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Urological Problem
Hello,
My problem started after unprotected oral sex with my girlfriend at the time. We were both virgins, but she has given oral sex to other partners previously. I am 18 and in New York. 15 days after the oral sex, I had discomfort while urinating which soon led to a tingling in the tip of my penis. The tingling persisted for about 5 months but went away. My main symptoms which worry me are dribbling after urination, clear fluid after ejaculation, and sometimes discomfort in perineum and testicles. I was tested 4 1/2 weeks after the event (about 32 days) for HIV (Standard anti-body), Chlamydia, Gonnorehea, Syphilis, and my urine looked at which had no signs of bacteria, leukocytes, or pus. Ive visited both a urologist and general doctors, both have said I am fine and I am stressing this way too much. The only thing that might confuse this is that I had testicular torsion of the appendage two weeks previous the oral sex.
My main concerns are :
1. I am infectious to another partner and could possibly infect someone with an STD.
2. I have a fear that I may have contracted HIV and the test dates are too soon for reliable result.
3. I have no clue what this could be..could it be an STD or Prostatitis, or both?
Doctors are telling me i might need psychiatric care, but I just want to lead a normal sexual life and put this behind me. This has caused me great stress,anxiety, and hardship.
Thank You
My problem started after unprotected oral sex with my girlfriend at the time. We were both virgins, but she has given oral sex to other partners previously. I am 18 and in New York. 15 days after the oral sex, I had discomfort while urinating which soon led to a tingling in the tip of my penis. The tingling persisted for about 5 months but went away. My main symptoms which worry me are dribbling after urination, clear fluid after ejaculation, and sometimes discomfort in perineum and testicles. I was tested 4 1/2 weeks after the event (about 32 days) for HIV (Standard anti-body), Chlamydia, Gonnorehea, Syphilis, and my urine looked at which had no signs of bacteria, leukocytes, or pus. Ive visited both a urologist and general doctors, both have said I am fine and I am stressing this way too much. The only thing that might confuse this is that I had testicular torsion of the appendage two weeks previous the oral sex.
My main concerns are :
1. I am infectious to another partner and could possibly infect someone with an STD.
2. I have a fear that I may have contracted HIV and the test dates are too soon for reliable result.
3. I have no clue what this could be..could it be an STD or Prostatitis, or both?
Doctors are telling me i might need psychiatric care, but I just want to lead a normal sexual life and put this behind me. This has caused me great stress,anxiety, and hardship.
Thank You
MEDICAL PROFESSIONAL
1) Re-read my reply above (no. 2). I haven't changed my mind in the last hour!
2) I stress you're at no risk at all for any of these except possibly gonorrhea. The others are rarely if ever transmitted by oral sex.
Gonorrhea and chlamydia tests are conclusive any time more than 3-4 days after exposure. The syphilis tests 6 weeks. For HIV, it depends on whether you had a "duo" test (4 weeks for conclusive results) or a standard antibody test (6-8 weeks).
3) As your doctors have told you, I also see no need for any other medical diagnostic tests. You can be 100% certain your symptoms are not from any infection from the sexual exposures. That leaves a psychological explanation the most likely.
2) I stress you're at no risk at all for any of these except possibly gonorrhea. The others are rarely if ever transmitted by oral sex.
Gonorrhea and chlamydia tests are conclusive any time more than 3-4 days after exposure. The syphilis tests 6 weeks. For HIV, it depends on whether you had a "duo" test (4 weeks for conclusive results) or a standard antibody test (6-8 weeks).
3) As your doctors have told you, I also see no need for any other medical diagnostic tests. You can be 100% certain your symptoms are not from any infection from the sexual exposures. That leaves a psychological explanation the most likely.
Thank you very much doctor, it is very reassuring the advice and it's good to hear you agree with my doctors. I know this is leading to anxiety-driven questions so this will be my last, but if you don'd mind just some clarifications.
1. She only performed oral sex on me, I don' t know if that makes in a difference in terms of HIV
2. And will the time of test (4 1/2) weeks been good enough proof that the tests prove I am not infected with HIV, Syphilis, Gonn., Chlaymdia.
3. Would mental health care professional be the right way, or would more test, like prostate exam or urinalysis?
Like I said I am sorry for the anxiety driven questions, these will be the last. Thank you very much
1. She only performed oral sex on me, I don' t know if that makes in a difference in terms of HIV
2. And will the time of test (4 1/2) weeks been good enough proof that the tests prove I am not infected with HIV, Syphilis, Gonn., Chlaymdia.
3. Would mental health care professional be the right way, or would more test, like prostate exam or urinalysis?
Like I said I am sorry for the anxiety driven questions, these will be the last. Thank you very much
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
Unfortunately, I'm not sure how much I can help. I agree with your doctors: you have no STD of any kind; and I agree your symptoms probably have a psychological origin.
No STD is a likely cause of the symptoms you describe, and your negative STD tests are reliable and further confirm you don't have any of those infections. Also the absence of leukocytes etc also shows there is no inflammation in your urethra. OTOH, your symptoms are typical for genitally focused anxiety, which can increase the tension in pelvic muscles (much like tension headaches).
1) I am confident you are not infectious for current of future sex partners.
2) The HIV blood tests are among the most reliable diagnostic tests for any medical condition. And HIV is rarely if ever transmitted by oral sex; and if your partner's sexual history is accurate, then there's no way she has HIV.
3) Prostatitis symptoms are similar to those of pelvic anxiety pain, but prostatitis is very rare at your age.
So I think your doctors are on the right track in talking about the likely psychological origin of this problem. I'm not sure "psychiatric care" is necssary, but at least seeing a mental health professional to get a professional assessment seem reasonable.
In the meantime, I am confident you have nothing that will ever harm you or a sex partner.
I hope this has helped a little bit. Best wishes-- HHH, MD
Unfortunately, I'm not sure how much I can help. I agree with your doctors: you have no STD of any kind; and I agree your symptoms probably have a psychological origin.
No STD is a likely cause of the symptoms you describe, and your negative STD tests are reliable and further confirm you don't have any of those infections. Also the absence of leukocytes etc also shows there is no inflammation in your urethra. OTOH, your symptoms are typical for genitally focused anxiety, which can increase the tension in pelvic muscles (much like tension headaches).
1) I am confident you are not infectious for current of future sex partners.
2) The HIV blood tests are among the most reliable diagnostic tests for any medical condition. And HIV is rarely if ever transmitted by oral sex; and if your partner's sexual history is accurate, then there's no way she has HIV.
3) Prostatitis symptoms are similar to those of pelvic anxiety pain, but prostatitis is very rare at your age.
So I think your doctors are on the right track in talking about the likely psychological origin of this problem. I'm not sure "psychiatric care" is necssary, but at least seeing a mental health professional to get a professional assessment seem reasonable.
In the meantime, I am confident you have nothing that will ever harm you or a sex partner.
I hope this has helped a little bit. Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
