I previously asked a series of questions following the receipt of oral sex from a stripper in September 2015 that led to a positive gonorrhea test.  I thought my concerns were gone, but unfortunately I am back. To review, I was prescribed suprax and azithromycin, and did not have intercourse with my wife for 8 months prior to the event or for 7 weeks after.  I also have subsequently tested negative for both gonorrhea and chlamydia on five occasions dating from November 2015 to April 2016.

Shortly after the incident I began having feelings of urinary urgency combined with the feeling that there was something constricting my urethra.  This feeling subsided in November, but came back again in January 2016.  I had a full urinalysis/urine culture in Jan 2016 that showed no abnormalities.  However, over the last 3 months, about 2-3 days after having sex with my wife, I will have the feeling again for a few days. 

About ten days ago, I started having the feeling constantly -- like there's something blocking my urethra that causes me to feel like I have to pee almost constantly.  I bought an over-the-counter Azo UTI test; it showed no Leukocyte or Nitrite abnormality.  Today, my wife told me that she thinks she has a yeast infection because she is itchy and has white discharge from her vagina.  I have no idea how long this has been going on.

My questions:  1.  If my wife is correct that she has a yeast infection, could that be causing my symptoms? Any other possible cause?  2.  Is there any possibility this all emanates from my infidelity in September 2015?  I recognize that this couldn't possibly be gonorrhea or chlamydia, but is there any other possible bacteria, virus, etc. that I could have contracted from oral sex that could be driving this?  I am mortified that my wife will learn of my infidelity.

Thanks.

Welcome back.  Happy to comment.  These symptoms are unrelated to the events of September 2015 that you have described. The combination of multiple negative tests since your treatment, the negative urinalysis and leukocyte esterase test (indicating the absence of inflammation) and the nature of your symptoms which are quite atypical for an STI all combine to indicate that you do not have lingering STI of any sort,.  Your symptoms are likewise not consistent with a make yeast infection which would typically include an external, reddish or pink rash.  I would suggest that you take a look at the description of the chronic pelvic pain syndrome (CPPS) on Wikepedia which may describe part of what is troubling you.  I see no reason for further STD testing or treatment.  EWH
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