Aa
Whats going on here?
sex in Las Vegas with two different partners in a weeks time, unprotected 3 months ago. 1-2 weeks later came down with burning sensation while urinating, got worse so I saw a doctor who did a urinalysis, was diagnosed with chlamydia. Took Azithromyacin (twice) 1.5g then 1g in one shot as per his instructions. After this I still had symptoms though, so I took Doxy for 10 days (higher dose I believe).
At this point I saw an STD specialist and tested clean with urine. But He decided to basically bombard me with ATB therapy. I took cipro for 2 weeks, cefixime for gonnorhea possibilities, erthromyacin to treat ureaplasma, and a large 2.0 dose of metronizadole to cover trichomanas.
I went back for a follow up to the STD specialist. He basically gave me a clean bill of health. Told me I was 100% fine and could have sex again without worrying... I have no discharge, I have a very low or nonexistent WBC count in urine, no infection STD or UTI, he says mycoplasma /ureaplasma would have been killed off after the ATB i have taken... he ruled out herpes and a told me I have a completely normal healthy prostate.
But the problem is I occasionally experience some light persistence of symptoms, an occasional tickle or feeling of irritation (sometimes in the morning). My initial symptoms are nearly entirely gone and I truly feel way better... but I am just wondering why these minor symptoms persist in absence of any disease or infection?
1. The doctor said that sometimes following a tough case of urethritis there can occasionally be some very minor irritation or sensation that takes a long time to completely go away and that I should not worry. Is this true?
2. Should I just take my doctors word for it? He says I'm completely uninfected and any persisting minor tickle or discomfort is completely normal following urethritis, like any healing wound.
3. Can I safely resume my sex life? Sorry but I guess I am asking online for a second opinion. Look forward to hearing from you.
At this point I saw an STD specialist and tested clean with urine. But He decided to basically bombard me with ATB therapy. I took cipro for 2 weeks, cefixime for gonnorhea possibilities, erthromyacin to treat ureaplasma, and a large 2.0 dose of metronizadole to cover trichomanas.
I went back for a follow up to the STD specialist. He basically gave me a clean bill of health. Told me I was 100% fine and could have sex again without worrying... I have no discharge, I have a very low or nonexistent WBC count in urine, no infection STD or UTI, he says mycoplasma /ureaplasma would have been killed off after the ATB i have taken... he ruled out herpes and a told me I have a completely normal healthy prostate.
But the problem is I occasionally experience some light persistence of symptoms, an occasional tickle or feeling of irritation (sometimes in the morning). My initial symptoms are nearly entirely gone and I truly feel way better... but I am just wondering why these minor symptoms persist in absence of any disease or infection?
1. The doctor said that sometimes following a tough case of urethritis there can occasionally be some very minor irritation or sensation that takes a long time to completely go away and that I should not worry. Is this true?
2. Should I just take my doctors word for it? He says I'm completely uninfected and any persisting minor tickle or discomfort is completely normal following urethritis, like any healing wound.
3. Can I safely resume my sex life? Sorry but I guess I am asking online for a second opinion. Look forward to hearing from you.
MEDICAL PROFESSIONAL
No, I woul not say you have NGU. It is the signs of inflammation, manifest as increased numbers of white blood cells, which are the basis for the diagnosis of NGU. You have unexplained, peristing irritation. EWH
Okay thanks for the clarification. Just curious here, but would you say I have "NGU" at all? given my test results (no wbc no discharge etc) or just unexplained irritative symptoms? The response isn't very clear as to that.
Basically, what criteria do you use to define NGU?
Basically, what criteria do you use to define NGU?
MEDICAL PROFESSIONAL
Following your treatment(s), there is no need to worry further about some sort of unidentifiable, yet transmissible form of NGU. The sensations you are experiencing may or may not be due to delayed healing but they are not due to an STD that you are at risk for transmitting to your partner. Further antibiotic treatment makes no sense. This is something that some doctors unfortunately due as the "path of least resistance". It's far easier to give you more antibiotics than to try to talk you through the anxiety you are experiencing. EWH
1.Is it possible that with no abnormal WBC's or disease found upon urinalysis and no discharge that I still have some sort of transmissible but unidentified NGU?
The only reason I am posting this follow up is that you said it never takes more than a week or two. Well its been months! I know you said that it could be psychological but I definitely have a brief itch or discomfort in my urethra maybe 5 times a day for a second or two at a time. I know im not crazy and that these are not normal "sensations".
2. I literally am so scared of transmitting this to a partner. Every doctor just bombards me with ATB and says I am fine, regardless of symptoms. Ill live with it honestly but just all I care about is the well being of partners. Is there such thing as a harmless inflammation or physiological change after NGU?
A quote from your friend Dr. Hansfeld "Any time any body part is injured (including injury by infeciton, not only trauma), symptoms of irritation can continue long after the problem has healed. Think of the sprained ankle that still aches weeks or months later, the cough that continues for several weeks after a cold clears up, and so on."
Do you agree with the above statement?
For what its worth, I am going into counseling for this...
The only reason I am posting this follow up is that you said it never takes more than a week or two. Well its been months! I know you said that it could be psychological but I definitely have a brief itch or discomfort in my urethra maybe 5 times a day for a second or two at a time. I know im not crazy and that these are not normal "sensations".
2. I literally am so scared of transmitting this to a partner. Every doctor just bombards me with ATB and says I am fine, regardless of symptoms. Ill live with it honestly but just all I care about is the well being of partners. Is there such thing as a harmless inflammation or physiological change after NGU?
A quote from your friend Dr. Hansfeld "Any time any body part is injured (including injury by infeciton, not only trauma), symptoms of irritation can continue long after the problem has healed. Think of the sprained ankle that still aches weeks or months later, the cough that continues for several weeks after a cold clears up, and so on."
Do you agree with the above statement?
For what its worth, I am going into counseling for this...
MEDICAL PROFESSIONAL
Welcome to our Forum. You have now taken recommended therapies for either chlamydial infection or NGU at least 3 times, as well as additional "just in case" type medications (cefixime, erythromycin, metronidazole). This therapy would be expected to certainly cure NGU and/or chlamydia (not all NGU is caused by chlamydia) and you can be confident of this unless you resumes sex with a regular, untreated partner and thus have been repeatedly re-infected (which I doubt). So, what could be going on.........
1. Yes, after chronic irritation symptoms can take a while to resolve but rarely more than a week or two. Equally or perhaps more important is that sometimes after getting an STD, persons tend to focus on genital sensations in a way that they never did before, causing them to be "hyper-aware” of sensations they would not have noticed in the past. My guess is that some combination of these two things is going on with you.
2. I agree with your doctor. Any sort of STD urethritis would now be fully taken care of.
3. Yes, I am comfortable in recommending that you resume your sex life without worry.
I hope my comments are helpful. EWH
1. Yes, after chronic irritation symptoms can take a while to resolve but rarely more than a week or two. Equally or perhaps more important is that sometimes after getting an STD, persons tend to focus on genital sensations in a way that they never did before, causing them to be "hyper-aware” of sensations they would not have noticed in the past. My guess is that some combination of these two things is going on with you.
2. I agree with your doctor. Any sort of STD urethritis would now be fully taken care of.
3. Yes, I am comfortable in recommending that you resume your sex life without worry.
I hope my comments are helpful. EWH
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
