[Question #1302] Not been sexually active for 8 months / married faithful but having discharge

46 months ago
Hello thanks for being available to ask questions. My wife and I have not been intimate since she became pregnant due to a rare illness she developed during her pregnancy. We're both faithful monogamous and since being hospitalized my wife's been tested for everything under the sun all std tests came back clear. We haven't been intimate in 8 months but lately I've been noticing a painless milky discharge from my penis when passing bowels, (only after my strenuous workouts) also I'm urinating frequently. There is no burning when I pee and no painful morning pussy discharge. I went to my DR and his P.A. Immediately suggested chlamydia. There were traces of blood in my urine but  How can this be chlamydia when I've been faithful in my marriage had an std test since being married and they were all clear? Also I must mention I'm expecting a healthy baby in November.  Please assist. Your time and attention to this is greatly appreciated.
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago

Welcome to the Forum.  Your Dr. and his PA may have jumped to conclusions and in many cases they would be right however based on your history (which they may have discounted- many patients are embarrassed to admit they have been unfaithful to their doctors), this is not an STI and if your doctor did a test for STIs I am confident it will be negative.  If you do not have fever or discomfort associated with this discharge, I suspect that what you have noted is prostatic fluid.  On occasion, particularly when straining a bit at stool the pressure can "milk" the prostate and express prostatic fluid.  While I am confident about the probability that this is prostatic fluid expressed with bowel movements, I would also guess that this tendency may be accentuated if you have not had sex or masturbated for a prolonged period as well.

I would not treat this discharge with antibiotics unless there is a positive test for a bacteria of some sort and I doubt that this will happen.   I hope that my reassurance is helpful to you and that your wife pregnancy proceeds forward without complication or problems.  EWH

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46 months ago
Thanks for your response Dr Hook, you've definitely eased my concerns indeed.  Just curious what the blood traces in my urine would be attributed to? I was prescribed a 10 day doxycycline treatment  that I've been taking. And still await my results from the urine sample.
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
The blood could be present because of inflammation or other reasons.  STIs however are not a prominent cause.  Typically, we would not worry about blood until its presence had been documented at least twice.  If still present, a relatively common cause of blood in men's urine is kidney stones but there are many causes.  .  EWH
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46 months ago
Thanks!!!!!!! Best 25 bucks I ever spent! Regards.