[Question #2247] STD???

47 months ago
Hello again Dr,

I asked question #2177 about condom break with a high-end escort.  When the condom broke my penis head and especially the tip of my urethra felt like it was hit with a rubber band and caused discomfort. The discomfort went away after a couple of days.  


The 10th day after the incident, my penis tip started to have discomfort/irritation that would start with my penis rubbing against my boxer briefs, the discomfort would lessen the second I pull my penis away from touching my briefs and the pain went away that night while I was sleeping and woke up with no discomfort. Same thing happened again on the 11-12day again triggered by rubbing my penis against briefs while sitting or walking. At the end of 12th day, I ended up going to a clinic where I live. I explained everything with the escort and the irritation which has no discharge or pain during urination or masturbation. The APRN looking at me told me she was going to test me for Gonorrhea and Chlamydia, and also treat me for the 2 possible STDs.  She thought it was gonorrhea because gonorrhea causes extra sensitivity which I was feeling.  I was given a ceftriaxone injection and 1g of azithromycin last night.  


This morning it looked like the discomfort had disappeared, but it started acting up again with much less irritation which might get worse as the day progresses. I researched everywhere online and could not find gonorrhea symptom caused by sensitive skin like my issue. The discomfort/irritation is located a little inside of urethra opening and the tip, it gets triggered by rubbing against something.  There are some red irritated spots while there is discomfort, but all disappears in the morning if there is no repetitive rubbing against something.


Does this sound like any STD? Is it normal to treat an STD without positive results? 


Thank You



Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Welcome back to our Forum.  As it happens, today I happened to pick up your question.  In preparing to answer it, I reviewed your earlier interaction with Dr. Handsfield and agree with all that he has said- the exposure you describe was very, very low risk, not only for HIV but for other STIs as well.  Your current symptoms do not suggest an STI to me.  They are not suggestive of any STI.  In addition, once STIs begin to cause  symptoms, they tend to be present continuously, not to come and go.  On the other hand, when persons are anxious and are looking for symptoms, sometimes they tend to be aware of normal sensations which would otherwise go unnoticed.  This may be what is going on.  Further, if you are examining yourself in response to your symptoms, you may be causing minor trauma which could accentuate your symptoms.

In answer to your other question, were I seeing you in my clinic, I would not have treated you based on your description.  I hope this answer is reassuring.  EWH. 
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47 months ago
Thank you for the reply, Dr. Hook,

I got my results back and shocker both tests are negative. My symptoms are still noticeable, but definitely starting to lessen after getting the call with negative results. If the irritation continues, I will go see my PCP.

Thank you,
Have a nice day.
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Thanks for sharing your result. They effectively prove that the symptoms the you are experiencing are not due to any STI.  I hope that will let you move forward without concern.  Take care.  EWH
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