You correctly understand my best judgment. Of course no distant online source makes a definitive diagnosis. There are no easily available tests for adenovirus, so most likely your partner's tests all will be normal. Although adenovirus is a reasonable possibility, you'll probably never know for sure exactly what the problem was. But if it goes away, don't worry about it.
Dear Dr.Handsfield,
Thank you very much for the quick response. I will stop taking the moxifloxacin and see my doctor tomorrow.
Just to clarify...Most likely I have adenovirus which was acquired from oral sex. My girlfriend gave this to me but did not necessarily get it from sexual intercourse. Is this correct ?
I know she will go to get tested tomorrow. Will the adenovirus show up on her test results ? As far as I know she hasn't received any treatment.
Welcome to the forum. I'll try to help you and your doctors sort this out.
I suspect you had an infection with adenovirus. Although primarily a respiratory infection, some types of adenovirus infect the urethra, probably through oral sex, and adenovirus causes 2-3% of cases of nongonococcal urethritis (NGU). And adenovirus typically causes conjunctivitis as well -- and there have been published cases of sexually acquired NGU along with conjunctivitis. Further, the NGU associated with viruses often has more prominent urinary pain than discharge -- the opposite of most NGU -- so even that detail fits your story well, as does your partner having had conjunctivitis recently.
UTIs are rare in healthy younger males (aside from sexually acquired NGU). And many (most?) primary care physicians are unaware of the adenovirus/NGU/conjunctivitis syndrome. If your urethral or other symptoms are improving, I doubt it is because of the antibiotic. Adenovirus NGU and conjunctivitis clear up on their own over 1-2 weeks.
I think those comments answer all your questions, but let me know if I missed something. The bottom line is that this likely was sexually acquired, but without implications for other partners (for either you or your girlfriend) -- i.e. technically an STD, but not really an STD in the usual sense.
So my guess is you can safely stop the moxifloxacin -- but you really should first discuss it with your doctor. My guess is s/he would appreciate hearing this perspective; you might print out this thread as a framework for his or her review. If s/he would like a couple of references to the medical literature about adenoviral NGU, I would be happy to provide some suggestions.
I hope this helps. Best wishes-- HHH, MD