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Please help diagnose my burning urine and sore penis tip.

Please help. I am in a monogamous relationship, we use all sorts of sex toys and we have sex a lot and I masterbate so probably *** once a day.

I have been getting burning when I urinate. Also sometimes when I ejaculate. The tip of my penis is slightly red. It is also slightly sore. It also feels like the burning is inside the end of my urethra I believe called the lacuna magna, this seems to be the root of where the pain and burning comes from. The more I have sex or masterbate the worse it gets. If I abstain for a length of time it gets slightly better but never goes away.

I have been tested for STI's at the gum clinic. I also went for a private PCR test for Mycoplasma, Herpes, Gardenella and Trich. All were negative. I have done several urine tests at the doctors, all negative. I have had a cystoscopy and had my prostate checked by a urologist. All fine apparently. I have also tried the following antibiotics prescribed by my doctor (all separately) Doxycycline 2 tablets a day for 7 days. Tremetheprin 2 tablets a day for 7 days. Ciprofloxacin 2 tablets twice a day for 3 weeks. I have also tried daktacort cream and fusidic acid with no improvement.

I have been examined by the doctor at the gum clinic who said everything looked normal. Also by another specialist who said it might be bruising from over enthusiastic sex play, he said take ibuprofen for 5 days. This also did not work.

So I am completely at a loss. This has been going on for almost 6 months.  

I have seen some other rare threads where others describe similar symptoms but none of them ever seem to get resolved.

Please help, this is not in my mind and its definitely not genital focused anxiety. Any help or suggestions would be greatly appreciated.
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Avatar universal
Wow - that sounds pretty bad. Sorry, I’m not a Dr. & have no similar experience to share. Sometimes that’s the best thing - to have someone who’s been thru the exact same thing describe what their diagnosis was or what worked for them to alleviate the symptoms. Hey, readers out there - have any of you experienced something similar that you can share with pistonhead?

PH, it sounds like you’ve done all the right things - had medical exams & numerous tests & tried various antibiotics, etc.  & it’s gotta be very frustrating not to find any relief from this.

I do have one thought that might not have been addressed: I’m wondering if this could possibly be some type of fungal (rather than bacterial) infection? It’s well known that women are prone to yeast infections, which are usually caused by Candida yeast, but men can get it too. Candida is very difficult to treat & to get rid of. Often this requires some type of antifungal medication taken internally. It’s also helpful to take probiotic supplements - these promote growth of helpful bacteria in the system that can help control overgrowth of Candida yeast. Candida is normally present but kept in check by the ‘good’ bacteria, but often after an illness - especially if one took broad spectrum antibiotics - the good bacteria is killed off & the yeast takes over. This is just something to think about, I have no way of knowing if that’s causing your problem, but since these various antibiotics haven’t helped, it might be worth looking into. Good luck & I hope other readers might share similar experiences to help pin down what might be causing this
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Thank you for the response. I have taken an over the counter tablet for thrush and used the dactarcort cream which are both anti fungal. Your advise about probiotics is interesting  and something I will try. At this point I will try anything. I would love to hear form someone who has had the same symptoms.
707563 tn?1626361905
When you had the prostate exam, how were your symptoms? I'm wondering if they caught you on a good day, so your prostate was normal. A lot of your symptoms sound like chronic pelvic pain syndrome, or urethral syndrome. Did they see anything abnormal on the cystoscopy? Get a copy of those results.

https://hhma.org/healthadvisor/aha-uresynme-crs/

Something to also consider is what you are eating and drinking. Caffeine and alcohol can be very irritating, as can some foods. Make sure you are drinking enough water (and really, I don't mean to sound condescending if this sounds blatantly obvious, but some people don't think of the simpler stuff).

Diet can also play a role - https://journals.lww.com/infectdis/fulltext/2002/03000/a_dietary_cure_for_prostatitis_and_the_urethral.2.aspx

I hope this helps. I know it's very frustrating to not have any answers when you are hurting.




Helpful - 1
1 Comments
Thank you for your reply. My symptoms were average when I had the exam, I probably do drink too much alcohol but I don't drink much caffeine at all. I have started drinking more water and that does help a little. I have also started putting "dream creame" which can be bought from the lush shops on my penis and this helps a little although it has not cured me.

I am going to see a very reputable urologist for a 2nd opinion.

I have just looked up the condition urethreal syndrome and it does fit with many of my symptoms. I am surprised the urologist I saw did not mention it.

Thank you for your response.
Avatar universal
Yes, let’s hope a few others can share their experiences & possibly some success treating it...
Helpful - 0
Avatar universal
could be yeast or some other fungus or virus, but all of the antibiotics you have been taking may have contributed to this problem to make it worse, due to them killing off the beneficial bacteria and changing the PH of the penis and urethra etc.
Helpful - 0
2 Comments
I agree, we should consider the possibility of a yeast (possibly Candida) infection - even though he was treated with some antifungals, it can take some very specific types of treatment to get rid of Candida & it generally takes some time, they're very hard to eradicate...
Hi thanks for the response, I tried a weeks course of fluconazole prescribed by my doctor and that also did not help me. He is as confused about the situation as me and has refereed me to another urologist who extremely reputable on penile conditions.  
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