Worried about possible STD symptoms

[soxfan88]

I had unprotected oral (10 minutes) and vaginal sex (5-10 minutes) with a random girl I met at a bar on a business trip (mid west city).  I am 43 and I think she was around 32.  I have no idea her STD status

When I got back home I went in to the doc and got a urine test for both Chlamydia+Gonorrhea.  This was 3 days post possible exposure and tests negative.  2 weeks after possible exposure and for the past 5-6 days I have had the following symptoms

1) No obvious burning during urination or abnormal discharge as of yet
2) After urination I have what seems to be a slight burn at the end of the penis that goes away in 5 or so minutes. Not today tho
3) Excessive urination, to the point sometimes right after urinating I feel like I still have to go.  Also, sometimes     when I feel like I have to go quite bad, when I pee not that much comes out.  Many other sites seem to list frequent urination as a possible STD symptom, but I have seen in numerous posts that the docs here discount frequent urination as a Chlamydia or other STD symptom?
4) Drippage, I have always dripped after urinating but it seems more pronounced now.  Also a few times as long as 30 minutes after urinating I might move my torso area and a very small amount of clear liquid comes out. When I touch it on my finger it does not seem to have any smell (urine) to it
5)  Also a few times during the day it feels in my penis like something (liquid/discharge) is coming out, but when I check it out it is dry, no discharge
6) Sporadically throughout the day it feels like maybe a slight burn in my urethra or just generally not comfortable.  It seems to be more normal in the morning, but is more noticeable as the day goes on and comes and goes.

Even though Chlamydia was negative, could that be wrong?  Could it be NGU or Trich, anxiety, or something else?  Should I not re engage in unprotected sex with my regular partner?  Like most of us here, stressing a bit and again value your advice greatly.

[Edward W Hook, MD]

I would not be worried about you having sex with your regualr partner.  

Take care.  EWH

[soxfan88]

Thanks for the comments and reassurance.  One last question, should I have concerns regarding resuming sex with my regular partner?  Thanks again

[Edward W Hook, MD]

Welcome to our Forum and thanks for looking at posts between us and other clients. From doing so you know that while probably not one of your wisest decisions, your risk for STI from the exposures you describe was low, both because most persons do not have STIs and because most exposures to infected partners do not lead to infection.  

You should believe your tests.  you do not have gonorrhea or chlamydia.  These tests provide accurate results at 3 days after exposure.

Further, the symptoms you describe are no suggestive of STI.  Symptoms such as frequency, a sensation of needing to void and dribbling are more likely to reflect your increased focus on looking for symptoms than true infection.  Further, STI symptoms do not typically occur sporadically- this too is more often due to increased focus and looking for symptoms than an STI.

I doubt that there is much to be gained from further testing other than reassurance but sometimes reassurance is a good thing.  If you choose to test again, I would encourage you to seeking testing for NGU.  NGU is best diagnosed with a swab specimen taken from the penis at least an hour after last urination. On occasion microscopic evaluation of urine collected just as a person begins to urinate can serve the same purpose but the swab is the preferred  approach.  With either method, one is not looking for bacteria but for white blood cells which are a sign of inflammation.  It is the signs of inflammation, manifest as increased numbers of white blood cells, which are the basis for the diagnosis of NGU.

I hope these comments are helpful. EWH