive on excluding NGU? Thanks. All were first catch. I have read things that they may miss STDs, but there were no blood cells or anything.
Again, many thanks.
I have also had sex with my wife twice and with today's happenings, it scares me again.
Thank you doctor. It did help for sure, until today. My course of Levaquin ended yesterday. I had been fine after reading your response and the urinary symptoms hadn't really been an issue since then except for the dribbling. I still looked for discharge, but it got less and less every day. I even had a few days that I didn't think about it at all, which was nice.
Today, however, there were a couple of occasions where I looked, and there was clearly something coming out. Again, it was watery like urine and touching it with toilet paper sucked it right up. All instances were an hour or more after urinating. I wish I could figure out what was going on, I'm still waiting to get into the urologist
Your post makes a lot of sense logically and I don't question any of it. Its just that when there is obvious moisture that comes out for no reason, I get scared and think that there is only one explanation. Like I said, I have way of knowing what the liquid is, whether its urine or whatever. Though I can't figure out either why it comes and goes...nothing for days, then a day of this. Then I get even more nervous that since I wasn't seeing this liquid on the days I did see the doc, maybe it hides.
I dunno, sorry for the post. Its just been a bad day.
Today, however, there were a couple of occasions where I looked, and there was clearly something coming out. Again, it was watery like urine and touching it with toilet paper sucked it right up. All instances were an hour or more after urinating. I wish I could figure out what was going on, I'm still waiting to get into the urologist
Your post makes a lot of sense logically and I don't question any of it. Its just that when there is obvious moisture that comes out for no reason, I get scared and think that there is only one explanation. Like I said, I have way of knowing what the liquid is, whether its urine or whatever. Though I can't figure out either why it comes and goes...nothing for days, then a day of this. Then I get even more nervous that since I wasn't seeing this liquid on the days I did see the doc, maybe it hides.
I dunno, sorry for the post. Its just been a bad day.
MEDICAL PROFESSIONAL
Welcome to the Forum. I am confident that there is not an STD contributing to your difficulties. The exposures you describe are low risk. Condom protected vaginal sex is safe sex an amongst types of sexual exposure, oral sex has the lowest rates of STDs following exposure. Then, the combination of negative tests for gonorrhea and chlamydia, three negative urinalyses and over a month of antibiotics effective against most STDs pretty much prove that an STD is not involved. Your wife is not at risk for STD acquired in the exposures you describe.
I suspect that the secretions an moisture you have noticed reflects a combination of normal genital secretions and heightened awareness related to self examination. My advice is not to worry further. Hope my comments help you to do so. EWH
I suspect that the secretions an moisture you have noticed reflects a combination of normal genital secretions and heightened awareness related to self examination. My advice is not to worry further. Hope my comments help you to do so. EWH
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.
