Testicle / Genital Pain

[converse123]

I have had pain in my testicles and gential region for over a month now.  10 days after sex where the condom came off I noticed a bump on my penis.  It never it did not blister or change shape ever and the dermatologist said it was nothing and would fade away which it has.  After visiting the dermotologist I developed a tingleing in my penis tip so visited an STD clinic.  They tested for Chlaymidia Ghonereha and Syphilis all which came back negative.  The tingleing faded to tetical pain a few days later so I returned and they tested me for Chlyamidia and Ghonereha again which came back negative again but they put me on 100 mg of doxycyclin to ward off any infection.  That did not work as the pain persisted and would raidiate out to other areas of my genital region such as thighs and penis.  

I visited my general dr and he tested me for HIV and Hepatisis (both negative) and put me on 875mg of amoxacilin and referred me to a urologist.  The urologist did a ultrasound which came back negative.  I am through the amoxacilin now and returning to my general doctor this week to have him evaluate me furhter as the pain has not gone away.  

Never any bumps or blisters other than the initial bump which went away and itself was never painful or changed shape or anything.  The pain seems less in the morning and more as the day goes on and I some times feel it in my penis shaft and tip as well as thighs.  Antibiotics seem to do nothing.

What do you think could be going on?  What sort of things should I talk with my Doctor about this week?

Thanks!

[david323ww]

www.penilepain.org

[Kevin Pho, MD]

I agree with the testing thus far.  

A prostate infection can be difficult to diagnose, and may require extended courses of antibiotics.  A prostate massage can be done, and any fluid expressed should be sent for culture and analysis.  

Imaging the prostate can also be considered with a transrectal ultrasound.  Any abscesses found would have the be drained, as antibiotics would not be effective.

These options can be discussed with your urologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_

[converse123]

I should add the Chlaymidia Ghonereha and Syphilis tests were several weeks after, the HIV and heptaitis over a month and the ultrasound over a month and a half after.  Also that I know of she tested negative for all STDs.