I am a male in my early 50’s. I periodically engage the services of female sex workers. When I do so, I receive unprotected oral sex and have protected intercourse. Over the years, I have had several episodes of Urinary Tract Infections, that appear to be associated with these activities. The typical scenario is that, anywhere from 2-7 days following one of these encounters, I will experience a small itching or stinging sensation in my urethra. This will then be followed by the appearance of a whitish urethral discharge. This discharge will continue for about a week. On several occasions, I have visited a clinic, was given a single 1000 mg dose of Azithromycin, no tests were performed, and the symptoms cleared. On one occasion, I was given this treatment, but also tested for Gonorrhea/Chlamydia. The symptoms went away and I was later told I had tested positive for Chlamydia. Another time I had these symptoms, did not get any treatment, but was tested for G&C. My tests for both Gonorrhea and Chlamydia came back negative and the symptoms cleared, untreated. I have discussed this with a friend, who engages in the same activities I do, yet has never had these symptoms. I have tried to research this on the internet. The information I have found leads me to several questions:
1) Is it possible to acquire a Chlamydia infection from receptive oral sex?
2 ) Is it common to acquire bacterial infections from receptive oral sex?
3) Is it possible that the cause of my infections is viral and not bacterial?
4) My experience has been that, whether or not I take any antibiotics, the symptoms clear in about a week. Am I just as well off not taking antibiotics?
5) Why do I have this problem, when my friend doesn’t? Is this common, or do I just have a “weak” urethra?
Thanks for your response to this- I have found your replies to others to be quite practical and level-headed.