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NGU or something else?
I am a healthy 30 y/o male. I had unprotected sex 2 weeks ago. I took a full urine and blood std test three days after the encounter, which came up negative. I then had unprotected sex with my female partner, who I am confident is monogamous. I feel terrible about it. She doesn't know, but I'm not sure I can do that for a variety of reasons.
1 wk after original encounter (one day after sex w/ partner) I had started feeling moderate discomfort when I urinated, felt like I had to urinate more frequently and discomfort in my prostate area; no discharge or any other signs. I then went to a GID clinic (10 days after encounter w/ non-partner) and had a swab test . Nurse said looked normal - no white blood cells. My Chlamydia test came back negative; still waiting on gonorrhea, but she said it was unlikely bc she saw nothing. She said I may have NGU and prescribed 1gm Azythromicin.
I still feel discomfort, 6 days after taking Azythro, in my prostate area and area behind my scrotum; and need to go to bathroom more. No discharge or other signs. I went to my GP (13 days after encounter w/ non-partner). He gave me urine test, which looked clean. He also sent my test to the lab to get DNA test done. i have a history of prostate discomfort (saw a urologist a few years ago) he wasn't so sure about NGU diagnosis; thought it might be prostatis, etc.
1) Would azythro eliminate ability to test for STI after 3 days, even if I was still feeling possible symptoms? Would my GP's dna test be accurate?
2) Could I have trich? Is there any way to test for trich in males? Would that be done by my GP?
3) Could I have a nonsexual form of NGU? Can a nonsexual form of NGU (prostatis/UTI) be passed to a partner?
4) My partner is going for a regular gynecologist visit tomorrow, so will that reveal any other problems that may have been missed by my tests?
5) Should my female partner also take azythromicin, etc. to be safe against any possible infection?
1 wk after original encounter (one day after sex w/ partner) I had started feeling moderate discomfort when I urinated, felt like I had to urinate more frequently and discomfort in my prostate area; no discharge or any other signs. I then went to a GID clinic (10 days after encounter w/ non-partner) and had a swab test . Nurse said looked normal - no white blood cells. My Chlamydia test came back negative; still waiting on gonorrhea, but she said it was unlikely bc she saw nothing. She said I may have NGU and prescribed 1gm Azythromicin.
I still feel discomfort, 6 days after taking Azythro, in my prostate area and area behind my scrotum; and need to go to bathroom more. No discharge or other signs. I went to my GP (13 days after encounter w/ non-partner). He gave me urine test, which looked clean. He also sent my test to the lab to get DNA test done. i have a history of prostate discomfort (saw a urologist a few years ago) he wasn't so sure about NGU diagnosis; thought it might be prostatis, etc.
1) Would azythro eliminate ability to test for STI after 3 days, even if I was still feeling possible symptoms? Would my GP's dna test be accurate?
2) Could I have trich? Is there any way to test for trich in males? Would that be done by my GP?
3) Could I have a nonsexual form of NGU? Can a nonsexual form of NGU (prostatis/UTI) be passed to a partner?
4) My partner is going for a regular gynecologist visit tomorrow, so will that reveal any other problems that may have been missed by my tests?
5) Should my female partner also take azythromicin, etc. to be safe against any possible infection?
MEDICAL PROFESSIONAL
SIgh. Azithromycin is recommended for all NGU, including non-chalmydial NGU. Treatment with unnecessary antibitoics will increase her risk for side effects. In addition, about 10% of people who take azithromycin get either an upset stomach or have diarrhea. EWH
Thank you Doctor. I appreciate your prompt response.
Just to clarify. If I indeed had an NGU, which it sounds like you don't think is the case, then could I have passed it to my partner after exposure? If she took 1 mg of anythro, would that effectively treat a non-chlymadial form of NGU? Are there any serious side effects of azythro beyond nausea, diarrhea, etc. She is not on blood thinner, has no heart problems, or other serious medical conditions.
Just to clarify. If I indeed had an NGU, which it sounds like you don't think is the case, then could I have passed it to my partner after exposure? If she took 1 mg of anythro, would that effectively treat a non-chlymadial form of NGU? Are there any serious side effects of azythro beyond nausea, diarrhea, etc. She is not on blood thinner, has no heart problems, or other serious medical conditions.
MEDICAL PROFESSIONAL
Welcome to our Forum. STDs are not a concern in your situation. You have been tested not only for the most common bacteria associated with urethral infection (gonorrhea and chlamydia) and found to have negative tests, you have had your genital secretions examined for white blood cells (NGU or NSU, the terms are synonymous) and you have received azithromycin in a dose which would cure NGU, chlamydia and the majority of gonorrhea infections. There is nothing more to be done in terms of evaluation and the evidence is overwhelming that you do not have infection.
There are two major possibilities for your continuing discomfort. Given your history of prior prostate problems you may have the chronic pelvic pain syndrome (CPPS) a well described, but incompletely understood, non-STD source of symptoms such as yours. You can Google it for a fuller description- Wikipedia has a very good description. Alternatively, sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned. This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times. Perhaps this is a partial contributor to your situation as well.
With regard to your specific questions:
1. See above, If by "eliminate" you mean cure, the answer is yes.
2. No, if trich were present there would most likely be white blood cells detected.
3. See the CPPS comment above.
4. Most unlikely.
5. I see no reason for your partner to receive azithromycin at this time.
I hope my comments are helpful. EWH
There are two major possibilities for your continuing discomfort. Given your history of prior prostate problems you may have the chronic pelvic pain syndrome (CPPS) a well described, but incompletely understood, non-STD source of symptoms such as yours. You can Google it for a fuller description- Wikipedia has a very good description. Alternatively, sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned. This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times. Perhaps this is a partial contributor to your situation as well.
With regard to your specific questions:
1. See above, If by "eliminate" you mean cure, the answer is yes.
2. No, if trich were present there would most likely be white blood cells detected.
3. See the CPPS comment above.
4. Most unlikely.
5. I see no reason for your partner to receive azithromycin at this time.
I hope my comments are helpful. EWH
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