[Question #2405] Follow up on Question #2386

45 months ago
Hello,

Just a bit confused about my recent clinic visit and thought I would follow up.

Since the start I have been getting a burny feeling between my legs and inside my penis but no discharge or burning when urinating etc.  Then today (day 5) I got home after a long drive, urinated and noticed some clear discharge.  I hadnt masturbated at all since the incident.  Convinced I got an issue I went to the clinic which was already booked.

She took a urine test and a swab (this is NHS).  She said she couldnt see anything wrong and the swab didnt show anything under the microscope (she said they look for pus?)  She said my results will be back in a week to confirm.  Also was advised to return at 14 days for urine test again.  Also she took a HIV and Syphilis test but did advise it shows after 12 weeks etc.

My confusion is I dont feel right downstairs and I saw some discharge but swab shows nothing wrong?  Does this mean I am clear? Or can I only be sure once the urine test is clear?  The nurse didnt really have an answer for my issue.

Again appreciate the advice.


Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago
Welcome back to the Forum.  I'm sorry you are continuing to worry about the encounter we communicated about several days ago.  A certain amount of urethral discharge is normal for men and usually goes unnoticed because they are not looking for it.  In your case, since the folks at the sexual health clinic took a swab and looked under the microscope, you can be confident that the discharge you saw was not due to an infection because if it had been, they would have seen white blood cells ('pus cells") under the microscope.  Given what we know abut your exposure and these results, I am confident that your formal urine tests will also be negative.  I would not worry.

I will add that the clinician who saw you gave you rather conservative advice about further testing.  Personally, when your tests are negative, as I am confident they will be, I see no reason for additional testing at 14 days.  As for the blood tests, 12 weeks (three months is also conservative and at that time, once again, I am confident that you will find that you did not get gonorrhea or chlamydia from your exposure. 

I hope these comments are helpful.  EWH. 
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45 months ago
Many thanks for your response, I was hoping my visit today would help me feel better.   It did but it just left me confused.

Is it potential that the burning feeling between my legs and inside penis is more likely to do with anxiety tension (and or anything else not STD related)?  So my test I did today looks for the pus cells and even though I had discharge the same day with these other symptoms as it showed up nothing, I am looking good there?  Is the swab pretty accurate in these situations especially if there was a potential symptom, it really felt like she downplayed it today, this is an established (they describe as cutting edge on sexual health research) NHS STD clinic?

I think I will stick with what we discussed and go for the HIV test at 4 weeks for final reassurance and whilst there I can get the other tests if I like as they will offer it.  I have no intention of sleeping with my partner until then anyway.

I will not follow up after as it is my last one allowed and would like to wait until the Urine results come through, just to share, but would appreciate your reply.




Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago
There is nothing to suggest that the burning sensation you are experiencing between your legs is due to an STI. This would be an unusual place for STD symptoms.  Further the absence of white blood cells, as I said above, is strong evidence both the your sensation is not due to STI.  The swab is quite helpful in such situations.  I would have great faith in the assessment of the clinician who saw you. 

Sometimes when people are anxious about an exposure and looking for symptoms there is a tendency to notice normal sensations which would otherwise be overlooked.  My guess is that is what you are experiencing. EWH
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45 months ago
Ok so I got my tests back for Chlamydia and Ghonnorea both were negative testing on Day 5 since exposure.  Can I now say along with my swab I can be 100% that I do not have these STIs with no need for tests as 14 days?

As for Herpes I have had no lesions etc and I am 10 days since exposure, am I looking like I am out of the woods there? (I believe can be max 21 days?)

Finally for HIV, I understand protected sex is safe but I keep thinking back that I lost my erection but was still inside her.  I never recall the condom coming off, if it was a bit loose with head covered can I still call that safe?

I am still having some irritation on my penis area, if it continues should I visit my GP opposed to a sexual health clinic?

This is my last question so want to thank you in advance and thanks for your help with the community.  Sometimes it is easier to talk frank online then face to face with someone in this area.

Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago
I would encourage you to believe your test results.  The tests are highly reliable.  You do not have Gonorrhea or Chlamydia.  Similarly, were I you, I would not be worried about herpes or HIV at this time.  If your condom covered the head of your penis, irrespective of whether it is loose or not, if the head of you penis was covered, the condom did its job.

If your genital irritation continues, I would think your GP might be helpful although a sexual health specialist might be more familiar and more helpful.

I hope these comments have been helpful.  EWH
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