Prostatitis or STD?

[JSman240]

About a month ago I began having symptoms of Prostatis several days after receiving oral sex from a girl.  I have had the same exact symptoms twice in the past after a sexual encounter, every time I became very nervous afterward (I cheated and got nervous about std's clamydia/gonorhea).  I was actually broke up with my girlfriend this time but got back together shortly after I received the oral sex and are still together. We had unprotected sex before I started having the symptoms. After the symptoms began I told her about the prostatitis but not the oral sex... don't want to tell her. My symptoms are pain/pressure in the perinium, burning after urinating and some redness/pain on end of penis when I have the burning, intermittent pain in right testicle, general dull intermittent pain in the pelvis low/back, dribbling after urinating and frequent/urgent need to urinate. Sometimes I have had pain in the testicles after ejaculation. I have had no penile discharge but sometimes after urinating or a bowel movement especially I get a white/cloudy last few drops of urine (I have to push/squeeze a lot to get this. The symptoms have seemed to be worse when I am experiencing anxiety even during treatment. I went to the doctor about a week after the oral sex and was tested for Clamydia and Gonorhea, and a UTI (all were urine tests).  All tests were negative. I talked to the girl who gave me the oral sex and she got tested by throat swab for clamydia and gonorhea and was negative (so she says... I mostly trust her). I was given Levaquin 500mg for a month by my doctor... also saw the urologist 2 weeks later. Both doctors said they don't think it is a STD... but not for sure. I was also given paxil and xanex for anxiety. My girlfriend and I did not have sex  for a couple weeks and started again about a week ago.  I was still on the antibiotic but am now off it.  I recently started to have the symptoms again the day before I quit taking the levaquin... but have been worrying about it again.  The symptoms are terrible when I am nervous but almost none when I'm not.  I have done a lot of research online about non-bacterial prostatitis/chronic pelvic pain syndrome and my symptoms seem to fit it exactly but I am still very nervous about this.  Could this be Clamydia or Gonorhea?  How many days should I wait after I quit taking the levaquin to be retested for clamydia/gonorhea to ease my mind.  

[JSman240]

Hey Dr Singh I just have a few more questions I hope you don't mind.  I read that levaquin is almost completely eliminated from your system in about 32-40 hours.
The half-life is approximately 6-8 hours in a person with normal kidney function. It takes 4-5 half-lives for a drug to be completely eliminated from your body (32-40 hours).  I am not questioning your medical advice at all don't take this wrong please!  With the above being said if my symptoms are from chlamydia or gonorrhea wouldn't they show up if I was tested sooner?  This is driving me nuts and don't want to wait that long.  Another question after a quick explanation... My symptoms began about 2-3 days after receiving the oral sex.  I never had a fever or extreme pain from the prostate, it was more of a dull ache.  I have read that untreated chlamydia/gonorrhea can lead to acute bacterial prostatitis.  I guess that is why I am wondering about the chronic prostatitis/chronic pelvic pain syndrome. When my nerves aren't bothering me so much neither does this problem. Like I said this has happened 3 times now and I have never been found to have an std.  So does this sound more like a std to you, or prostatitis?  I sincerely appreciate your advice, and hope to hear from you again.  Thank you

[Dr J Singh]

Hi,
The possibility of an STD like chlamydia or gonorrhoea can’t be ruled out. However, after a course of antibiotics, retesting is usually not recommended if there aren’t any symptoms suggestive of the same. The retesting even if done should be at least a month after the course completion. I sincerely hope that helps. Take care.