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Question about oral sex

Hello, I have a question about possible std exposure from oral sex. On July 18th I had unprotected oral sex. About ten days later I developed a shooting pain in my penis which lasted for a couple of days. I then developed frequency in urination and reduced flow. I went to my doctor and he did a blood test and urinalysis and also scheduled an ultrasound as well as prescribed amoxicillin for 10 days for a throat infection. Nothing turned up. A few weeks later I went back in still having flow issues, he prescribed cipro for 7 days, which helped for a little while and cleared up flow issues. In the middle of September I was prescribed a z pak for a sinus infection but now I was having some pain in my testicles. I went to another doctor for this and was prescribed 2g of Zithromax, 400mg of cefixime and 2g of flagyl, but no testing. I still have occasional pain in my testicles and a heavy feel in them with an occasional shooting pan in the penis. My doctor thinks it is prostatitis and has set up an appt wit a urologist in December. He has always been convinced it is not an std. Given all that has gone on would this seem like a possible std or more likely is my Dr. Right? Thanks in advance.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Actually, if your treatment failed, most would then prescribe doxycycline plus metronidazole, precisely becuase erythromycin is similar to azithromycin.  EWH.  
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Avatar universal
Thank you very much for your answer, it is very helpful. One thing my second Dr. did say is that if it was ngu and zithromax failed that erythromycin would be the recommended treatment as a next step. I am curious as to why erythromycin would prescribed after zithromax failure, wouldn't erythromycin have similar qualities to zithromax?

Thanks
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300980 tn?1194929400
MEDICAL PROFESSIONAL
I agree with your doctor.  In general, oral sex is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you would have most likely developed symptoms of urethritis (penile infection) and the symptoms you describe while possibly consistent with prostatitis or the recently described chronic pelvic pain syndrome (CPPS- described in Wikipedia) are not suggestive of STD.  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  

Finally, had there been an STD present, the medications you have taken would have taken care of it.  I would not worry about STD and see no need for further STD concern or testing.  EWH
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