please advise on my symptoms

[veeraj26]

I am a 40 year old male. I have had three risky sexual encounters recently.

The first was in December 2015, when i had unprotected oral sex and protected sex with a sw. There were no issues that i observed after this incident.

I then again had unprotected oral sex and protected sex twice on 13 feb 16. About five-six days days after that i started developing painful urination. once i also noticed some discharge, which was whitish (seemed to be clear with whitish spots in it). though i may have had it more times, i am not sure i noticed it.

On 27 feb, i  had 1g of azithromycin and 400g of cefixime. The symptoms reduced  after that, though mild pain persisted.
i did an STD panel test  on 05 mar, the results were as follows:-
(a) CHLAMYDIA TRACHOMATIS IgG ANTIBODY,(serum) EIA  - Result - 0.86 (Equivocal),  Index<0.8
(b) VDRL (RPR), SERUM (Slide flocculation) - result - Non reactive
(c) HERPES SIMPLEX VIRUS (HSV) 1 + 2 IgM, SERUM (CLIA) Result - 1.12 (Positive), Index <0.9
(d) HERPES SIMPLEX VIRUS (HSV) 1 + 2 IgG, SERUM(CLIA) Result - <0.5 (Negative), Index<0.9
(e) TPHA; TREPONEMA PALLIDUM HEMAGGLUTINATION,SERUM (Agglutination) - Result - Negative
(f) HIV 1 & 2 ANTIBODIES SCREENING TEST, SERUM HIV 1 / 2 & P 24 COMBO TEST (CMIA) Result - Index value 0.1 Non Reactive
(g) Urine examination - Result - Normal

Since gonorrhea was not included in the above, did the following  tests on 07 Mar:-
(a) GRAM STAIN SPECIMEN SOURCE URINE METHOD : MICROSCOPIC EXAMINATION Results - PUS
CELLS-:FEW, NO ORGANISM SEEN.
(b) NEISSERIA GONORRHOEAE DNA PCR - Result - Not detected

Thereafter, knowing that IgM test may not be accurate, i repeated the tests again, along with follow up on Chly and Gono with the following results:-
(a) NEISSERIA GONORRHOEAE PCR, QUALITATIVE  @  # (Real Time PCR) - Result - negative
(b) CHLAMYDIA  TRACHOMATIS, PCR QUALITATIVE  @  # (Real Time PCR) - Result - negative
(c) HERPES SIMPLEX VIRUS (HSV) 2 IgG, SERUM  @ (EIA) Result - 0.30,   Index <0.80
(d) HERPES SIMPLEX VIRUS (HSV) 1 IgG, SERUM  @ (EIA) Result - 0.10,   Index <0.80

Presently, i have the following symptoms:-
(a) occasional mild pain in urination, primarily at the tip
(b) at times discomfort while urinating
(c) though i have not seen it, at times my underwear seems to have some signs of white/transparent discharge.
(d) mild pain in my joints. it started with the left hand finger next to the little one  about a month ago, thereafter since last week, have a feeling of mild pain, stiffness and feeling of swelling in my hands and feet. the most pain is still in that one finger.

My request:-
(a) Can you please check the test results and interpret the same for me?
(b) were the windows for testing ok?
(c) am i still suffering from something that i need to check out?
(d) what do my present symptoms indicate?
(e) any other inputs that you may pls give...

would really be grateful for your help and inputs please

regards

[veeraj26]

thx so much for your prompt reply!!

so, i should not worry too much about the HERPES SIMPLEX VIRUS (HSV) 1 + 2 IgM,which came just above the positive reference (reference given is >1,11)? there are a lot of mixed opinions about the validity of this test...should i repeat the same test again, or some other test now (individual IgM for 1 and 2) before the 3 month period? would it help in starting the antiviral medicine for herpes?

thx once again...

[Life360_Dave]

Hi your tests show you negative for everything but 3 months post exposure for herpes would be conclusive and other windows ok.
Finger and hand issues are not any std sympotom.
To confirm a penis infection milk your penis before urinating in the morning and if no white puss appears would indicate no infection.