Welcome back to the Forum As you probably know, Dr. Handsfield and I share the Forum and I happened to pick up your most recent question. I have reviewed your earlier interactions with Terri and Dr. Handsfield and agree with all that they have said. Like Dr. Handsfield, I am skeptical that your current problems are related to the receipt of oral sex you mentioned or that your symptoms are a manifestation of trichomoniasis. I agree with him that the right thing to do is to continue to work with your urologist, approaching things as Dr. Handsfield has already suggested. Having said this, let me go on and answer the questions you raise:
1,is the tma trich test accurate and do you the accuracies of the different tests
Several companies now make highly accurate NAA/PCR-type tests for trichomonas. The TMA is one such test and it is highly accurate.
2 best place to go for a test
Your urologist or regular doctor should be able to order a NAA/PCR-type test for trichomonas.. The usual specimen
for such tests is a voided specimen, with the urine collected just as you begin to void.
3 my only exposure was oral sex but was a prostitute so don't know who she was with right before, if this is my only exposure , should I still get tested
If your only exposure was receipt of oral sex I would be flabbergasted if your trichomonas test were positive. On the other hand, it is clear that you want this problem thoroughly evaluated and since the test is accurate and easy to do, they is no reason not to do so. As I said, I anticipate that the test will be negative if you choose to test.
4 symptoms are aggravated penis tip especially after ejaculation and pretty constant pain ,with clear discharge , can it be trich?
Most trich in men is asymptomatic. When it is present, it typically causes an NGU-type syndrome with mild discomfort on voiding and/or a urethral discharge which can be clear. As Dr. Handsfield has indicated, for your symptoms to get worse with ejaculation is not typical of most STIs, including trich.
5 what are health concerns with trich
Trich causes few complications in men or women although it can be a cause of an uncomfortable urethral discharge in men.
Condoms are not perfect but they certainly are highly effective in reducing risk for STIs including trich. As mentioned about, I have never heard of trich acquired through receipt of oral sex as well
I hope these comments are helpful to you. EWH