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Orchitis - Protected sex with CSW
Dear Doctor,
5 days ago, I had two single-episodes of condom protected vaginal intercourse with two different CSWs. Both times, the condom remained intact from start to finish.
About 2-3 days later, my groin region had slight tenderness and felt numb. I have not had painful urination or any discharge. No visible warts or lesions. Today I went to a doctor just to check it out. He did a physical examination while I coughed and said I have Orchitis - swelling of the testicles. He said this is caused by e.coli bacteria and prescribed Ciprofloxacn for 28 days. I took one dosage 500mg and started to have hives. So, I discontinued the medication and will contact him on Monday to change the prescription.
After research, it appears that Orchitis in young men results mostly from Chlamydia or Gonorrhea. E. coli seems a possibility, but it might be remote since I did not develop this since after I had the two-condom protected intercourse.
During protected intercourse, some of the CSW's white vaginal secretions touched or went over the bottom base of condom-protected penis. Also, there was some skin to skin contact with my scrotum and the CSW's vagina area (though there were no visible bumps or lesions on CSW as I could tell). Both times after ejaculation, I removed condom and washed my penis aftewards.
Now I am a bit worried that I may have been infected with a STD. Based on my informaton,
1) What are the risks this Chlamydia and/or Gonorrhea causing this Orchitis?
2) Am I also at risk for HIV? Syphillis?
3) What are your suggestions regarding my situation as I am indeed afraid.
Thank you doctor!
5 days ago, I had two single-episodes of condom protected vaginal intercourse with two different CSWs. Both times, the condom remained intact from start to finish.
About 2-3 days later, my groin region had slight tenderness and felt numb. I have not had painful urination or any discharge. No visible warts or lesions. Today I went to a doctor just to check it out. He did a physical examination while I coughed and said I have Orchitis - swelling of the testicles. He said this is caused by e.coli bacteria and prescribed Ciprofloxacn for 28 days. I took one dosage 500mg and started to have hives. So, I discontinued the medication and will contact him on Monday to change the prescription.
After research, it appears that Orchitis in young men results mostly from Chlamydia or Gonorrhea. E. coli seems a possibility, but it might be remote since I did not develop this since after I had the two-condom protected intercourse.
During protected intercourse, some of the CSW's white vaginal secretions touched or went over the bottom base of condom-protected penis. Also, there was some skin to skin contact with my scrotum and the CSW's vagina area (though there were no visible bumps or lesions on CSW as I could tell). Both times after ejaculation, I removed condom and washed my penis aftewards.
Now I am a bit worried that I may have been infected with a STD. Based on my informaton,
1) What are the risks this Chlamydia and/or Gonorrhea causing this Orchitis?
2) Am I also at risk for HIV? Syphillis?
3) What are your suggestions regarding my situation as I am indeed afraid.
Thank you doctor!
MEDICAL PROFESSIONAL
From what you say, I agree with your thoughts and reasoning however, it is quite important to emphasize that I have not examined you and cannot have all of the same information as your doctor does. While I agree with the inclination you have to not take additional antibiotics, I would suggest you present the same reasoning to your doctor and get his/her input. After all, they are the ones who will be caring for you going forward. EWH
Hello Dr. Hook, a quick update:
I followed up with the doctor as you suggested and he ordered a urine test about 4 days after I took one 500mg dosage of cipro. The results came back this week and it is normal.
The doctor prescribed me doxycycline 100mg for 7 days. I did not fill the prescription yet because I wanted to wait for the results of the urine test.
Since then, I have not had any symptoms such as discharge or pain while urinating and it seems my sensitive bladder problem has gradually gone away.
The doctor did ask me to take the 7 days of doxycycline 100mg. At this point, what would you recommend? My gut feeling is to not take it since: 1) the urine test showed normal and 2) my symptoms seemed to have gone away.
Your professional advice on whether to take the doxycycline 100mg for 7 days would be helpful.
Thank you Dr. Hook.
I followed up with the doctor as you suggested and he ordered a urine test about 4 days after I took one 500mg dosage of cipro. The results came back this week and it is normal.
The doctor prescribed me doxycycline 100mg for 7 days. I did not fill the prescription yet because I wanted to wait for the results of the urine test.
Since then, I have not had any symptoms such as discharge or pain while urinating and it seems my sensitive bladder problem has gradually gone away.
The doctor did ask me to take the 7 days of doxycycline 100mg. At this point, what would you recommend? My gut feeling is to not take it since: 1) the urine test showed normal and 2) my symptoms seemed to have gone away.
Your professional advice on whether to take the doxycycline 100mg for 7 days would be helpful.
Thank you Dr. Hook.
Thank you Dr. Hook. I will contact him tomorrow and seek his professional advice.
On a side note, thank you again for all of the advice you have given me in this and prior posts. I believe it is time I grow up and seek a girlfriend instead of seeing a escort every couple of months whenever I get the urge for sex. Repeating this behavior puts me at risk that I can avoid. Ultimately, I am responsible for my behavior and the associated consequences. With this information about STDs and protection, hopefully, I can ensure a healthy and satisfying relationship for myself and future partner in the future.
I will update you on what my doctor says.
Thank you Dr. Hook!
Tony
On a side note, thank you again for all of the advice you have given me in this and prior posts. I believe it is time I grow up and seek a girlfriend instead of seeing a escort every couple of months whenever I get the urge for sex. Repeating this behavior puts me at risk that I can avoid. Ultimately, I am responsible for my behavior and the associated consequences. With this information about STDs and protection, hopefully, I can ensure a healthy and satisfying relationship for myself and future partner in the future.
I will update you on what my doctor says.
Thank you Dr. Hook!
Tony
MEDICAL PROFESSIONAL
I htink the risk of STD is very low and would not worry unless you develop symptoms. If I could only do one thing, I'd let your doctor know about the reaction and see if he wants to culture your urine for non-STD bacteria. EWH
Thank you Dr. Hook! This morning I went to the gym to do some physical activity and I feel the pain is gradually lessening. Your analysis is quite accurate.
I agree that it is better to find out if any bacteria are present. About 24 hours ago, I took one 500mg dose of Ciprofloxacn. I have discontinued use after this one dosage. My only concern is if there is a waiting period before urine tests can be accurate after I took the 500mg of Cipro.
I have a decision to make:
1. I can contact my doctor tomorrow and tell him I am having an allergic reaction to Cipro and ask for lab urine tests.
2. I can order Chlamydia, Gonnorhea tests through STDAlert.com (I have done so in the past) and get that done myself.
As you probably know, my doctor is a General Practitioner and not an STD expert with the experience you have. Would you recommend that I go through my General Practitioner doctor? Or order the tests myself? And when can I do this?
Thank you Dr. Hook.
I agree that it is better to find out if any bacteria are present. About 24 hours ago, I took one 500mg dose of Ciprofloxacn. I have discontinued use after this one dosage. My only concern is if there is a waiting period before urine tests can be accurate after I took the 500mg of Cipro.
I have a decision to make:
1. I can contact my doctor tomorrow and tell him I am having an allergic reaction to Cipro and ask for lab urine tests.
2. I can order Chlamydia, Gonnorhea tests through STDAlert.com (I have done so in the past) and get that done myself.
As you probably know, my doctor is a General Practitioner and not an STD expert with the experience you have. Would you recommend that I go through my General Practitioner doctor? Or order the tests myself? And when can I do this?
Thank you Dr. Hook.
MEDICAL PROFESSIONAL
Thanks for the follow-up. With this additional information, I am not confient that this is orchitis. If it were, I would have suspected my pain and for the problem to progress. I think your doctor should re-evaluate things. Further, despite the cost, I think you are better off finding out if bacteria of any sort are present. My guess is that your discomfort will pass without therapy but if it does not,you should see the doctor again., EWH
Thank you for your reply Dr. Hook.
1. The doctor did not do any additional testing on urine for bacteria, chlamydia or gonnorhea. (because those tests are not covered by my insurance, it would be out of pocket fees on my part).
2. 1 or 2 days after the intercourse, I did feel a slight numbing or tingling sensation on my lower abdominal (right above penis region and below belly button). I have had a similar feeling before (when masturbating vigorously) and one of the CSWs I was with I did have a vigorous thrusting - mostly my lower abdomen region hitting near her vaginal area/lower stomach during intercourse.
Last night, I felt my symptoms of lower abdominal numbness and tingle lessen.
Today, after seeing the doctor, I then had some sensations that perhaps my testicles are indeed swollen. (Prior to this, I did not have any abnormal sensation in my testicles - individually or both). I just examined my testicles and they do not hurt to touch or feel numb.
As of now, my lower abdominal region (area right above my penis) still has a slight tingling sensation.
Hope this helps.
1. The doctor did not do any additional testing on urine for bacteria, chlamydia or gonnorhea. (because those tests are not covered by my insurance, it would be out of pocket fees on my part).
2. 1 or 2 days after the intercourse, I did feel a slight numbing or tingling sensation on my lower abdominal (right above penis region and below belly button). I have had a similar feeling before (when masturbating vigorously) and one of the CSWs I was with I did have a vigorous thrusting - mostly my lower abdomen region hitting near her vaginal area/lower stomach during intercourse.
Last night, I felt my symptoms of lower abdominal numbness and tingle lessen.
Today, after seeing the doctor, I then had some sensations that perhaps my testicles are indeed swollen. (Prior to this, I did not have any abnormal sensation in my testicles - individually or both). I just examined my testicles and they do not hurt to touch or feel numb.
As of now, my lower abdominal region (area right above my penis) still has a slight tingling sensation.
Hope this helps.
MEDICAL PROFESSIONAL
Welcome back to the Forum. I'll be pleased to make a few comments. Did the doctor happen to do any testing regarding your symptoms? - I would have tested your urine for bacteria, gonorrhea and chlamydia in order to help guide decisions about therapy.
Several comments:
1. You did precisely the right thing to stop taking the ciprofloxacin. It does sound like you are allergic.
2. Have your symptoms changed over the course of the last day or two, or since you saw the doctor today? Bacterial orchitis tends to be exquisitely tender and usually involves only one testicle. On the other hand, viral orchitis can occur in one or both testicles. Finally there are other less clearly understood reasons that testicles tend to ache (as opposed to being tender to the touch) and when this occurs, the ache can go away on its own.
3. I agree that from the sounds of things, the discomfort you are describing should not be related to the condom protected sex you describe, particularly when you put together BOTH your condom use AND the absence of other symptoms such as discharge or burning on urination.
4. Orchitis can complicate prostatitis and while most prostatitis occurs in men over age 40, a substantial minority can occur in younger men and can be caused by a variety of different bacteria (that's the reason that a culture helps).
I may have more to say after I hear your answers to my questions. EWH
Several comments:
1. You did precisely the right thing to stop taking the ciprofloxacin. It does sound like you are allergic.
2. Have your symptoms changed over the course of the last day or two, or since you saw the doctor today? Bacterial orchitis tends to be exquisitely tender and usually involves only one testicle. On the other hand, viral orchitis can occur in one or both testicles. Finally there are other less clearly understood reasons that testicles tend to ache (as opposed to being tender to the touch) and when this occurs, the ache can go away on its own.
3. I agree that from the sounds of things, the discomfort you are describing should not be related to the condom protected sex you describe, particularly when you put together BOTH your condom use AND the absence of other symptoms such as discharge or burning on urination.
4. Orchitis can complicate prostatitis and while most prostatitis occurs in men over age 40, a substantial minority can occur in younger men and can be caused by a variety of different bacteria (that's the reason that a culture helps).
I may have more to say after I hear your answers to my questions. EWH
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