Welcome to the forum. Thanks for your question.
Your recurrent symptoms over the years are not typical for any STD, but rather for prostatitis or perhaps the chronic pelvic pain syndrome (CPPS), which mimics prostatitis. (Google CPPS -- spell it out -- and chronic prostatitis for more information; there is an excellent Wikipedia article on CPPS.) Neither of these is believed to be due to any STD -- and although it is true that some of the symptoms overlap somewhat with those of urethritis (gonorrhea, chlamydia, NGU), in your case the overall picture does not suggest any of these. (It is rare to have any of the STDs without discharge -- which you seem to already know. And the tests for gonorrhea and chlamydia are highly accurate, so you can be confident you don't have them-- in addition to which, the antibiotics you had would have cleared them up if in fact you had any of them.
As for the ultrasound, it is a nonspecific test. The abnormalities that can indicate epididymitis are not by any means definitive -- and if you in fact really have a mild form of epididymitis, I'm confident it has nothing to do with your recent sexual exposure. And now I have noticed the comment below, that your exposure was ujnprotected oral sex, not vaginal or anal. THat means a low risk exposure for any and all STD.
Finally, I would point out that the symptoms of CPPS and prostatitis overlap with those of genitally focused anxiety. Indeed, CPPS may primarily be the result of pelvic muscle tension due to psychological origin. This would explain why the antibiotics you have been given have made no significant difference in your symptoms.
The bottom line is that I am not serious worried at all about your genital health. If you have a regular partner, you can safely continue (or resume) unprotected sex without putting that person at risk. In fact, some experts believe sexual activity is beneficial for CPPS or chronic prostatitis.
I hope this has been helpful. Best wishes-- HHH, MD
I also wanted to add that the last couple of time I go thru this issue, I experience irritable bowel syndrome where I have terrible stomach pain along with diarrhea just before my symptoms come on.
I went to dr. And was diagnosed with IBS.
I tried editing my original post, but was unsuccessful.
I only received unprotected oral sex.
Thanks again Doc, I have been a nervous wreck which I am sure isn't helping my situation.
One more question if I may. Would the CPPS be causing my epididymis tube to be inflamed and sensitive to the touch? I can actually feel that it is much larger than normal.
No, CPPS would not cause that. Perhaps you indeed have epididymitis -- but not due to an STD. Continue to work with your doctor -- but truly, you can forget STDs as the cause. There's simply no realistic possibility of it.
I went to my family doctor and she prescribed me Cymbalta for anxiety and pain another round of antibiotics (Cipro). I made an appt. to see a different urologist, but that isn't till the end of the month. It's hard to sit and wait.
I haven't had sex with my spouse, but now when I masturbate I have terrible irritation in the opening of the hole; it also looks like there are blue veins on each side of the hole that are irritated. Also my epididymis tube gets completely inflamed after ejaculating, but then the swelling goes down somewhat after some time.
I don't have any real discomfort peeing during the day, but only experience burning for good amount of time after ejaculating.
I know you previously put me at ease as far as it being an STD; but is there a possibility of it being some other type of STD.
The family doctor is well informed on the history of my problems over the last three years and wouldn't retest for STD saying that the previous test for chlamydia and gonorrhea were negative and there's no reason to.
I am nervous wreck over this and as a result I have been avoiding sex with my spouse and masturbating instead.
I wasn't sure if I needed to open another question thread or not, thank you for all your help.
"is there a possibility of it being some other type of STD"?
No. There are no known STDs that could explain your symptoms, their persistence despite the treatments you have had, etc.
"The family doctor is well informed on the history of my problems over the last three years and wouldn't retest for STD saying that the previous test for chlamydia and gonorrhea were negative and there's no reason to."
My, what a wise doctor you have! I agree exactly with that advice.
"I have been avoiding sex with my spouse and masturbating instead."
Big mistake. Resuming normal, unprotected sex with your wife is likely to be beneficial -- psychologically for sure, and perhaps physically. (I always recommend frequent sex for my patients with CPPS or chronic prostatitis. It seems to help.) You can be 100% certain you have no condition that has any chance of harming your wife.
Not all symptoms indicate disease. Undoubtedly you have had headaches, back pain, abdominal pain, or other symptoms of various types that you ignored or just lived with. Just because it's your genital area doesn't make this any more serious than similar issues with other parts of your anatomy. I urge you to believe your doctor, resume sex with your wife, and ignore any continuing symptoms you may have. Once you come to understand -- emotionally as well as intellectually -- that they don't indicate any important health problem, they'll probably fade away.
Consider printing out these comments and discussing them with your doctor. I'll bet you'll find s/he agrees with my perspectives.
That will end this thread; I won't have any further comments or advice. Good luck.