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Burning in tip of the penis after receiving oral.

It's been 4 months since my initial symptoms and I still have symptoms to date. There have been significant improvements since my initial symptoms but they have not all cleared up. Initially, I thought the symptoms were all in my head because of guilt and anxiety but I truly believe that I do have an infection. I have cloudy urine which is also a bit foamy, slight burning sensation at the tip of my penis sometimes, pain in my buttocks area which from googling and researching I believe to be perineum pain that mostly occurs when I am in bed at night. I have tried to research but haven't found any theory that considerably matches my condition so far.

1. I was tested for syphilis and chlamydia so those are out.
2. I have no discharge and no pain when urinating so I don't believe gonorrhea is the cause of my symptoms.
3. I don't have any lesions or blisters and haven't come across many cases where HSV causes burning in the
    urethra.
4. It could be prostatitis because of the pain in my perineum but I have no pain when urinating, no dribbling, no frequency or urge, and my stream appears to be okay.
5. NGU seemed like a possibility but considering I took one shot of azithromycin, fluconazole, and secnidazole, I also took cefuroxime for a week it is highly unlikely. I also read that NGU has a window period of over a week yet my symptoms began after 2 days.

I have seen 3 different doctors have spent a lot of money on consultation, tests, and drugs but I still have no idea what the problem could be. I am fearing that the condition is serious and might result in future health complications or infertility. I have not had sex ever since.

What is the possibility of Herpes being the cause despite the lack of lesions or blisters?
What is the possibility of Gonorrhea without having any discharge?
Can NGU perhaps viral be the cause after getting initial symptoms after 2 days and persist 4 months after?
Prostatitis sounds like a blanket term for any prostate infection. If this is the cause, how do I treat it?
I also came across CPPS and do not know how common acute cases are.
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207091 tn?1337709493
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What is the possibility of Herpes being the cause despite the lack of lesions or blisters?

None. You'd have had lesions or blisters by now. Herpes doesn't cause symptoms like this usually, and certainly not without any actual outbreaks.


What is the possibility of Gonorrhea without having any discharge?

About 80% of men will have symptoms of gonorrhea, which includes discharge.


Can NGU perhaps viral be the cause after getting initial symptoms after 2 days and persist 4 months after?

It could be, but 4 months seems really long for it not to clear up by now.


Prostatitis sounds like a blanket term for any prostate infection. If this is the cause, how do I treat it?

This depends entirely on the cause of it. There is bacterial prostatitis, and non-bacterial. You'd need to talk to your urologist about which kind you may have. Don't take any more antibiotics without seeing a doctor.



I also came across CPPS and do not know how common acute cases are.

About 1.8-8.2% of men will get CPPS in their lifetimes - https://www.aafp.org/afp/2016/0215/p290.html

We see a lot of it here, but of course, people are posting here because they have problems, so it's not really a good representation of the general population.


I know you've seen a lot of docs, but has anyone done a prostate exam?
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Nope... no prostate exam. One doctor did suggest that she does a physical test to feel if my prostate was swollen but I didn't go though with it. Another doctor dismissed the idea that it was prostaisis because it's highly unlikely because of my age. She however stated that an X-ray could be done to check if it's swollen. Didn't do that either. Is there another way to diagnose this? Maybe semen test?

I also have a very subtle sharp pain which I have noticed today. The last time I had it was like 4 days after my sexual encounter.  I'm afraid it's my kidneys and I'm even more anxious and confused.

In your expert opinion based on the symptoms and the odds what do you think is wrong with me?


I'm not a doctor, but I'd have to go with prostatitis right now, though you don't say where the sharp pain is that you are feeling today.

If you think it's kidneys, get seen by your doctor. That needs to be ruled out.

Prostatitis can occur at any age. There are types of it that you're more likely to get as you get older, but you can get it at any time.

Do the x-ray or the physical test, and at least rule it out. This is what you can expect during the digital (finger) exam - https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/tests-and-procedures/digital-rectal-exam-dre

It's really not that bad, and it's over quickly. It will be good to find out, or rule it out.
I know you had a urine test at the start of all this to look for WBC, but ask for another one to see where that stands right now.
Nick, traditional urine tests and cultures are not reliable. Have your dr/urologist run a microgen dx test. That test is really sensitive and picks up more than bacteria if you have them. Traditional cultures and drs request reflex cultures. What reflex means is that they will culture it only if the analysis shows something. I been going through the same thing and I know is very difficult to cope with it. If you don't know anyone that can do it for you. Call them directly and they will tell who they work with. Good luck bud!
Auntijessi knows all the crap that I went through and yet not fully cured but after that test they put me on the right antibiotics and I have improved a lot.
Hi roefa what antibiotics they put you on?
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