Dear Dr.
This story keeps going for 9 months now with no real end in sight.. I have seen various urologists, all with differing opinions. I am a 33 year old male and used to be in very good health until this story started.
So, end of July 2012 - I received unprotected oral sex in SE Asia. Next day I woke up with an ulcer on penis (probably injury from sex), feeling malaise and I urinated some blood. My mistake at this point is that I started seeing a range of different doctors receiving different diagnoses and treatments.
A local DR tells me it's possible Chlamydia/Gonnorhea infection. From then on it started a series of recurring symptoms, tests and antibiotics courses. I have taken various antibiotics (Cefixime/Azithromycin/Doxycyclin) and started/stopped fluoroquinolones (due to reactions).
Cultures come up negative (but some white blood cells in urethra) and US showed cysts on both my epididimis. Some fluid at the end of both testes and an uneven area on prostate (v=31).
My symptoms have ranged from reactive arthritis to epididimitis and variculose that comes and goes.
Currently, I still get pain on left testicle, less on the right, and pelvis pain that comes and goes. The head of penis looks weird with wrinkles due to some inflammation. Urologist said I had slight Lichen Sclerosis from dripping (post-urinal-dripping started recently). Penis head also looks wet in the morning.
I get some itching and burning on the end of the urethra,especially when I wash with soap.
Scrotum and penis shaft seems to have changed in colour and angiokeratomas have appeared (never had these before).
My urologist says that clinical and lab everything is fine and "every man gets it at some point" but I dont believe it's just that. I think I still have something which is still working but it’s not detectable either and could be resistant by now.
Please advise and let me know if you need any clarifications or further details.
Thank you.