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Prostatitis or STD diagnosis

31 yr old male...10 days ago I received anonomous condom protected oral sex. However, when I removed the condom the woman's saliva may have come in contact with a fresh friction burn (from extensive previous masterbation, 5 hours) and possibly my urethra. Never during the incident did her mouth come into contact with my urethera or the friction burn. I'm not certain the friction burn was an open sore at the time. The friction burn healed nicely within two days. About 4 days later I had frequent urination, very yellow urin and an urgency/sensation to urinate but only a drops came out.  The symptomes never resulted in any pain during urination or white discharge.   3 days after the intercation I had a full STD blood test, all negative.  I self diagnosed the symptoms as a UTI and started taking Cirpo 500 and the symptoms went away very quickly.  This week I followed up with a uroligist that diagnosed Prostatis.  They took a urethra swab to check for Chlamydia & Gonorrhea, results pending. I'm taking both Cipro and doxycycline right now and everything feels fine  
With that said could the bacteria be from diet (heavy alcohol intake the prior 5 days)? Could extensive masterbation (3-5 hours/day) cause a prostatis flar up? Or could the latex or spermicide from the condom caused postatitis?  I've had mild urine flow symptoms (very mild prostatis) my entire adult life (stop and go streams & sometimes little drops only) but never this pronounced or consistant for a fre days.  
In my prostatitis reasearch Cipro is used to treat any bacteria infection while doxycycline is used specificly for Chlamydia & Gonorrhea.  My symptoms were quickly controled with Cipro does that suggest that it was a NGU from bacteria? Is this a conincidence that I was diagnosed with prostatitis a week after this incident. What is the saliva risk for STDs (HIV,Herpes,Chlamydia,Gonorrhea) Is Prostatis a result of an STD? Do I need to be rechecked for HIV & Herpes of other STDs?

Thanks!!


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239123 tn?1267647614
MEDICAL PROFESSIONAL
Brief follow up questins are fine, but not long essays.  I only scanned your comments.

I didn't diagnose anything; no online expert can do that and I only stated general impressions.  I'm not "so sure" you have CPPS, just offering ideas for you to talk to your doctor about, trying to be helpful.  Anyway, why are you so defensive?  All I'm saying us that the exposure you describe - including the new details (which make no difference) - carried no significant risk of any STD.  Accordingly, I doubt your symptoms were due to gonorrhea.

I won't have any more comments on this thread.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
I'll start straight away with the bottom lines, then will explain a bit further.  I am convinced you did not catch an STD or any other infection from the oral sex event 10 days agto; indeed you could not have, given the exposure you describe.  I'm not convinced you have prostatitis, which is rare in men your age; if you do, it has nothing to do with the sexual exposure, frequency of masturvation, etc.  Any improvement of your symptoms on ciprofloxacin likely was coincidental.

Prostatitis is not an STD.  It is a rather vague diagnosis, often used to explain otherwise uncertain genital symptoms in men.  (CPPS) is now the more commonly used term for what used to be called nonbacterial prostatitis.  It's not an infection and antibiotics usually don't help.  Google CPPS (spell it out) for lots of information; the Wikipedia article is good.  After you read up on CPPS, please discuss it with your urologist.  Some of your symptoms indeed are consistent with CPPS, but none are suggestive of any STD.

If your antibiotic question is trying to figure out why your urologist prescribed cipro and not something else, you need to ask him.  It is often used for suspected prostate infections and it not reliable against either gonorrhe or chlamydia.  But the exposure you describe could not have led to either of those infections, so it's not an issue.

STDs are rarely if ever transmitted by saliva; and when they are, it takes far more exposre than the minor possible exposure you describe (which you aren't even certain about).  You didn't need testing at all for STDs on account of such an exposure and certainly don't need any more testing.

Continue to work with your urologist about your symptoms, prostatitis versus CPPS, etc.  But put all STDs out of your mind.  They're not an issue here.

Best wishes--  HHH, MD


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Avatar universal
A related discussion, Prostatitis was started.
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Avatar universal
I  had a similar situation and when the uroloigist tested my urine there was traces of blood.  I was treated with cipro and another antibotic for potential bacterial protatistis.  Symptoms went away very quickly (two days after treatment) and no STD bacteria was detected after a urethera swab.  Is prostatitis casued by stress?

What does traces of blood in the urine relate too?
Helpful - 0
Avatar universal
Thanks for taking the time to interperate my case.  Sorry for the defensive attitude a little stressed from the experience. There's so much mis-information online which causes anxitity.  Anyway will let you know my results as soon as I get them back!

Thanks again!
TF
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Avatar universal
Thanks for you reassurance and I will try to put the STD issues out of my mind, although I'm still alittle concerend.  I have a few more comments and questions about the interaction, STDs and prostatitis.
When I ejeculated I stroked my condom protected penis with my own hand that had her saliva on it and some KY.  When I was finished the ejeculation I used that same hand with her saliva on it to remove the condom and stroke the remainder of the ejaculation out on my unprotected penis.  I then used the same hand to clean off my unprotected penis.  That should clarify the interaction with her saliva and its interaction with my penis.  Never did my unprotected penis interact with her mouth.  Although her lips and saliva did come into contact with my skin below where the condom reached onto the lower part of my penis and scrotom, my urethra and friction burn was protected the whole time and there were no other exposed sores.  1) Am I at any further risk for HIV or Herpes following this clairification?  I forgot to mention that that two days after the interaction I went for a run outside in the cold.  I returned home and the tip of my penis was in pain and it was painful to urinate for sveral minutes but it might have been the cold and the symptoms quick went away and never returned?  Two days later I woke up and had a very yellow urination like I've never had before. (I've read the symptoms of gonorrhe as white, yellow or green discharge and penis pain)  2) How do you figure its CPPS and not gonorrhe?  All symptoms have been relieved by the antibiotics combination. In summary I've never had protatitis/uretraitis symptoms like this.  How can you conclude that after the above mentioned sexual interaction and following symptom relief with antibotics diagnose CPPS and call everything conincidence?  Am I right by concluding that the STDs (HIV/Herpes/Gonorrhein... etc) can't be transmitted via saliva?
I've never been this stressed out could that be what caused the symptoms?

Please Help!!
Thank,
TF
Helpful - 0

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