[Question #11531] Follow up on recent inquiry

13 months ago

Hello,

I just wanted to follow up on a recent question. I had purchased the question while I was at work and had issues submitting the question, so I just wanted to take the time to ask a few more questions.

Please note: these are not anxiety driven questions, I just want to simply better understand to set up doctor appointments (I have horrendous insurance, so I want to alleviate as many DR appointments as I can to reduce cost)

As mentioned in my initial inquiry, I received oral from a married woman in her 50s about 7 weeks ago now. It was a drunken night (which I am happy to say I’ve been sober since) and went back to the hotel room of the married couple for her to perform oral on me for about 5 minutes.

Since then, I’ve experienced 0 symptoms other than a split urine at about 4 weeks. My original worry was chlamydia due to the asymptomatic nature of the infection. I have no doubt that it is not gonorrhea or HPV.

My split urine stream starts in two streams (sometimes, not all the time) and converges into one solid stream after a few seconds. It does not happen all the time.

So my follow up question includes:

I saw a question get asked regarding a split urine stream that ended up being chlamydia - he did; however, have other symptoms (#7827). Is a stream that converges into one solid stream any other suggestion for NGU or chlamydia. I understand it’s possible to be HPV inside the urethra, but I don’t see that very likely.

The less I have to go to the doctor until I can reenroll in better insurance with my company, the better. If this has no likelihood for chlamydia/ngu, then I will seek a urologist for assessment.

Thank you again.

H. Hunter Handsfield, MD

13 months ago

Welcome back, but I'm afraid I can't help much more than I have. There are no data on details of split stream urine as an STD symptoms; that is, I haven't a clue whether variations in the nature of the split stream, or whether it comes and goes while urinating, correlate with particular causes. I doubt it, however.

And the fact that one person somewhere posted an online statement that his split stream occurred in the presence of a chlamydial infection says nothing about how common this is (clearly it is extremely rare) or, in fact, whether chlamydia was truly the cause of the altered urine stream.

The only symptom that reliably indicates possible NGU is abnormal discharge from the penis -- sometimes but not always accompanied by discomfort while passing urine.

For the reason discussed in your previous thread, I agree that seeing a urologist is a logical next step if the split stream continues.

HHH, MD

---

13 months ago

Sounds great. I truly appreciate the reply back and allowing me to follow up with an additional question.

Overall, I trust the science. The chance that it is chlamydia is exceedingly rare - but at the same time, it’s possible. I’ll move forward with speaking to a urologist and leave the chlamydia/NGU thoughts behind me.

I appreciate you again for everything.