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STD

27,Male
Exp. 3-4hr,UAE,Jul2011:Unprotected,CSW(Insertive anal,vagianal,Receptive Oral)Ejaculated during anal
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1.10d after
Slightpain left testicle.No discharge/warts/burning sensation.
DOC.
HIV I&II & RPR/VDRL, Result:Normal(15d post exp.)
Azithromycin 250mg 2x5d
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2.Better for few days then sympt. appeared.
On&off sharp shooting pain,left testicle&pain shoot upwards
DOC.               
Azithromycin 1g & ciprofloxacin(750mg 2x2d)on Aug17
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3.Normal 9days then pain started to grow.
SELF-MED. Aug30th
Azithromycin 2g &Ciprofloxacin 750mg 2x1d
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4.Still mild pain,sometimes shooting.
SELF-MED.Sept9
Doxycycline 100mg 2x7d.
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5.Better but slight discomfort&pain.
SELF-MED.
Metronidazole 2gx1d + Erythromycin 500mg 4x7d.
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6.DOC. VISIT
QUES. ASKED:
Test to find the issue?
ANS:
Chlamydia & Gonorrhea test no use as already taken medicine
No test for herpes as no sympt.
If UTI, should be gone because of azithromycin so it’s not it.
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7.WARTS! 1yr post exp.
Jan2013 after more than year wart appeared and multiplied into 6 not joined. Testicle pain started again not severe as before.
DOCTOR VISIT (diff. doc.)
Removed warts,he wasn’t sure if were warts,were very small so did test to confirm. Tested for other STDs.

RESULTS:
Biopsy: http://goo.gl/Ql4QdB
Urine: http://goo.gl/eZjB6W
http://goo.gl/0AfBnp
STD: http://goo.gl/81iKkZ

PRES. for NSU.
Tinidazole 2g d1 
Zithromax 1g d2
Fluconazole 150mg d3
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8 Responses
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Avatar universal
Thank you!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Those findings suggest you had NGU at that time.  However, NGU not caused by chlamydia is rarely if ever a serious problem for either infected men or their partners.  In any case, you were treated for it, and even without treatment NGU would have cleared up long before 2 years.  So regardless of whether or not you had NGU back then, you no longer have it and needn't worry about it.

That's definitely the end of this thread.  Do your best to move on.
Helpful - 0
Avatar universal
Sorry to bother again. Just one last question related to my question no.3 and your answer to that question. I hope you don't mind.

If we say that It was not NSU, what are the other possible causes of high number of pus cells, trace of leucocyte esterase, mucus threads, epithelial cells.

Could it be that I had  "Chlamydia/Gonorrhea" and was never tested for it before medication which might have caused it or some other std.

With ref to the lab tests:

"The urine had evidence of infection (marginally high number of pus cells, trace of leucocyte esterase and mucus threads).
But the culture did not grow any bacteria.

Therefore the infection is because organisms that do not grow on culture media.
This occurs in NSU (Non-specific urethritis) "
Helpful - 0
Avatar universal
Thank you! You are doing great work here. Much appreciated!
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
See above.  I have nothing more to offer.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  However, you're apparently expecting way more than this forum can offer.  We are not a substitute for direct medical care (read MedHelp's disclaimers).

From all you say, the only STD you have had is genital warts.  Warts typically appear anywhere from 6 months to 2 years after exposure to the virus.  The immune system usually clears them up within a few more months.

Your various symptoms are not typical for any other STD.  I doubt you had NGU, but if you did, it has been treated and is no longer a concern.  No STDs are likely causes of the various symptoms you report -- and in any case, every bacterial STD that exists would have been eradicated by one or more of the multiple inappropriate antibiotic treatments you have had.  Most likely the majority of your symptoms, if not all, are psychological in origin -- no infection of any kind.  To your numbered questions:

1) HPV is the only cause of warts.  Biopsy is definitive in diagnosing warts.

2) Perhaps you have continuing hypertrophic skin or scar tissue, without active warts.  If uncertain, see a doctor or clinic.

3) NSU (nonspecific urethritis) and NGU (nongonococcal urethritis) are different words for the same thing (NGU is the usual terminology in North America, NSU in many other areas).  In about 50% of cases, the cause is unknown. Happily, it is not a serious problem -- it causes no known long term health problems in either affected men or their sex partners.  I'm not convinced you ever had it -- but if you did (or still do) it should not be a cause of worry or concern.

4) These are not STD symptoms and I'm confident they are not due to any infection.  A psychological origin seems likely.  

5,6) You should not be worried about any STD and I do not recommend any further testing of any kind.  Professional mental health evaluation may help.  I may be wrong about this -- but it can't hurt to check it out.

7) HPV testing of any kind -- DNA or otherwise -- won't help anything.  There is no need for it.

Bottom line:  Seek out a physician you respect, preferably an STD, infetious diseases, or genitourinary medicine expert.  The trust his or her evaluation and follow the advice you receive.  In the meantime, mellow out.  Apart from the possibility of persistent genital warts, I'm confident you have no active STD problem

Best wishes--  HHH, MD
Helpful - 0
Avatar universal
Please go through the test Results:
The URLs mentioned above link to my medhelp photos. Where I have uploaded the results.
Helpful - 0
Avatar universal
Question I wanted to ask here!
1. Does biopsy confirms HPV? Could something else have cause warts?
2. Warts that weren’t removed still present no new growth. Has my Immune system not cleared HPV in 2.5yrs?
3. Doc.said:”NSU(marginally high pus cells,trace of leucocyte esterase&mucus threads)but didn't grow bacteria”. What could be the cause?Why was it still there after all medication?
4. Now after 2.5years I have started to feel slight pain in groin and just below left testicle. Some time above the penis lest side. On phn doc. pres. Urispsas 200tdsx10d. Possible issue? med. use?
5. Risks & what should I be worried about?
6. Tests recommended for complete screening?
7. Can HPV DNA help me find HPV type if any?
Helpful - 0

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