Dear Experts 

If you look at my history around 1 year ago I reached out regarding a low risk unprotected oral exposure, it was suggest a possible NGU. In the year following I have been working both with my GP and a urologist who was recommended as having good expertise in both sti and non sti related male issues. 

After multiple tests for pathogens both with the urologist and other private laboratories (pre this urologist) including at least 4 x negative tests for chlamydia, Ghonarhea, mycoplasma genitalium, trich, syphillis, hsv 1 and 2 and ureaplasma plus tests for non sti related uti bacteria. Further testing included imaging scans and a cystocopy all if which has not identified any identifiable infection. 

My urologist has suggested as no infectious caused has been identified and as the multiple treatments including doxy, chephalexin, augmentin duo, azithromycin and ciprofloxon have not cleared the issue, it is likly that the fact I  I am overweight/obese and uncircumcised may be a contributing factor that needs to be addressed. 

Does this sound possible, as I am concerned now that I am focused on my marriage that I do not want my past misadventures to impact my other half

Your symptoms are typical for the male chronic pelvic pain syndrome -- which is similar to the genitally focused anxiety that seemed most likely a year ago. Google CPPS (spell it out) for more information. The Wikipedia article is good (or was the last time I read it a couple years ago); and you also might look at the information about CPPS by the Stanford University Department of Urology. As you will see, it's the same condition that often has been called nonspecific (or non-infectious) prostatitis, although the prostate gland probably is not involved. I'm betting you'll see that your symptoms fit very well. (As a corollary, I am skeptical that your obesity or circumcision status have anything to do with it, but these are issues to discuss with your urologist.)

For sure you have nothing that can have any effect on your wife's health. Indeed, frequent sexual activity on your part might help your symptoms and often is advised by urologists in this situation.

I hope these comments are helpful. Best wishes and stay safe.

HHH, MD

Thabkyou for your respo se, after reading some data on CPPS and talking further with my local specialist, it definitely fits well. My wife noted some blood spotting etc after intercourse which her gynaecologist had suggested sti testing which may have triggered some more doubt on this issue. Taking my multiple negative test results and your comments on board I'm more confident this is unlikely to be sti related.

Thankyou again.

J