No they aren't. Trich usually is asymptomatic in men.
urgency and buirning after urination and ejactulation are symptoms of Trich
1) Yes, anxiety certainly can cause "real pressure" in the bladder. It does so by increasing muscle tension in the bladder wall and pelvic muscles. So the increase in pressure is real. But the cause is psychological.
2) Your symptoms don't suggest non-chlamydial NGU, and absence of WBC in urine is good evidence against it. And in any case it is generally a harmless disorder, both for patients and, as far as we know, their sex partners. -- and there is no easy test for it. That's why it isn't always a routine evaluation.
Thank you for your professional opinion. I really appreciate the work that you do here.
Regarding the SMS: She just wanted to contact and ask how I was doing and if I was coming back to her city for a visit etc. She still claims that she cant have anything, but perhaps little rud of me, I told her that she has something since I have my symptoms.
I received my results yesterday, and thought that it must be anxiety, but its very difficult to shake it off, since the feeling of 'need to urinate' is still there. Now it even feels that it is worse than before. But I will do as you say.
Few more questions:
- I know that anxiety can cause all kinds of crazy symptoms, but I really have a real pressure in my bladder basically all the time. Even during night and after I wake up and pee. Can anxiety cause that i.e. a real pressure in bladder and not just a feeling of need to pee?
- Am I correct that if I have Non-chlamydial NGU, then my tests would not have catched it? Why isnt Non-chlamydial NGU part of the rutine test?
Welcome to the forum. I'll try to help. The bottom line is that you have no STD from the event described.
What exactly did the SMS message from your partner say? If she didn't say she had chlamydia or other infection, why did it alarm you? If she did report an STD, you should be treated for it even with your own negative test results, just to be safe.
As for your symptoms, they are absolutely classical for genitally focused anxiety due to a sexual exposure you regret. Chlamydia, gonorrhea, and NGU usually do not cause a sense of urinary urgency and frequent urination; the dominant symptoms are discharge and/or discomfort on urination, but not urgency and frequency. And in any case, the test results are highly reliable.
So my advice is to relax and stop worrying, and most likely your symptoms will fade away. If they do not, return to your doctor or clinic for professional re-evaluation. If anything turns up, it won't be any STD from this sexual exposure.
I hope this helps. Best wishes. (And yes indeed, get ahold of reliable condoms and use them in the future!)
HHH, MD