STD or other symptoms??

[dumguy11]

Dr, another question regarding possible infection from a potentially risky scenario.

My situation was I had protected vaginal and received unprotected oral from a female SW. about 24-36 hrs after I noticed a slight burning sensation in the head of my penis. Stayed at a low level for another day then got worse.Pain was not always constant through the day. I went to my doc day 3 and he felt it was some sort of irritation since no other visible or other symptoms (discharge, spots, pain in side, etc).To be safe he would give me an injection of antibiotic & a 10 day script for doxy. They also took a urine sample - no results yet.  The pain doesn’t seem to get worse during urination.

On day 4-6 the pain variable and was not always in a constant location. The pain sometimes moved to more of the middle of my penis inside as opposed to the tip area. Also there  is some medium pain/ tenderness in the testicles for the last few days. On day 6 (today) notice mostly the tenderness/pain in the testicles & the pain sensation in the penis/urethra not as noticeable. I describe the pain in the testes is how it feels after the worse of the pain starts subsiding you get accidentally hit in  the testicles.

No other visible symptoms. No discharge, blood, spots, red marks, sores, fever, or anything. I now have some congestion and very slight sinus pressure, probably just coincidence.

My doc seemed to indicate that if I had caught something these antibiotics should clear it up, but obviously with the  worsening of the pain after the doc visit and subsequent testicle pain, I am becoming more worried as to what is actually going on.

I am looking for guidance as to possible causes of this given the fact that my doc put me on antibiotics so soon after possible exposure. And what I should be worried about (yes I am growing a little more worried and concerned) - Bacterial std? Herpes?  other virus? or something else?

Thx for any thoughts/guidance
G

[dumguy11]

No lesions whatsoever....if doesnt clear up this week doc says urologist next..

thx

G

[Edward W Hook, MD]

Sorry, your situation is getting beyond the scope of what might be done through internet-based advice.  With negative tests, I doubt that the antibiotics are doing much at all.  Are their any lesions associated with this?  If so herpes might be a possibility.  If not, I think working with a doctor, in person, is the right thing to do.   this is really not in the realm of STD associated symptoms.  EWH

[dumguy11]

Hey Doc, I hope you van provide some further guidance????
...In short the uthrea pain cleared up after about 4 days...3 days later it came back with a vengance and i went back to the doc...I had another urine test(negative) and the doc has me on both doxy and cipro..and seems to be at a loss since there are no other symptoms besides the uthrea pain.  I continue to have no discharge, sores, redness, blood,difficulty urinating,  etc... all i have in tenderness along the uthrea and a fairly steady burning type of pain in the uthrea... urination does not markedly increase the pain i am having.

He is thinking of a specialist if no improvemnt...needless to say getting vry worried and hoping you may have advice..

thx

G

[Edward W Hook, MD]

Sorry, I don't know what to say about the small white spots in the inside of your lip. They really do not sound like any STD and without the ability to exam you I would just be guessing.  Sorry.  EWH

[dumguy11]

Doc, i appreciate the quick response. I hope you are correct about potential infection. I can definately say that the pain the testes is fairly noticable and the now diminishing pain/burning  in the urethra was pretty strong.


Since my posting i have noticed a tender small group (pepper size) of white dots on the inside of my lip at near the base of the gum. Is there some cold type of virus that could cause all of this since i have some congestion and a little fatigue?


anyway that is all and i will keep my fingers crossed for an uneventful outcome


thanks again
G

[Edward W Hook, MD]

You have little to worry about and the symptoms that you are experiencing are almost certainly not due to STD.  Your genital exposure was protected and from oral sex, the major STDs you were at risk for are non-gonococcal urethritis and gonorrhea, both of which would have certainly been treated by the treatment your doctor has provided (ceftriaxone was almost certainly the injection plus the doxycycline).  There is nothing in your history to suggest other STDs.  There are no STDs that cause the sort of migratory discomfort that you are describing.

From your history, herpes is just not on the list of possibilities/

My thoughts - you are a bit concerned about this exposure and, as a result, you are paying far closer attention to your genitals and sensations in and around them than is normal for you.  As a result, you have become aware of sensations that you would have ignored in the past.  It the testicular discomfort progresses, I would return to your doctor but I think that is unlikely to occur.  This is not and STD and in all probability will resolve on its own - just watch and wait.  EWH