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Tingling feeling on bottom of penis tip

Hi doctor. thank you for taking your time and for giving me your up-most opinion on what my situation is. I am 20 yrs old and a male. No health insurance. About 3 months ago, i lost my virginity to a friend of mine who was tested clean. She was 17 years of age. 3 months later (almost exactly), i feel a tingling sensation in the tip of my penis that doesn't go away. I don't notice it when i am walking. It is like a tingling burning feeling. more towards the tingling rather than burning at the tip of my penis. Only while i am sitting or standing still is when i really feel it. And i feel like i need to urinate every second. I do get relief after i am finished with my urination though but it returns in minutes. I never ever had any case of redness, ulcers, cuts, blisters, discharge, etc down there since i lost my virginity.  I have been extremely nervous onto what this might be towards the front of my penis. I went and saw 2 doctors and they said it cannot be herpes type 2 because of how late this is occurring and there is no physical signs at all. They checked every little part of my genitals and nada. I had a urine sample and came back clean. They even laughed and said you would know by now if you had redness or blisters from the past 3 months. I have not been sexually active and nor masturbated since the tingling began. The 2 doctors told me im going to be fine and i can still have a healthy family when i get older. I also had groin pain in my genital area (penis, testicles, pubic region, thigh, buttocks) for a bit but that went away since one doctor prescribed me with 500 cipro. i couldnt even sit from the pain but now that is gone i can relax about that and now worry about the tingling feeling. Can i stop worrying about herpes because its been 3 months and this just occurred? i never had any outbreaks of anything before or after the tingling recently began. My penis looks as healthy as it was even before i lost my virginity to her. This isnt psychological. Thank U
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239123 tn?1267647614
MEDICAL PROFESSIONAL
As for the pelvic pain syndrome, most patients don't have all the symptoms described.  You have (or have had) many of them.  And pain at the tip of the penis usually doesn't mean that's where the problem is.  That location is typical for referred pain from other origins -- e.g. the prostate gland.  So CPPS may still be a good bet, with or without rectal pain.  An important point to keep in mind is that all this is harmless -- uncomfortable perhaps, but these sorts of things never lead to any serious health problems.  And for sure no STD -- you can take that to the bank.

Thanks for the thanks about the forum.  Good luck in sorting this out.
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

First, a distant online expert rarely can come up with an explanation when direct examination by knowledgeable health care providers hasn't done so -- and you have seen two different physicians who have reassured you about herpes and other STDs.

Tingling and various other sensations quite commonly involve the penis.  In general, this is not a symptom of STD, especially when it is the only symptom.  As your doctors told you, absence of discharge from the penis and lack of sores in the genital area are strong evience against an STD.  They are also correct about the delay in onset after your sexual exposure.

Herpes definitely cannot cause ongoing symptoms like you describe.  You can find lots of educational information, on the web and elsewhere, that describes tingling as a herpes symptom.  However, this is because herpes lesions may tingle; but tingling alone doesn't fit.  And herpes symptoms never last so long.  Herpes outbreaks last only a few days to a couple of weeks, recur no more often than every 4-6 weeks, and between those recurrences there are no symptoms at all.

Perhaps the most important clue is the pain you desdribe in your genital area, groin, etc.  It is possible you have what is called the male chronic pelvic pain syndrome.  Google CPPS (spell it out) and start your reading with the excellent Wikipedia article and the information from the Stanford University Department of Urology -- both of which should be near the top of the google hit list.  As you will see, CPPS may in fact have a psychological origin, i.e. a manifestation of genitally focused anxiety.  (I do not accept your assumption that your symptoms cannot have a psychological origin. Psychology may or may not cause such symptoms, but it absolutely can magnify normal body sensations to a point of discomfort or pain.)  I don't know that this is what you have, but it would be worth raising it with your doctor(s) and see what they say about it.

That's about all I can say; we are an STD forum, not a site to work out non-STD genital symptoms.  It is for sure the case you have neither herpes nor any other STD, so you can relax about that possibility.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Continue to follow your urologist's advice.  As I said in my original reply, this forum only deals with STDs, and you don't have any.  I won't have any further comments or advice.
Helpful - 0
Avatar universal
Thank you doctor. i went to a urlogist and he checked me for everything by a visual examination. He told me to stay on cipro for a month and the tingling stopped for a few weeks and it came back. So like he said if it comes back we will try another method and its still no reason to be worried. He saw a rash dark patch on the bottom of my scrotum but said thats probably a fungus that has been there for some time. i never noticed it but he said that has nothing to do with it.
Helpful - 0
Avatar universal
Thank you so much. I just wanna live a normal life. Like i said i only had 1 sexual experience and i regret it everyday for not saving it for my future wife. I know that sounds freaky but it is how i feel. CPPS explains alot about rectal pain and i don't have any. I have a meeting with a Urologist in a few days i hope he says the same. Now i am glad the tingling didn't subside, otherwise i know i have a strong chance of genital herpes. And im sorry for posting this thread under the STD section. I really convinced myself i had herpes and i freaked out. I hope you can continue to help others in their time of need. I will be donating money frequently to hospitals and charities in order to find cures for common std's.
Helpful - 0

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