She said she didn’t think she had anything but she had a BF since she was tested last.  She does see her gyno tho for a UTI history. I have been tested since my last girl and was negative but not since I’ve been with her.

3) do men have occasional discharge that’s of no concern? I’m 49.

4) I’ve read here Chlamydia and Gonorrhea can clear up on their own. I’ve only read that here. Other sites say you must take antibiotics. Why is that? 

Should I worry here?

I figured I would test again at my yearly physical in the summer. Unless you think testing isn’t really needed? 

Thank you for your input. Can one make donations? 

This sounds like a very low risk situation and I strongly doubt you have any STI. First, at any point in time, the large majority of sexually active women have no active, transmissible STI -- so probably your partner isn't infected. (However, this judgment might change with additional information about your partner's sexual lifestyle. How old is she? Is she continuing other sexual partnerships since you and she started having sex? Has she been tested for STIs?) Second, your age:  STIs are quite uncommon beyond age 30. Third, your symptoms don't really fit very well. Answering your specific questions:

1) Gonorrhea or chlamydia could cause the scant discharge you have experienced from time to time. But from what you say, it seems there has been no change -- i.e. none of your possible discharge etc are new since you started your new sexual relationship. Is that right?

2) Most new gonorrhea causes very obvious symptoms -- pus dripping and painful urination. Chlamydia symptoms are milder and some infected men remain without symptoms entirely. But still, absence of new and increasing discharge is reassuring.

3) Ongoing slight discharge probably is more common as men age into their 40s and 50s, due to prostate and other issues. Many men sometimes experience penile discharge during bowel movements, as feces and straining squeeze fluid from the prostate and seminal vesicles.

4) Indeed all gonorrhea and chlamydia clear up on their own, given enough time -- typically several months. But of course antibiotics still are necessary for most infections, to speed resolution, protect partners, and prevent complications.

5) I can't explain why your darker underwear would show shat you describe, but I've never heard of anything like this in men with any STI.

I think your plan for testing with your annual exam is just fine. However, I would limit any STI testing to blood tests for HIV and syphilis and urine for gonorrhea/chlamydia. Avoid "comprehensive" test panels that include several other tests that are mostly unnecessary, or the tests themselves are not sufficiently reliable (like blood tests for herpes, for example).

But my main advice is that you to discuss your concerns with your partner, including the possibility of both of you being tested for common STIs. You might find she is just as concerned as you are -- and after all, in general women are at much higher STI risk from their male partners than men are from them. If you both test negative, you would have no worried.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

She is 37. Idk much about her sexual history. She had a couple long-term relationships and her last one was about 10 months. I will say, the first time we had sex she asked me to use a condom, which I did. She does like to go to bars and clubs. 

I wanted to bring you your attention too, Because I’m used to my own hand, I don’t ejaculate during intercourse much. Yesterday, after not ejaculating for several weeks,  I masturbated, and I ejaculated and after my precum, my semen seemed very white and thick, kind of like mayonnaise. But the end of the load was normal. 

Then, I masturbated today a couple times after and everything looked normal. 

1) Is that anything to worry about in regards to an STI such as Chlamydia or Gonorhea? I’ve read that can happen after not cumming for a long period of time. 

Still no pain or stain in my underwear for 2 days. 

2) If it were, would the symptoms get worse over time?

3) we’ve been monogamous for 4 months, if I were to show symptoms, would I by now? 

4) and would I notice them or just be questioning them on forums like this?

1) I don't understand what is meant or what you found online about gonorrhea or chlamydia occuring because there has been no recent ejaculation ("not cumming for a long time"). It's nonsense.

2) If you had gonorrhea or chlamydia, you would expect to have symptoms within a few days of catching it.

3,4) With no obviously visible symptoms after 4 months, almost certainly you have neither of these STIs. 

If you remain concerned about all this, re-read my closing comment above starting with "But my main advice...." Or just forget the whole thing; there is very little chance you have any STI from your new partnership.

2)  if you don’t mind, also, 3 weeks ago I was in a bathtub in a hotel room at a couples resort with my GF. It was a regular tub with jets (we just filled it with bubbles they gave us) but no chlorine or chemicals, just regular water.  My penis was erect and my penis tip was bigger bc of it. Can you get HIV or any STIs from that tub and my penis opening being in the water? It looked like it was cleaned before we used it. A couple hours went by before we used it as well.

3) lastly, yesterday, I have post nasal drip that’s causes me to cough and clear my throat. Today, I also have a fever of 100-101. Is that a symptom of any STIs or HIV seroconversion? Flu and Covid negative. 

4) do you still think I should worry?

Thank you for your services. 

Is there a donation page? 

As for sick feeling, my nose seems clear and I do have energy

Thank you!

2) No STIs are possible from exposure to contaminated bathtub water.

3) Post nasal drip is not a symptom of any STD.

4) I always said you should NOT worry. That advice is unchanged.

That completes the two follow-up comments and replies included with each question and so ends this thread. Move on. Do not post a new question about these worries. If you remain concerned, I suggest re-reading my initial reply and following my advice there. I do hope the discussion has been helpful.