[Question #2559] Non-Chlamydial NGU Question

42 months ago
I made a huge mistake received unprotected oral sex from a stripper and around 10 days later I noticed burning during urination, but no discharge. I was extremely worried as I had intercourse with my wife a day or so before the symptoms. 

I went and did an STD panel and everything came back negative. I also called my GP and asked for a Cipro script. A urinalysis was performed prior to the script and there was bacteria, mucous, etc. in my sample.

I finished the Cipro and felt better and we have had sex once since then. I called my urologist as I felt like there was still some irritation and my sample was clear outside of my RBC being above the normal range. He chalked it up as a kidney stone as I didn't mention my encounter.

I'm still worried I had/have non-chlamydial NGU and may have infected my wife. She had a physical and her urine was clean outside of trace bacteria.

All of this has taken place over the past 45 days and I'm so worried I can't sleep at risk of losing my family over this. Do I need to go to a clinic and get tested or god forbid tell her to get tested? 

This is the first time I have had any relations outside of my marriage and I just want to move on and never do it again. Thanks.
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
Welcome to our Forum.  I'll be pleased to comment and hope that the information I provide will help you to move forward without further concern as I hope you will.  The timing and symptoms you describe are compatible with non-chlamydial NGU caused by mouth organisms introduced in to the urethra during receipt of oral sex.  This sort of non-chlamydial NGU is not clearly and STI in the traditional sense, is not readily transmitted to sex partners like other STIs, and in not associated with complications.  In the United Kingdom, many specialists do not treat NGU associated with oral sex.  When treated with drugs such as you received (ciprofloxacin), oral sex-related NGU typically resolves quickly.

I urge you to not worry further about this.  There is no need for your wife to be tested since what she would be tested for are gonorrhea and chlamydia and since you have proven that you do not have either o those, neither would she (your test results are very reliable).

Also do not let the power of suggestion fool you into thinking there are symptoms that are not there.  Not infrequently when persons start to focus on their genital following a sexual experience, they will become aware of normal sensations which are present but go unnoticed when you are not focused on looking for them.

I hope these comments are helpful to you. EWH



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42 months ago
Assuming the only time my urine had bacteria in it was before the Cipro then theoretically our one encounter before symptoms would have been the only chance for her to catch something.  If she had trace amounts of bacteria in her sample weeks after that exposure I'm assuming there is little chance she has anything.

Also, I had thought about being retested for Chlamydia & Ghonorrea just to be sure, but I'm assuming if my sample yesterday was bacteria free then there isn't really a chance of active disease.

Last question, I do not believe kidney stones are what has caused the burning or current elevated RBC levels. Is there anything from an STI standpoint that could be causing that such as recovery from the NGU?

Thanks so much.
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
You are overthinking this.  The bacteria which might have been present in your urethra and penis would not put your partner at risk for infection. 

I see no medical reason for repeat STI testing.  The current urine based tests are VERY good.

RBCs in urine can be a sign of kidney stones but burning on urination would be unusual for kidney stones.  EWH

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42 months ago
You have really helped put my mind at ease. I need to go see my GP for my annual physical soon, so I will have her check my urine in a few weeks and hopefully the blood is gone and I can move forward.  Thanks
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
Glad to be of help.  Take care.  EWH
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42 months ago
Just one last question. My RBC levels were 3-5. How concerning should that be for other potential problems? Could that be caused by other non serious issues outside of stones?
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
3-5 RBCs are not a finding of concern.
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