I received fellatio unprotected through a glory hole (have never done ANYTHING risky like it before and none since). 11 days later I tested negative for CT + NG + TV through a urine sample & also tested negative for HIV & Syphilis (RPR). I have been having sex with my GF since. 67 days post event I noticed a slight dull discomfort in my urethra/testes that comes & goes but have also been paying more attention so wondered if anxiety. I noticed more precum than usual when erect only once. I retested out of caution at 72 days at a local county clinic & through a urethra swab (which wasn’t done 1st time) found the presence of WBCs under a microscope, said I had NGU & prescribed doxy for 7 days. 

Welcome. Thanks for your confidence in our services. There are peculiar aspects to these events and your NGU diagnosis. Oral sex can transmit NGU, exact causes usually unknown but most cases probably are caused by entirely normal oral bacteria. However, neither your symptoms nor the timing fit with the diagnosis. Symptoms of NGU typically start 7-10 days after exposure, with urethral discharge by far the main one, sometimes but not always with painful urination. It doesn't cause genital area discomfort of the sort you describe -- and exactly as you suspect, such symptoms are typical of genitally focused anxiety. (And whenever someone suspects their own symptoms have a psychological origin, usually they are right!) The standard approach to diagnosis of NGU requires two of the three among observable abnormal discharge, painful urination, and increased WBC microscopically; and research (admittedly many years ago) showed that when only elevated WBC was found, without symptoms, almost always the finding was gone in men who were reevaluated a few days later. In other words, a few urethral WBC from time to time usually isn't abnormal. No, you should not be concernd about your other negative test results. That said, I can't fault the clinic for treating you with doxycycline: better safe than sorry! On the other hand, I am quite confident nothing was really wrong and that neither the WBC nor your symptoms had anything to do with the sexual exposure over two months earlier. What to advise your partner? Female partners of men with NGU normally are treated, but since you probably didn't have NGU anyway, I do not think it is necessary. And even if the diagnosis was correct, nobody has ever documented symptoms or any health problem in the partners of men with NGU from oral sex. (An editorial that comments on this was published several years ago. https://pubmed.ncbi.nlm.nih.gov/16388479/ Note the author.) However, treatment being standard practice, a case could be made that she should be informed and treated with doxycycline. (I'm curious what the STD clinic folks said about this aspect. What did they advise?) I hope these comments are helpful. Let me know if anything isn't clear. HHH, MD---