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Avatar universal

Yeast, Prostate, and Herpes??

23 yr old, sexually active with 1 partner for nearly 3 yrs now but had had unprotected sex with 4 girls in the months previous to this relationship. i was diagnosed w/ molluscum and tested for other stds... all others were negative. two years later In october 07), my g/f had heavy bleeding and was told that she had an abnormal pap with chylamydia and hpv. were both treated for chylamydia, no visible syptoms of HPV.

In february 08, I had back and some joint pain as well as pain in my penis and testicles, so i went to the doctor and was told i had a prostate infection.  he did a urine test to test for chlamydia (since my g/f had been diagnosed in october and we were both treated) and was negative.

about 2 weeks ago, i had similar pain as in february in my testicles, had to urinate frequently, and had itchyness and redness on my foreskin and my glan which i seemed to get after sex or masturbation (which i tend to have sex or masturbate daily). i noticed redness and a small gray patch inside my urethra so i made an appt to see my doctor.  itchyness worsened and pain in penis and testicles seemed to come and go.  i saw the dr and he told me it was probably another prostate infection, possibly some urethritis, and a yeast infection! ARRGG!! he gave me more cipro and some diflucan. i took them both (1 diflucan) and took cipro for 10 days.  symptoms in testicles and prostate felt better, but urethra was still hurting and uncomfortable mostly at night.  my penis skin peeled like crazy, and the bumps got mostly better. my g/f noticed i had refils on the diflucan and cipro, so i called dr who was on vacation, but nurse checked w/ on call dr to see what i should do. was told to finish cipro and take another diflucan. this was on wed.  so far, the pain is mostly gone, but i am worried about the discoloration in my urethra.  is it herepes?  it does not burn in there, and it doesn't burn when i urinate, but it can sometimes feel uncomfortable after urinating or ejaculation.
3 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Let's not go there.  As I said before, the first question is whether or not you have reactive arthritis - it is very rare.  If you do, then you need to take care of it with the help of a rheumatologist.  Reactive arthritis, like all human illness represents a spectrum of illnesses with a spretrum of severities.  EWH
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Avatar universal
thank you very much for your help! i appreciate it.  i have become extremely paranoid about everything since i was first told i had an std, and then in october we were both shocked that the chlamydia was missed or didn't show up when i was tested.  i am still scared since i/we had chlamydia for 2 years before we got treated, and i don't want to end up sterile or sick... and now with this it is depressing.

as far as reactive arthritis, what is the outlook on that? if i have that, does it mean that i am going to have these problems for the rest of my life??
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300980 tn?1194929400
MEDICAL PROFESSIONAL
This is unlikely to be an STD problem. Once a person has prostatitis it does have a tendency to recur.  Prostatitis however is not an STD. In the past studies suggested it was and STD but more recent studies have proved that wrong and shown that prostatitis is not an STD (nor for that matter, common in young men such as yourself).

As far as STDs are concerned, you and your GF were both treated for chlamydial infections and have had negative cultures since thus this is not chlamydia.  There is a rare complication of chlamydial infection called Reactive Arthritis which can occur in men following a chlamydial infection.  It is characterized by recurring urinary symptoms, arthritis, conjunctivitis and a scaly skin rash which may look like a fungal infection. These symptoms do not have to occur at the same time and all symptoms need not be present. To evaluate this possibility you should see either a rheumatologist or an internal medicine specialist (the former would be better than the latter).  Please note that this is a rare complication of chlamydial infection but your description is sufficiently suggestive to warrant evaluation despite the  fact that Reactive Arthritis is VERY,
VERY rare.

Finally, this is not herpes. That is not a concern from what you describe.  Good luck.  EWH
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