I have reviewed your previous threads. Your anxieties are leading you down a rabbit hole. There is no chance whatsoever that you have disseminated gonococcal infection. It's something I know a lot about -- I have personal experience in the diagnosis and management of over 100 DGI patients (mostly from back when DGI was far more common than it is currently -- even though there has been a modest resurgence in the US in the past 2-3 years). See the links below. Trust me on this:  your symptoms and don't even come close. There is no possibility you have it. DGI is never a chronic, ongoing infection. Even without treatment, it usually clears up within 2-3 weeks and always within a couple of months. In the later case, there would have been excruciating joint pain, basically with destruction of the involved joint.

1. No, there is no single test. Diagnosis is based on a combination of clinical manifestations, but one requirement is that there must be a positive gonorrhea test.

2. There is no possibility of DGI persisting or developing after these antibiotics.

3. If you were to acquire gonorrhea in the future, conceivably it could cause DGI. But you are not infected now and would have to acquire a new infection.

4. No knowledgeable physician would treat you for DGI at this time.

5. See my comment above ("Even without treatment...."). There is nothing in your story that suggest reactive arthritis either.

https://pubmed.ncbi.nlm.nih.gov/804363/  

HHH, MD

I should be able to trust my results as I have had 3 tests since the exposure, however my main doubt regarding the negative test results is a previous thread #3546 where you mentioned up to 20% of DGI infections have negative tests at all sites. 

1) That DGI requires more intensive treatment has nothing to do with the doses needed to treat initial infection, or to prevent it if taken soon after exposure.

2-4) All your symptoms -- rather vague joint pain, penile discomfort, your previous "prostatitis" symptoms, and your testicular discomfort and everything else -- are most consistent with a psychological origin. I could use your story to teach medical students about the physical symptoms of genitally focused anxiety. Shame, guilt, anxiety and stress don't generally create symptoms, but they commonly magnify trivial symptoms or even normal body sensations that otherwise would be ignored or perhaps not even noticed. If your wife has more serious joint pains, it does not mean you and she are sharing an infection that is causing them. If she has actual joint tenderness, redness, swelling, etc -- or if the pain truly limits her activity -- she should see a doctor for evaluation. But this has nothing to do with the oral sex event that triggered all this. 

5) Finally, a rational self assessment! You are right to be skeptical about prostatitis. Urologists routinely treat such symptoms as possible prostatitis, in the hope an antibiotic will help. When it does not, is supports the likelihood of the chronic pelvic pain syndrome (CPPS), which often (usually?) has the same psychological origins just discussed. As you already seem to understand, that your symptoms did not resolve with an antibiotic is evidence against an infection as the cause. Your symptoms never came close to suggesting DGI, so I have no comment about whether it might have cleared up or gotten worse.

Really. Do your best to accept the straightforward, reasoned, science based assessments you have had from both me and Dr. Hook, and perhaps from your own doctors as well. You have no infection of any kind that has anything to do with the oral sex event that started your mind racing, and neither does your wife. If such concerns continue, I would advise professional counseling. I suggest it from compassion, not criticism.