Doctors:
My apologies for coming back with a similar questions that was posted in May but pain and worry gf will never sleep with me again is seeking some peace of mind, grateful for your direct STD expertise. I continue to suffer from chronic prostatitis & working with a urologist. Recently I told him that I had chlamydia 5 years ago and these off and on symptoms of ache in scrotum and pelvic aches began shortly after that treatment. I know from my previous post and other threads that credible sources disagree on the extent if any chlamydia causes or gets into the prostate. My urologist suggested it could be a possibility but seem confused as to best way to check, I told him I was negative per NAAT urine test. He wanted to culture semen but I believe that semen is toxic to cell lines in culturing semen and thus unreliable. He did not want to do prostate massage due to inflammation and would harm me. My specific questions concerning Chlamydia bacteria and testing:
1) Even if rare would NAAT Urine pick up Chlamydia infection in prostate or does this test only approved for urethra infection?
2) Can Chlamydia bacteria survive or isolate itself this long in prostate and cause re-curring symptoms? Biofilm conerns.
3) Would there be other tests you would recommend to get to bottom of this?
4) Even if in prostate would not ejaculations infect urethra thus impossible for prostate to be infected and urethra not to be infected?
Appreciate your continued advice, like I said credible sources like UCLA Urology Dept, Mayo Clinic all say complicated Chlamydia infection can potentially cause chronic prostatitis and several prostatitis clinics seems to suggest they find this STD in prostate but little to no information if routine NAAT urine screening is sufficient or the extent this bacteria can or could continue to cause problems. Urologists seems clueless when it comes to STD's. I don't understand why not more clarity with two very common issues for men. Thanks