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STI or prostatitus?

Hi just wondered if anyone can help.

For the past few months i've been dealing prostatitus (had major problems with frequent urination) then a few days ago i was experiencing what felt like a uti. My doctor advised this probably due to the prostatitus and was given a prescription for  Trimethoprim.  More recently i've been having testicle pain as well and have been given a course of doxycycline.

Basically i'm now quite worried as about 7 weeks ago i received unprotected oral so i'm now concerned that my recent symptoms are because of this and not prostatitus . I guess the major one from oral is gonorrhea? although i've had no discharge or any other alarming symptoms. If i were to test now would the antibiotics i've taken mess with the result?

I've read that oral is fairly low risk and i'm hoping that the lack of discharge may indicate that i don't have an sti. Also when i was having uti type symptoms i did do a urine test which was totally clean with no signs of infection. I assume also that this means there were no white blood cells in my urine?

Am i worrying about nothing? Any advice would be appreciated!

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207091 tn?1337709493
COMMUNITY LEADER
What kind of testing have you had done other than the urine test? Have they done any imaging? A prostate exam? Have you had prostatitis before?

How old are you?

Unfortunately, you can't get an accurate test result while on antibiotics. You'll have to wait 3 weeks after finishing them.

You're correct that oral is lower risk than vaginal or anal. Were you on the antibiotics when you received the oral? That may help prevent an infection, too.

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Hi auntijessi thanks for getting back to me.

Im 45 years old and have had prostatitus since earlier in the year which i'm told was the result of having chlamydia.
That was properly treated but i was still peeing pretty much all the time so had a prostate exam which confirmed it was enlarged and was causing the frequent urination.

At the time of my possible exposure i was on a four week course of ciprofloaxin. Didn't have any discharge or anything just the uti type thing about 6 weeks later. I did a urine sample but this was just for a regular uti test.  Didn't occur to me at this point that it might be connected to my exposure so nothing else would have been looked for. Anyhow my doctor said the sample was clean, no sign of infection and the uti symptoms were due to prostatitus and was given a course of triamthoprim.

Following  week i was having testicle pain and was given 10 days of doxycycline and was advised to continue with the triamthoprim once i've finished the doxy.  Testicle pain has now improved a bit.

Hope this makes sense!

Oh cipro. While there is resistance to it, that would likely prevent a gonorrhea infection. It used to be the treatment of choice.

I'm confused, though. If they aren't finding any bacteria or signs of infection, why are they still giving you antibiotics?

Google chronic pelvic pain syndrome, or non-bacterial prostatitis.

One thing I have read time and again on these forums is that avoid alcohol and especially caffeine helps with the symptoms of prostatitis.

Here are some articles that might help -

https://dramrutainamdar.com/cpps-in-men/

https://www.urologyhealth.org/urology-a-z/p/prostatitis-(infection-of-the-prostate)

https://www.healthline.com/health/prostatitis-nonbacterial-chronic

Was given more antibiotics as so far the prostatitus hasn't improved. I think that if this last lot doesn't work i'm going to be referred to a urogolist.  I will certainly look at those links tho!

Many thanks for your time and advice!
Oh definitely, see a urologist.

Good luck! :)
Not sure if this helps, but I’ve had testicular pain (currently do, actually). In the past, my back doctor attributed it to the lower back pain I had. Something to consider if you do have back pain.
Hi thanks for your comment. I do have back pain usually first thing in the morning but then seems to go throughout the day
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Any help?
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