Hi Doctor Handsfield,

I had protected sex and unprotected oral with a csw. Next day I began to feel discomfort in the tip of my penis. After 2 weeks i tested negative for gonnerea and chlamydia. 4 weeks negative HIV and Syphillis. 5 weeks PCR tested negative for gonnerea, chlamydia, mycoplasma g, ureaplasma, trichonomas and HPV 1 and 2. I still have a burning sensation at the tip of the penis and in the urethra especially after urination. My other symptoms are tingling burning sensation in legs hands and feet also a little eye discomfort red eyes.The doctor prescribed a week of doxy anyway.My questions are:

1. Is there any other std I have missed that could cause this issue. I am in a relationship and am scared I have passed something on?

2. Could this be some other oral bacteria that is harmless in the mouth but irritates the urethra?

3. Are all my symptoms likely down to guilt anxiety as the urethral pain can be quite bad.

4. Am I safe to have sex with my partner.

5. I have seen a urologist who examined my prostate and it was tender. Im on cipro for that do you think its necessary or could this be CPP.

Thanks in advance

Thanks Dr Hook,

I have some other questions if that's okay.

1. Have you ever come across anyone with symptoms like mine and it has just been anxiety/guilt, I ask this only because the pain in the urethra has lasted for over 2 months and can cause me a lot of discomfort to the point of waking me up at night, can sting quite badly after urination I also get weird stabbing pains there occasionaly. My glands also look angry and redder when I am erect. Knowing that you have would put my mind at further rest?

2. I believe the tests I have are conclusive that I don't have what I tested for, You don't buy into the theory that there's a new viral thing going round which is talked about a lot on the net? My symptoms seem to fit a lot of that ( I know never google symptoms)

3. In your experiences when left to run there course do these pains eventually go away. I can put up with it for the time being as long as I'm not putting anyone else in danger.

Thanks again Doctor 

We permit a total of three interactions per question.  This is your second.   Let's deal with your questions:

1.  Yes, we have seen many instances of symptoms such as yours which are totally related to anxiety/guilt.  Repeated self-examination can lead to irritation and even swelling of glands.  As your anxiety and concern diminishes, your symptoms are likely to resolve.

2.  No, I do not believe there is a new STI going around that you need to worry about.

3.  Yes, I think that as your are more comfortable your symptoms will resolve.  Perhaps it will help you to point out that often when persons with symptoms such as yours are distracted and otherwise occupied, symptoms are less prominent.  Further, I hope that our interchange will be helpful in moving you forward. 

EWH

Hi Doctor,

I have had a now developed a red rash round the inside of the foreskin (I am uncircumsised) on my penis it isn't particularly sore there is also a small cluster of white pimples also not very sore. I know you said not to worry but can anxiety bring out a red rash on your foreskin?