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Possible STD that is somehow not being picked up?
I've had on and off urinary symptoms throughout the summer, all seeming to stem from an incident where I noticed blood in my urine upon returning from a run.
Symptoms are as follows:
-Urinary urgency
-Intermittent urinary frequency
-Irritation in urethra or penile pain
-Perineum discomfort and pain
-Sometimes have trouble urinating
I've been to the doctors three times about it ending in multiple courses of antibiotics and then being referred to a urologist.
The urologist put my on six weeks of Doxycycline 100mg once a day as he thought it could be a prostate infection or some type of infection they weren't catching, plus I had little to no symptoms while on the antibiotics.
Once coming off the Doxy I was still having frequency issues, so my urologist ran some more tests and found that my bladder was not completely emptying and scheduled me for cystoscopy as he feels there is either a blockage or stricture in the urinary tract.
I'm still having on and off urethral pain and it feels sometimes that it could be an STD(I had chlamydia back a year ago due to condom breakage, I was treated for it though)
Is it possible there is an underlying std that is not being picked up here? I've had a urine test every time I've visited my urologist, but almost every-time I've been tested I was either on or coming off antibiotics.
I did have a swab done after my last partner, they said they would call if there were any infection(s); they never called meaning nothing was found.
I don't have a discharge and like I said the pain is very intermittent.
Thanks doctor!
Symptoms are as follows:
-Urinary urgency
-Intermittent urinary frequency
-Irritation in urethra or penile pain
-Perineum discomfort and pain
-Sometimes have trouble urinating
I've been to the doctors three times about it ending in multiple courses of antibiotics and then being referred to a urologist.
The urologist put my on six weeks of Doxycycline 100mg once a day as he thought it could be a prostate infection or some type of infection they weren't catching, plus I had little to no symptoms while on the antibiotics.
Once coming off the Doxy I was still having frequency issues, so my urologist ran some more tests and found that my bladder was not completely emptying and scheduled me for cystoscopy as he feels there is either a blockage or stricture in the urinary tract.
I'm still having on and off urethral pain and it feels sometimes that it could be an STD(I had chlamydia back a year ago due to condom breakage, I was treated for it though)
Is it possible there is an underlying std that is not being picked up here? I've had a urine test every time I've visited my urologist, but almost every-time I've been tested I was either on or coming off antibiotics.
I did have a swab done after my last partner, they said they would call if there were any infection(s); they never called meaning nothing was found.
I don't have a discharge and like I said the pain is very intermittent.
Thanks doctor!
And yes the symptoms do seem like a fit. My urologist put me on Uroxatral for the time being; it has certainly helped with the pain in the prostate region and has helped with flow also.
I'm still getting the on and off discomfort in my penis, but like I said...hoping something is found when I have the procedure.
I'm still getting the on and off discomfort in my penis, but like I said...hoping something is found when I have the procedure.
Thanks for the kind and informative response Doc! I'm hoping my urologist will find something when I have the procedure this Thursday.
Very glad to know it's not related to an STD :)
Very glad to know it's not related to an STD :)
MEDICAL PROFESSIONAL
Welcome to the STD forum.
Urinary symptoms like you describe are rarely due to STD; and any STDs that conceivably could be involved (e.g. chlamydia) would be effectively treated with 6 weeks treatment with doxycycline. (One week would have been sufficient.) That your symptoms continued on that treatment is strong evidence that no infection of any kind is involved. Your symptoms almost certainly have a non-infectious explanation.
To me, your symptoms suggest the chronic pelvic pain syndrome (CPPS), the most common cause of unexplained genital or lower abdominal pain in men, and the discomfort is often referred to the penis and frequency is also a common symptom and incomplete bladder emptying also goes along with it. Or perhaps you have a prostate gland problem. Neither one of these is caused by STD. It seems your urologist is on this track and I suggest you follow his advice for further evaluation. For more information about CPPS, google that term (spell it out) and start your reading with the excellent Wikipedia article and the information from the Stanford University Department of Urology; both will be near the top of the google hit list. See if the symptoms fit and discuss what you find with your urologist.
But don't worry about STD. That's clearly not the problem here.
Best wishes-- HHH, MD
Urinary symptoms like you describe are rarely due to STD; and any STDs that conceivably could be involved (e.g. chlamydia) would be effectively treated with 6 weeks treatment with doxycycline. (One week would have been sufficient.) That your symptoms continued on that treatment is strong evidence that no infection of any kind is involved. Your symptoms almost certainly have a non-infectious explanation.
To me, your symptoms suggest the chronic pelvic pain syndrome (CPPS), the most common cause of unexplained genital or lower abdominal pain in men, and the discomfort is often referred to the penis and frequency is also a common symptom and incomplete bladder emptying also goes along with it. Or perhaps you have a prostate gland problem. Neither one of these is caused by STD. It seems your urologist is on this track and I suggest you follow his advice for further evaluation. For more information about CPPS, google that term (spell it out) and start your reading with the excellent Wikipedia article and the information from the Stanford University Department of Urology; both will be near the top of the google hit list. See if the symptoms fit and discuss what you find with your urologist.
But don't worry about STD. That's clearly not the problem here.
Best wishes-- HHH, MD
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