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Burning in tip of the penis after receiving oral.

I am 24 years old. I was drunk and I had protected vaginal sex and unprotected oral sex with a sex worker. 2 days after the sexual encounter I started developing symptoms. The first symptoms were chills and a burning sensation on the tip of my penis. Later the symptoms got worse my penis was sore and the same feeling was now in my testicles and a burning pain in my groin mostly on my right side. Also had a slight sharp pain in my lower back region that was not affected by me moving my back.(Kidneys maybe?) Day 5 I went to a clinic had a urethral swab and a urine test done. The GP said it was nothing major just a bacterial infection and prescribed a single dose of Azithromycin and Fluconazole. She also said that I had no yeast infection from the swab test they had done. 4 days after taking the antibiotics no improvement at all. I went to another clinic for a different opinion and after doing a blood and urine test they found no bacterial infection. No WBC from the urine test and WBC levels seemed normal in my blood they offered me another dose of antibiotics which don't seem to help either. Since then I have also noticed some burning sensation around my anus. No discharge from my penis, no visible lesions or rash. Planning to go for a full STI screening after the 2 week window period. Have read similar stories to mine in this forum some experiencing this for years yet nobody seems to have a definite answer and it really has me worried to the point that I can no longer sleep. What could be causing this?
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With the azithromycin, they are treating you for either chlamydia or NGU. They must have found elevated white blood cells in your urine or when they did the urethral swab.

You can get NGU from oral sex. NGU stands for non-gonococcal urethritis, which means any infection in the urethra that isn't gonorrhea.

Have you gotten any results back from the urine test? Did they send anything out to be cultured? You should call and ask that.

NGU can be caused by strep bacteria, if the person giving you oral had strep throat, or even viruses like adenovirus, which causes upper respiratory illnesses, like bronchitis, pneumonia, sore throats, and pink eye.

Before going from place to place trying to get a diagnosis and treatment that works, follow up with the original doctor and find out what testing they did.

Also, you need to wait at least 3 weeks from when you finished the antibiotics to do any STD testing or you could get false negatives.

The other possibility is that you have an infection in your prostate that isn't being caused by this encounter, but the timing is coincidental.

Continue to work with one doctor so you have some continuity of care. I'm also going to have this moved to the STD forum.

Helpful - 0
Thank you so much for your response and advice.  They did do a culture in the second clinic should get results tomorrow.  I also have a burning sensation in my anal region and  a subtle pain in my armpits, experiencing  fatigue, reduced sexual drive, cloudy urine. Could these symptoms narrow down the possible infection? What are the chances I have genital herpes?
Everything but the armpits could be a prostate issue or a UTI.

No STD would cause pain in your armpits.

You wouldn't have these symptoms for so long without getting any blisters or sores if this were herpes.

Reduced sex drive could be from feeling so crappy and tired. I wouldn't put a lot of stock into that right now as an overall symptom. I'm sure if you get the flu, you aren't feeling all that sexy, either.

Let us know what the culture results say. Was the 2nd clinic an STD clinic or a walk in clinic like an urgent care? If it's an STD clinic, they'll just be testing for common STDs, and won't be looking for other things, probably.
Hey again. The first clinic was an STI clinic and the second one was a general walk in clinic. Got the results today. From the urine test, my urine is slightly turbid, and I have a WBC count of 2 - 4, Epithelial cells 0 -2. Bacteria, schistosomia ova, T. Vaginalis, yeast, cast, crystals are all absent and no growth from the culture. The blood test shows all white cell count is in normal range.

Will be finishing my antibiotics today. Pain in my groin and penis has gone down. My biggest pain now is in the anal region. It's gotten worse. It's a burning sensation and is worse when I'm sitted. I told the doctor that I may have a prostate infection but she was very skeptical of a prostate infection at my age. She checked for swollen lymph nodes in my groin and didn't find any. She told me to finish the current antibiotics cefuroxime axetil which I have been taking for the last 5 days then wait for at least a week before I do a full screen for an STI. She also said i could do an X-ray to check for any abnormalities of the prostate.

My question is:

1. Are there other conditions in men that could cause the burning se sensations around the anus other than prostatitis for my case?
2. What antibiotics should I take in case I have prostatitis that can penetrate the prostate?

Very grateful to you and this forum.
You shouldn't take any more antibiotics right now.

You should listen to the doctor and wait a week, and get an x-ray for the prostate.

You can have an enlarged prostate without having an infection, and your urine tests show no infection, at least now on the antibiotics. You need to be off the antibiotics because they could be hiding an infection in your prostate.

If you don't have an infection, taking antibiotics you don't need causes resistance to them.

I know it's not easy, but just be patient and hang in there.
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