STD scare

[sammmy123]

I had unprotected oral sex once,protected vaginal once, with an escort. about 4-5 weeks  ago.
I have no discharge.No odor,no "sores" I wouldn't call it it "pain" maybe "sensitive" also  frequent, urgent urination.
slight discomfort when I sqeeze the tip of my penis (on the inside at the head)
No swelling or lesions anywhere. I did see my doctor for a UTI and was given 3 500mg tabs of levequin. (also took 2 250mg zpac tabs prior to seeing him)
a urine test was taken ,as well as a "culture" and was negative for "bacteria"
He referred me to a urologist.
Do I have anything to worry about here( std wise)? I do have an appointment @ Planned parenthood clinic to test specifically for std's.
From what I have been reading on previous posts it appears the risk is small.
again no "pain" just sensitivity on the inside tip, urgent, frequent urination and at one point an irritated left eye(redness)
would the small doses of antibiotics treat any possibilities ?
I made a serious mistake and am now freaking out!
Your counsel is very much appreciated.

[H. Hunter Handsfield, M.D.]

Thanks for reviewing other threads before asking your question.  You probably learned enough to predict my responses.

As for the vaginal exposure, the condom protected you from any STD that could possibly explain your symptoms.  And you undoubtedly already learned that oral sex is low risk for all STDs.  Further, the vague and mild nature of your urethral symptoms -- "sensitivity" and frequent urination, without discharge -- are not very suspicious for STD.  They are most suggestive of genitally focused anxiety, i.e. increased awareness of normal body sensations

UTIs are rare in younger men (under age 40) unless there is an underlying anatomic anomaly of the lower urinary tract.  Unfortunately, you're never going to know for sure whether you might have had either a UTI or an STD such as nongonococcal urethritis or, even less likely, gonorrhea, because of taking azithromycin before any testing was done.  All culture tests and any further STD testing that might be done are going to be negative because of the antibiotic.  Taking it before seeing a provider was a mistake.  (I can't tell for sure from your description whether you also took the levofloxacin [Levaquin] before the urine culture was done.)

That said, it probably makes no difference in the long run, because I doubt you have (or had) a bacterial infection of any kind.  That your symptoms apparently have continued proves the point; it means no infection is the cause, i.e. there was nothing that could have responded to those drugs.  The doses you took were not all that small, by the way.  They were less than normally prescribed for diagnosed infections, but those recommendations are based on intentional overkill.  You took enough to suppress and probably cure all the infections we are discussing.

At this juncture, I am not sure it is worth the time and energy to be evaluated either by Planned Parenthood or a urologist.  Of course follow through with either or both of those visits if your symptoms persist or you remain concerned.  But my bet is that they will gradually fade with time.  There certainly is no significant chance you have anything that could ever harm your health or that of a sex partner.

I hope this helps.  Best wishes--  HHH, MD

[sammmy123]

Thank you so much!!
I didn't realize the leftover zpack would be so damaging on testing, As you can see I have
a track record for foolishness!
The levaquin was taken AFTER the urine was given but before the results were revealed.
at any rate you your advice and council is GREATLY appreciated! thank you Dr.