Welcome to the forum. Thanks for your question.
Your chlamydial infection was entirely asymptomatic. It had nothing to do with the penile lesion you describe. Based on your description and your doctor's evaluation, I agree exactly with him: the infected gland, sebaceous cyst, or whatever it was definitely wasn't an STD and not something you acquired sexually. To your specific questions:
1,4) Azithromycin isn't perfect, and it's always a good idea to be retested a few weeks later to be sure chlamydia is gone, or that reinfection hasn't occurred (although that's of course impossible if no further sexual exposures). Have another chlamydia urine test in a few weeks.
2) This bump absolutely is not due to herpes, chlamydia, or any other STD.
3) RNA testing is not the main way to check for HIV. The test is accurate, but much too expensive. And anyway it's not officially approved to diagnose new HIV infections. However it's an accurate test, so the result is reassuring. And the chance of HIV from exposures like yours is very, very low. For complete reassurance have an additional antibody test 4 weeks after the last exposure, but don't worry about it in the meantime. It will confirm you don't have HIV.
I hope this has helped. Best wishes and stay safe-- HHH, MD
Thank you for the speedy reply, i just have one follow up question.
the pain in my testicles is pretty persistent and throbbing. it did start around the time i got tested, although it has been off and un until today. i assume it is related to the chlamydia infection.if this is the case, is it normal to have to still have symptoms 4 days after being treated?
side note: i was also tested with an hiv antibody test that was negative as well. However, i will take your advice and do a 4 week follow up for my negative conformation.
Chlamydia doesn't cause testicular throbbing of this sort. This also is a classical symptom of genitally focused anxiety and the "chronic pelvic pain syndrome", and I don't expect it to imrpove as a result of antibiotics.
For more information, google CPPS (spell it out) and start your reading with the excellent Wikipedia article and information from the Stanford Univ dept of urology. You'll find a carbon copy of your symptoms -- and the pain mechanism is the same in genitally focused anxiety (pelvic muscle tension).
Thank you for the info on the CPPS and genital focused anxiety. Although this is somewhat of a stretch for me to believe it's a physiological issue, I am also not a dr. So I will take this into account. My only question was is it possible to be experiencing symptoms I.e painful urination 4-5 days after treatment if it was succesfull? The only reason I ask is because I could not seem to find this info anywhere else.
When treatment for urethritis is successful, dysuria -- painful urination -- usually resolves within 2-3 days. Dysuria without pain usually is not due to STD.
Perhaps the notion of "psychological origin" will seem more acceptable if you consider the physiologic cause of the pain, which is increased muscle tension or spasm. This is basically the same as for tension headache, except that pelvic rather then head and neck muscles are involved. Are you disturbed by the notion that anxiety or stress can cause headache? Back pain? Unexplained abdominal pain or nausea? Why should the genital area be any less susceptible to such pain?
Ok, I understand. Now that you explain it that way it makes more sense. Thank you for all your help. This will be the end of my thread.
Sorry i know i said that the last message was the end of my thread, however i got my test results back today and i was still positive for chlamydia. im a little shocked considering the success rate is so high on initial treatment. Is it possible it actually did work but i didnt wait long enough before i got tested again (4 days) or could there be something else going on? ether way i was perscribed doxy for the next week so we will see if that works i guess. Any info you can give me will be appreciated.
First, let's be sure you had the right kind of chlamydia test. From the start, I assumed your chlamydia test was on urine or a urethral swab. If it was a blood test, the results are useless and you probably never had chlamydia to start. And once positive, a chlamydia blood test remains positive for life.
But even assuming you had the right kind of test (urine or urethral swab), your repeat test at 4 days was way too soon. With successful treatment, it takes up to 3 weeks for chlamydia tests to become negative. Until and unless you have a new sexual exposure, you do not need any further chlamydia tests. It is impossible for chlamydia to persist after both azithrmycin and doxycycline, so there is no point in being tested again.
Continue to work with your doctor about any continuing symptoms that concern you.
Thank you for the response. Both the tests were a urine test. Thanks for answering those questions. thats all i wanted to know. I will consult my dr. for any thing else i may need.