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Avatar universal

Still have discharge?

Hi,

I got tested for both chlamydia and gonorrhoea in November, as I noticed a small amount of white discharge from my penis and occasionally slight burning while urinating.

I took a urine test, and the results came back negative for both gonorrhoea or chlamydia.

At the time She did treat me with Ceftriaxone 250 mg IM and Azithromycin 1 g PO in a single dose.

Now I again noticed the same white discharge recently. It only appears when I don’t urinate for a while.

My only sexual encounters were mutual oral with a male, and a brief unprotected anal (I was a top) encounter back in early 2019. The last oral was in April. I’ve been tested negative for hiv 3 times since as well.

Could the results be wrong for gonorrhoea or chlamydia? Or are there other causes as well?

What do you recommend as next steps?

Thanks!

2 Responses
Avatar universal
Probably you have NGU or a UTI from oral. Have you had your urine cultured? You can get tons of different bacterias from oral. MG, E. COLI, Enterococcus faecalis... etc I will strongly suggest to get your urine cultured, get tested for both Mycoplasmas and Ureaplasmas.  These exams are not part of regular exams. Find a good urologist, someone that knows about these bacterias/germs.
1 Comments
Thank you for the suggestions
207091 tn?1337709493
COMMUNITY LEADER
I agree. Even if you had gonorrhea or chlamydia, the meds you took would have cured it. I'd lean more toward a urinary tract infection or maybe even a prostate issue. First, get your urine cultured, and ask them to include the mycoplasmas and ureaplasmas.

Totally agree that a urologist is the way to go.
3 Comments
Thank you!

What about  trichomoniasis? Or is that only from vaginal contact?

Also I was thinking of testing for syphilis as well, I’ve never had symptoms though.

Plus what do you think about testing for Hep c and Hep B. I’ve been immunized against hep b however about 9 years ago. I did have anal as a bottom many years ago, so hep c could be a concern too?
Oh, and would the meds have also cured oral gonorrhoea? I never got swabbed for that
Yes it would have cured oral gonorrhea, too.

Your hep B vaccines should protect you for life. You can ask your doctor for a test to find out if you still have immunity for that. Most likely, you do.

Hep C is rarely transmitted sexually. If it is, though, it is usually transmitted via anal. Did you use a condom? Hep C wouldn't cause this discharge. It's a liver disease, not a genital one. If you want to test for that sometime, that's fine, but it's almost always transmitted by sharing needles for drug use.

Men who have sex with men, or with partners who have penises, can get trich. Usually, men don't get symptoms with trich, though, so I'd doubt this is that.

I'd start with a urine culture and maybe a prostate exam. If you can get the discharge to appear for your doc, they can culture that, too.
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