[Question #10740] Prostatits oral sex

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20 months ago
Thanks, Doctors for this excellent service. I received oral sex from a young lady directly after she gave oral sex to a friend of mine. He is fine. But one day after receiving this, I developed a scratch sensation on the side of my penis. Two days after this exposure, I began to have urinary symptoms  Frequency and incomplete emptying.  I did not have any concern because I was unaware that oral sex could transmit any STDs. I was not anxious in anyway. I had no discharge.  My symptoms continued to worsen over the next couple weeks and at the four week mark I was tested for all STDs and UTI all tests are negative. I had no discharge. By the fifth week my prostate began to burn. I took a course of doxycycline, but it did nothing. There are thousands of men on the forums complaining of getting prostatitis after receiving oral sex.  Their tests show nothing.  I know you believe that most of these cases are psychosomatic. My question is this. Is it possible that some mystery mouth bug  maybe h- pylori have infected me? There are millions of bacteria in the mouth that have not been studied. Many authorities are now saying that these mystery bugs could cause prostatitis.  They are not typical STD bugs, but bugs that can cause harm nonetheless. Have you revised your position on this in anyway? Could one of these bacteria have caused prostatitis?  I have been repeatedly tested with PCR swabs, microgen dx  and pathnostics , DNA. Nothing has ever been found. Could bacteria from my friend have transferred to me through this girls mouth. He has no symptoms.  
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Edward W. Hook M.D.
20 months ago
Welcome to our Forum.  Thanks for your questions.  I'll be glad to comment.

First, your testing proves that you do not have an STI.  Further, urinary frequency and incomplete emptying are NOT signs of STIs.  

Second, prostatitis is a difficult and widely misunderstood problem.  STIs rarely cause prostatitis.  Most often prostatitis is cause by the combination of a persons own bacteria within the urinary tract and obstruction from growth of the prostate gland, something that tends to occur as we age.  I am unaware and have never seen a case of prostatitis due to receipt of oral sex.  When prostatitis is present, typically urine tests show white blood cells, something that you do not appear to have.  If you think that you have prostatitis, my advice is to seek evaluation by a urologist.

What you describe suggests to me a problem called CPPS or the chronic pelvic pain syndrome.  There is a good discussion of CPPS both on Wikipedia and through the Mayo Clinic information site- if you Google CPPS, I think both will appear.  

I hope that this information is helpful.  EWH
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20 months ago
Thx doctor but I keep reading there are other bugs present in the oral cavity that could cause prostatitis.  Enterocaucus faecelus E. coli H pylori.  Urinary symptoms are associated with these bugs no?  Many on the forums are saying they suspect these bugs infected them.  What are your thoughts on this.  They may not be traditional STI bugs.  But they cause disease nonetheless.  If they do is there any treatment?  Thanks
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Edward W. Hook M.D.
20 months ago
I’m not sure what sources of information you have been accessing. Our bodies are covered with bacteria and certain bacteria are more likely to occur in some locations than others. Bacteria, such as the enterococcus are distinctly unusual in the throat.  H. pylori is certainly present in the gastrointestinal tract, but most often it is seen in the stomach and beyond.

Enterococcus can certainly cause urinary tract infections. I am not aware of data to suggest that enterococci are transmitted sexually to cause disease although it is logical that if one person‘s genital track contains enterococci, they may transmit it to another persons genital tract however, whether that will cause disease is unknown. H. Pylori is typically not tested for or considered a urinary tract pathogen.  as I have already mentioned, most UTIs arise from bacteria already present as colonizers and a persons urinary tract.

Most prostatitis is not caused by bacteria. This has been proven by careful scientific studies. When it is caused by bacteria, those bacteria are present in the urine, and I must presume that they would’ve appeared in the tests you have already had.

Once again, as your symptoms are obviously troubling, I strongly suggest that you seek the advice of an experienced urologist. EWH.
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