Is This STI?

  • Posted by a hidden member.
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    Mar 23, 2012 1:37 AM GMT
    My story:

    Feb - received unprotected oral

    After 10 days - symptoms:
    * Frequent urination
    * A small red cut-like mark near the opening of the penis
    * Swollen head of the penis (swelling on one side, left or right, at a time) - disproportionate
    * Rough and raw looking penis head
    * Pain in urethra
    * Slight pain in testicles
    * Slight anal itching
    * Occasional joints pain
    => Consulted a general physician, had urine analysis for all bacteria, negative results, no treatment, symptoms disappeared in 4 weeks

    Sept - received unprotected oral (not again!)

    After 10 days - symptoms:
    * Frequent urination
    * Red cut-like mark near the opening of the penis
    * Swollen head of the penis (swelling on one side, left or right, at a time) - disproportionate
    * Rough and raw looking penis head
    * Pain in urethra
    * Moderate pain in testicles
    * Slight anal itching
    * Joints and muscle pain
    * Groin pain and tender bladder area after 4 weeks
    => Consulted 3 urologists, the first one found prostitis (swollen prostate gland, maybe due to a urinary infection), put me on Cipro 500 for 30 days, no improvements in symptoms, the second urologist recommended a CT scan for kidney stone, came negative, just visited a third one and he is retesting everything. After 5 weeks, the symptoms seem to be improving - prostate gland seems to be better, no testicle pain, bladder is improving, the cut on the head is disappearing

    Still not 100% cured, want an answer to this... Is it a recurrent problem? Is it chronic? Is it infectious? Is there a diagnosis & cure for it? Is it fungus, some virus or some restrained bacteria (that is yet not identified as STI)? All my docs think that this is not STI, but I believe it is an STI.
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    Mar 23, 2012 2:08 AM GMT
    One can't get a medical diagnosis online. Only a doctor who examines you can give you a diagnosis and recommend treatment.

    I've had chronic prostatitis for decades. The bacterial form can be very difficult to treat, since it "hides" in structures inside the prostate that are difficult for antibiotics to reach. As a result, treatment can take much longer than with other kinds of infections, sometimes months. Also, the condition can become chronic, recurring for a long time, or even never totally going away.

    Ask your urologists about non-specific and non-bacterial prostatitis. You can also google them. These conditions are often not detectable in standard lab tests, which will come back negative for bacteria.

    Frequent urination, which I also have, can be due to the bladder not fully emptying when you pee, leaving less free capacity so that it fills back up more quickly. A common cause of this is urinary tract blockage, due to a swollen prostate. As you probably know, the urethra passes through the prostate, so that when it swells it closes down the passage.

    Have you noticed any reduction in your stream? Difficulty in starting, and a bit of after-dribble? Urologists have a machine that provides a computerized chart of your flow rate, as you pee into a kind of bucket.

    You say you've already been told you have a swollen prostate, which would be a suspect for your frequent urination. If the prostate is indeed the cause, and until it returns to normal size, a doctor can prescribe Flomax pills to increase the urinary flow, emptying the bladder more fully and thereby reducing the frequency of urination. (I take them myself)

    I have also been advised during prostatitis flare-ups to reduce sexual activity, and to avoid certain substances that worsen the condition in some, but not all men. Biggest offenders for me, that can really block me, are Coca Cola and beer. Just the things that create a full bladder, yet I get so blocked I can't even get started, can be very painful as the bladder distends.

    So again, continue to work with your doctors, even if you must get yet another new consultation. And mention those terms, to get a urologist's opinion in your case, to possibly do a urinary flow rate test, as well as to educate yourself on this condition.
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    Mar 23, 2012 4:56 AM GMT
    Maybe you have an allergy to saliva.
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    Mar 24, 2012 3:19 AM GMT
    Thank you very much, Art_Deco. I appreciate your response.

    Art_Deco saidOne can't get a medical diagnosis online. Only a doctor who examines you can give you a diagnosis and recommend treatment.


    True. But I have changed 4 doctors and they are not able to diagnose my problem. I am pretty sure that I cannot be the only one in this world to get this disease. Hence, I am trying to reach to people who had suffered from such disease earlier or know about this disease and can share their experience or knowledge.

    Art_Deco saidI've had chronic prostatitis for decades. The bacterial form can be very difficult to treat, since it "hides" in structures inside the prostate that are difficult for antibiotics to reach. As a result, treatment can take much longer than with other kinds of infections, sometimes months. Also, the condition can become chronic, recurring for a long time, or even never totally going away.

    Ask your urologists about non-specific and non-bacterial prostatitis. You can also google them. These conditions are often not detectable in standard lab tests, which will come back negative for bacteria.

    Frequent urination, which I also have, can be due to the bladder not fully emptying when you pee, leaving less free capacity so that it fills back up more quickly. A common cause of this is urinary tract blockage, due to a swollen prostate. As you probably know, the urethra passes through the prostate, so that when it swells it closes down the passage.


    When I visited the first urologist, I just had frequent urination, pain in the the urethra and testicle and general feeling of sickness as the symptoms. I did not tell this doc about the sexual encounter. He did my rectal exam without even telling me that he is going to put his fingers into my ass. He asked me to turn around and inserted fingers. I shouted in pain and he said that it was a swollen prostate gland and put me on Cipro for 30 days. Now, my pain was due to the discomfort and him not using any lubricants. There might be swelling on my prostate gland, but I wasn't aware of it from symptoms point of view. Later after being on Cipro for 20 days, my condition didn't improve. The testicle pain increased. Hence, I went to a second urologist and explained him about my sexual encounter as well. He was pretty sure that I didn't have any STD. But I forced him to run some tests. Hence, he did bacterial urine analysis which came negative. He asked me to go for CT Scan for detecting any kidney stones. There were none. Then he wanted me to go for a cystoscopy to look for any cancer. I denied that as he was going in a wrong direction. Then after 4 weeks of symptoms, I started getting groin pain. This is when, I think, the infection spread to my bladder. By this time I had joints pain and muscle aches as well. I still continued the Cipro and completed the 30 days course. I then visited the third urologist. He tested my prostate gland. He was very gentle and used lubricant, too. It didn't hurt me. He said that the gland looked OK to him and I need not had to have Cipro. He asked me to go for some blood tests. The results are awaited. Since last 7 days, I am experiencing minor itching on the scrotum, in the rectal area and in the area connecting them. I also started feeling that there is something in my ass. Also, my eyes hurt in the evenings and I feel very tired mentally. Today, I felt very week in the first half of the day and I got pain in the kidneys occasionally. I suspect the infection is spreading to my kidneys.

    Art_Deco saidHave you noticed any reduction in your stream? Difficulty in starting, and a bit of after-dribble? Urologists have a machine that provides a computerized chart of your flow rate, as you pee into a kind of bucket.


    Till now, I haven't noticed any reduction in the flow as well as difficulty in starting or after-dribble. My third urologist said that he would use the flowmeter during my next appointment (3 weeks from now).

    Art_Deco saidYou say you've already been told you have a swollen prostate, which would be a suspect for your frequent urination. If the prostate is indeed the cause, and until it returns to normal size, a doctor can prescribe Flomax pills to increase the urinary flow, emptying the bladder more fully and thereby reducing the frequency of urination. (I take them myself)

    I have also been advised during prostatitis flare-ups to reduce sexual activity, and to avoid certain substances that worsen the condition in some, but not all men. Biggest offenders for me, that can really block me, are Coca Cola and beer. Just the things that create a full bladder, yet I get so blocked I can't even get started, can be very painful as the bladder distends.

    So again, continue to work with your doctors, even if you must get yet another new consultation. And mention those terms, to get a urologist's opinion in your case, to possibly do a urinary flow rate test, as well as to educate yourself on this condition.


    Thank you for your suggestions. I'll try to make an early appointment with the doc after receiving the blood work results. By the way, I am 32 y/o and would consider myself healthy without this problem.
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    Mar 24, 2012 3:24 AM GMT
    TropicalMark saidMaybe you have an allergy to saliva.


    Thanks. But I don't think so. I have received BJs several times from my regular partner and never had any issues. This is the first time, I had been with almost strangers and got this.
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    Mar 24, 2012 6:07 AM GMT
    aguyinneed saidThank you for your suggestions. I'll try to make an early appointment with the doc after receiving the blood work results. By the way, I am 32 y/o and would consider myself healthy without this problem.

    I was 34 when diagnosed with prostatitis. I had my first urinary tract infection at 21, during an extended period of living in very dirty Army field conditions, not washing nor changing my clothes. The one may have caused the other, because my "plumbing" was never quite right from that first infection.

    When my prostatitis flares up a DRE (digital rectal exam) makes me yelp when the doctor feels my prostate. It becomes extremely tender. After the sulfa drugs have worked on me a DRE is no longer painful. It sounds like your second one came followed being on an antibiotic for 30 days, so the difference in sensation may not have been due to doctor skill, but rather the greater sensitivity of your prostate during the first DRE before treatment. I was frequently put on antibiotics for months.

    All your symptoms are consistent with ones I've had due to prostatitis, sometimes combined with a urinary tract infection. The infection in the urinary tract will usually culture, but the prostate may not, nor show anything under a microscope, giving the negative results you've gotten so far.

    I've had very mixed results with urologists, but they're you're only option at this point. I would continue to see them until you get a good answer and results.
  • musclmed

    Posts: 3284

    Mar 24, 2012 3:24 PM GMT
    Note to Art: although it sounds you have had a lot of problems, I doubt piecing together these experiences is helping this guy out. Just adding to confusion.

    This sounds nothing like Prostatitis.


    occasionally a candida infection or a Mycoplasma genitalium or Ureaplasma infection can not grow well in a culture and give you these types of symptoms.

    Zithromax or Doxycyline trial is worth it. Ask the urologist about this.

    Cipro does not cover Mycoplasma well.

    I had not the opportunity to exam you but its worth a try.

    I would "GENTLY" ask about Mycoplasma Genitalium / Ureaplasma to your last Urologist and try asking for a trial of Doxycline.

    Occasionally a Staph epidermidis ( skin bacteria) can overgrow in the urethra due to antibiotic usage ( cipro) as Staph Epi is sometimes resistant to Cipro, you trade one problem for the next. And it may seem like you never got better.
    Doxycyline would work for this.

    know the limitations of seeing a Urologist. They are surgeons. If you are not improving see an Internist or Infectious Disease doctor.
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    Mar 24, 2012 8:11 PM GMT
    Art_Deco said
    I've had very mixed results with urologists, but they're you're only option at this point. I would continue to see them until you get a good answer and results.


    Thank you again. Yes, I'll continue seeing docs until I am 100% cured.
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    Mar 24, 2012 8:14 PM GMT
    Whatever it is it does not seem good. I would go see a doctor
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    Mar 24, 2012 11:41 PM GMT
    musclmed saidNote to Art: although it sounds you have had a lot of problems, I doubt piecing together these experiences is helping this guy out. Just adding to confusion.

    This sounds nothing like Prostatitis.


    occasionally a candida infection or a Mycoplasma genitalium or Ureaplasma infection can not grow well in a culture and give you these types of symptoms.


    Thank you, musclmed. Does urine culture confirm Mycoplasma / Ureaplasma infections? Is it a common practice by docs to test for these bacteria when they say they ran urine analysis for bacteria? I'll definitely check with my doc. Also, can these bacteria transfer from mouth to the urinary system during oral sex? How is Candida confirmed? I don't have a lot of itching / moistness in the genital area. Is Candida still a possibility?

    musclmed saidZithromax or Doxycyline trial is worth it. Ask the urologist about this. Cipro does not cover Mycoplasma well.


    I am allergic to Tetracycline and may be allergic to Doxycycline as well. Will Erythromycine work instead?

    musclmed saidI had not the opportunity to exam you but its worth a try.


    Wow! Are you a doc? I wish you could examine me.

    musclmed saidI would "GENTLY" ask about Mycoplasma Genitalium / Ureaplasma to your last Urologist and try asking for a trial of Doxycline.

    Occasionally a Staph epidermidis ( skin bacteria) can overgrow in the urethra due to antibiotic usage ( cipro) as Staph Epi is sometimes resistant to Cipro, you trade one problem for the next. And it may seem like you never got better.
    Doxycyline would work for this.


    Sure. For last 4 days, I am having inflammation of eyes and worse joints pain. My joints and the area around the joints are very painful, especially my legs - right from the pelvic bone to the ankles. I suspect Reiter's Syndrome or reactive arthritis due to the untreated long-term infection. I called up the doc to tell him this. But he said that these symptoms were unrelated to my urinogenital symptoms and I should consult my primary physician for them. I mentioned about Reiter's syndrome and he agreed to check me.

    musclmed saidknow the limitations of seeing a Urologist. They are surgeons. If you are not improving see an Internist or Infectious Disease doctor.


    Exactly, I have seen an internist last time when I had the symptoms (in Sept) and one internist this time. The first one thought that my symptoms were psychosomatic since there were no bacteria detected in the urine analysis. The second one simply ruled out any infection (not alone STD) and said that these are mere symptoms that would disappear on their own. He also believed that unprotected oral sex is very safe and would not transmit any STDs! Hence, I moved to urologists. After seeing 2 urologists with no luck, I tried making an appointment with a specialist in infectious diseases, but he required a referral. Then I went to an STD clinic because I thought the other docs lack the necessary knowledge about STDs. But the doctor there said that they treat only Gonorrhea and Chlamydia and since I had already been tested negative for them and still have UTI sysmptoms, I should see a urologist. With his advice, I made an appointment with the third urologist who had asked me to undergo some bloodwork as well. The results are awaited.
  • musclmed

    Posts: 3284

    Mar 25, 2012 1:41 AM GMT
    1) Ureaplasma doesn't grow well , usually its found anecdotally by Pcr.

    2) Reactive arthritis is a thought. But i was trying to be discrete and not mention it. At this point the internet is not your friend. You are going to get into a bad mind state reading into every ache and pain you have.
    I am sure they are testing for HLA-b27 which is a associated genetic marker.

    3) make sure you are not doing anything you think maybe benign. ( herbs, medications ( Neosporin topically) people develop allergies to these medications and can perpetuate a symptom long after a disease is gone.

    If you are close to manhattan i can mention a few docs if things go bad but stick with the doctor that did the bloodwork. And wait a bit
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    Mar 25, 2012 4:58 AM GMT
    musclmed said2) Reactive arthritis is a thought. But i was trying to be discrete and not mention it. At this point the internet is not your friend. You are going to get into a bad mind state reading into every ache and pain you have.
    I am sure they are testing for HLA-b27 which is a associated genetic marker.


    I am not sure if they are testing for HLA-b27. I will check with the doc next time I see him though.

    You are right about the internet. I will avoid researching into this anymore. I didn't want to do it to begin with. But since I met not-much-helpful docs initially, I had to browse internet to find out what was going on with my body


    musclmed said3) make sure you are not doing anything you think maybe benign. ( herbs, medications ( Neosporin topically) people develop allergies to these medications and can perpetuate a symptom long after a disease is gone.


    I have started 3 supplements:
    1. Acidiphilus - I had started with Cipro, but am continuing even after the course.
    2. B Complex & C Vit
    3. Cranberry Supplement Pills - I was drinking cranberry juice and taking the pills. But I have stopped both since the last couple of days as I thought the acidic urine in the bladder would favor the viruses (if what I have is a viral infection)
    Other than this, I have increased the amount of garlic and yogurt in my diet. Can any of this cause issues?


    musclmed saidIf you are close to manhattan i can mention a few docs if things go bad but stick with the doctor that did the bloodwork. And wait a bit


    I am in Jersey, less than 2 hours away from Manhattan. I feel very much relieved now. I'll stick with the current urologist, will visit him next week and wait for the lab results.

    You are a life-saver, doc. I really appreciate all your help. Thank you so much
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    Mar 25, 2012 1:30 PM GMT
    Hey musclmed,

    I have sent you a private message (mail) through RealJock. Please click on the 'mail' link above to view it.

    Thank you
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    Mar 26, 2012 1:05 AM GMT
    You sound like a total hypochondriac. Why would you go to 3 seperate urologists, instead of going back to to test further. I'm sure it's the plague.
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    Mar 26, 2012 1:35 AM GMT
    First, at least for the sake of others, stop having unprotected sex.

    Next, go to an Infectious Disease specialist.
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    Mar 26, 2012 3:25 AM GMT
    oozyrat saidYou sound like a total hypochondriac. Why would you go to 3 seperate urologists, instead of going back to to test further. I'm sure it's the plague.


    You may be right! But I have reasons to switch doctors. The first urologist diagnosed it as prostitis and put me on Cipro. He had no time to listen to me. He didn't run any urine analysis and wasn't interested in even finding the microorganism causing the infection. I still continued his treatment, but when my symptoms worsened, I had no choice but to consult another urologist. Now this one too didn't want to run any urine analysis. He didn't think that it is STI (and that to without checking me or without touching my body). He thought that it was either a kidney stone or some cancer and it was just a coincidence that I got the symptoms after 10 days of receiving oral in two separate cases! I went for CT scan only because he wanted me to. Later he wanted me to go for cystoscopy to detect any cancer... When I denied that test, he asked me leave his office! Both these urologist are from the same facility. I don't want to mention any names, but that's how they run their business. Hence, finally I went to a third urologist who is a private practitioner and is currently treating me.
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    Mar 26, 2012 3:27 AM GMT
    GAMRican saidFirst, at least for the sake of others, stop having unprotected sex.

    Next, go to an Infectious Disease specialist.


    Yes, I did a mistake and will never repeat it. But GAMRican, have you NEVER received oral sex without a condom?
  • MikemikeMike

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    Mar 27, 2012 6:12 AM GMT
    You should go see a urologist.icon_idea.gif Not a general Dr. Get a complete STD panel done to ease your mind.
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    Mar 29, 2012 11:56 PM GMT
    UPDATE:

    My new urologist retested me (urine-analysis) for all the bacteria including Ureaplasma and Mycoplasma. Everything was negative. He ordered a booldwork to look for some more strains of bacteria/viruses. Again negative. He feels that I don't have any infection. Meanwhile, my urological symptoms (testicle pain, groin pain, pain in the bladder area and urethra) have considerably improved. But I still have joints and muscle aches (especially legs). He thinks that those are not related to my urinary symptoms (I doubt this!) and has advised me to see my primary care physician.
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    Jun 12, 2012 3:27 AM GMT
    UPDATE:

    Exactly 60 days after the onset of symptoms, I started feeling better. Meanwhile, all my tests came negative. I don't have these issues anymore. However, my prostate gland still hurts everyday after a long sitting (more than 30 minutes) and my urethra hurts once in 2-3 days. I had never felt the existence of these organs (urethra & prostate gland) in my body before. Now, they keep reminding me of not doing such a mistake again!