Hi doctor, I live in South America, and I really need your help here. 

Married 5 years ago. After a fight with her, I made two terrible mistakes. Firts: 11/17 receive oral sex from a woman (good reputation person) for 2-3 minutes. Them, the 11/21 receive unprotected oral sex from another woman for 10-20 seconds (not so good reputation person). After that, the very next day the 11/22 I began to feel strong burning sensation after urination and discomfort in the urethra...so I began to masturbate to see if with the eyaculation the pain was the same (and it was) and after doing it like 3 times to try it, i found like a small spot of a white discharge (like pus, but very very small, like half drop) after pulling from the base several times my penis looking for something... after this, I was so freak out that I took 1.5 of Azitromicin that night.

 Next day (11/23), I visit my doctor, with pain after urination and having now like a very clear discharge, size of a small drop (like pre-cum) but only if I pull my penis from the base very hard. The doctor to be sure after the Azitromicin, requested me to do a urine urocultive, a Gram coloration test (I think is the same gram stain) and a urethra cultive swab... and after having doing that, to receive a Rocephin 1gr shot.

 Three days later (11/25), all the test came negative of anything (no bacteria) everything was normal... I don't know if those test are specific for Clamidia or Gonorrhea, but my doctor said that if I have it, the urethral swab cultive and Gram coloration it will be positive for those. 

Well, anyway, the (11/30) seven days later after receiving the shot of rocephin, I have repeat the same three test. Urine uroanalysis, urethral swab, and Gram coloration... all negative for bacteria, everything is normal, but my symptom persist..(discomfort and pain during/after urination and a very small drop of clear like pre-cum discharge after like pulling/pushing my penis hard). 

So I visit other doctor, and he told me that Gonorrhea can't be because my gram test came neg twice, and also because I took the rocephin shot of 1gr. that it could be NGU, he send me this: 1gr of Azitromicin for three days, 2 Gr of tinidazol (flagyl) only one time, 500 mg Ciprofloxaxine for two days, and 200 mg of Doxycicline per day for 10 days.

  I finish ALL that including the Doxycicline (today is 12/11) and I'm having the same symptoms (I think no so hard like the beginning) but I have it (burning after urinate and that very clear small discharge if I pull/push my penis)... I'm so freak out about this, because my wife wants to have relations with me, is vacations time, and I think I have a std... I think that I can't make more those tests because my body is full of antibiotics right now, and I don't know what to do.

 Questions:1- those test are good to diagnosis? 2- why I'm having same symptoms After all those antibiotics? 3- do I have gonorrhea, or NGU, or what? 4- can I have sex with my wife again? 

5- I need to test for HIV? Even for those small oral sex events? Or you think better to request to those woman's to do the HIV test to be more calm? Please help... 

Welcome to our Forum.. I happened to come to the site soon after your post arrived and will comment on your concerns.  To receive and answer so quickly however is quite unusual.  Follow-up responses will almost certainly be slower. 

Before I get to your specific questions, let me provide a general comment.  It appears from your post that you are very anxious and perhaps feeling guilty about your recent exposures.  As a result, you are also over reacting.  I sincerely doubt that you had any STI to begin with as STIs are rare following oral sex but if you did, virtually all bacterial and protozoan (i.e. trichomonas)STIs would have been cured by the therapies you have received.   Further, the "discharge" you have found is almost certainly normal secretions that you have squeezed out of your penis.  I urge you to stop squeezing- if there were a true, disease-related discharge, you would not need to squeeze/strip your penis to find it. 

 Questions:1- those test are good to diagnosis? 

No further diagnostic testing is needed.   Further testing after the treatment you took is a waste of time.

2- why I'm having same symptoms After all those antibiotics? 

Please see my comment above.  Sometimes when persons concentrate on their genitals following an exposure that they wish they had not had, they notice normal sensations that would usually be overlooked.  I suspect that this is what you are experiencing.

3- do I have gonorrhea, or NGU, or what?

You MAY have had non-chlamydia NGU following your exposures but at this time, you would have been cured by all the medicine that you took.

4- can I have sex with my wife again? 

There is no reason to abstain from unprotected sex with your wife related to the exposures you have described. 

5- I need to test for HIV? Even for those small oral sex events? Or you think better to request to those woman's to do the HIV test to be more calm? 

There is no need for HIV testing.  There are no proven cases of HIV acquired by receipt of oral sex.  You will not be the first.

I hope that the information I have provided will be helpful to you.  I urge you not to worry further, not to seek further testing, not to squeeze/strip your penis further, and not to worry.  EWH

There is no reason to think that you are still infected with ANY STI from the encounters you describe, if you were ever infected (which I doubt).

No one has ever been proven to have gotten HIV from receipt of oral sex- no one!  Even if your partner had HIV and gonorrhea and you got gonorrhea, there would still be no known risk for HIV!. 

While persons who have STIs are at increased risk for HIV, there are still NO proven cases of HIV acquired from oral sex- None, Zero, not one!  Thus there is no risk to you for HIV.    EWH

Congratulations on moving forward.  It sounds like you have a good strategy for clearing your mind of these concerns and it is working. 

Discomfort AFTER urination is not a symptom typical of STI.  My guess is that the continued irritation reflects the healing process for the urethra and I am confident that it does not suggest any STI.  I anticipate that it will continue to improve.  I certainly do not think that additional testing or treatment is needed.  If it persists more than another week, my advice would be to see a urologist.

This is the third reply to this set of questions. Therefore, as per our Forum Guidelines, this thread will be closed later today.  EWH