NGU?

[smithers]

If I think I have NGU would a swab test show anything after a corse of antibiotics if I was continuing to have sex with my partner? We have both been tested for common stds and turned up negitive but I still concerned about NGU. I've been seening a uroligist but I've read in past posts tht they are npt to up on STD's and that concerns me. I have a strong almost constant urge to urinate and clear am discharge after waking up and passing urine. I've been treated for going on a year for prostitis but am concerned that I've past this to my partner and thats wh I can shake the symptoms. Also have have a dull ache in left testicle somedays are better than others with this symptom.

[H. Hunter Handsfield, M.D.]

HPV is irrelevant to this string.  That virus is not involved in NGU, as you were clearly told in 2 or more other message threads.

HHH, MD

[ggazoo]

What about HPV? The doctor once posted " In any case, HPV doesn't travel from one's mouth to one's genitals."

Does that mean the chances of getting HPV from recieving oral sex is zero?

[H. Hunter Handsfield, M.D.]

If you acquired NGU from a different partner, and if before you were first treated you had sex with someone else, that second person also needs treatment.  She also should be examined for infections that possibly were missed in you (gonorrhea, chlamydia, trichomonas, etc).  My guess is that this doesn't explain your continuing problem, but you shouldn't take chances with her health; and there probably is a slight chance that you are getting reinfected from her.

HHH, MD

[smithers]

Thanks for the quick response. I've have had those antibiotic except for the zithro.

I have also been with this partner since my original exposure does this change anything??
Thanks again doc

[smithers]

Sorry about the continued info but my exposure was outside of my current partner so If I do have something I would have passed to her rather than her to me. I know you cant not know that to be true but lets assume for this question its true.

[smithers]

She did have an STD screen done when this first came out. All negitive

[smithers]

Typo. That they are not up to date on stds

[H. Hunter Handsfield, M.D.]

After a year, and particularly after treatment with the usual antibiotic(s), you can be pretty certain you don't have anything you can transmit to a partner, and that your problem isn't due to repeated reinfection from her.  I can't say whether or not it started as sexually acquired NGU.  Many cases of persistent/recurrent NGU and/or prostatitis probably are not due to infection at all, but perhaps some sort of immunologic reaction.  Most important, there are no long-term serious problems that result in either patients or their sex partners.

The only slight wrinkle here is that you don't say what antibiotics your doctor(s) have used.  If not yet done, somewhere along the line azithromycin and/or a tetracycline (e.g., doxycycline, minocycline) should be used.  If they haven't been tried, ask the urologist about them.

Good luck--  HHH, MD