[Question #3787] UTI versus STD Question

35 months ago
Hi, 

Just looking for some honest advice/opinions. I’m a healthy and active 31 year old male. Straight, bi curious perhaps. I’m almost always safe with sex, but had an encounter I’m concerned about. Facts... 

-7 days ago, I hooked up with a girl I don’t know well at a bar. She went down on me for 3-4 minutes (that's all). 

-8 days ago I was a little drunk and used a butt plug on myself for fun (left it in for an hour or so). Honestly, I hadn’t cleaned it after the last use on myself. Dumb idea (and thus the bi curious part). 

-I had a monogamous partner before 8 days ago and we were both tested and didn’t have any std’s. 

Current symptoms: some urethral irritation, diarrhea over the last week, frequent need to urinate, some bloating. 

I had an STD panel done today and am awaiting results. I have had a UTI in the past, unrelated to sex. Also have had a prostate infection, unrelated to sex (because it was before I was having sex). 

Chances this is a UTI related to e coli or something else? Chances I did get an STI? 

Thank you in advance. I’m awaiting the std panel results, I just wanted additional feedback. 


Edward W. Hook M.D.
Edward W. Hook M.D.
35 months ago
Welcome to the Forum.  I'll try to help.  The casual exposure you describe is low risk for STI and with your earlier negative tests, it is unlikely that you have an STI.  Most people do not have STIs and oral sex only relatively rarely leads to infection.  When it does, the most common problems are either gonorrhea of non-gonococcal urethritis NGU) caused by mouth organisms introduced in to the urethra during 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, oral sex-related NGU typically resolves quickly.  My guess is that your STI tests will be negative. 

In addition, many of your symptoms are not suggestive of STI. Specifically urinary frequency and bloating are not STI symptoms and are more compatible with a urinary or prostate infection than an STI.  As for your diarrhea, while not cleaning your butt plug was not a wise idea but I suspect the diarrhea and you use of the butt plug are unrelated, particularly if the only person the butt plug had been used on in the past was you. 

I hope this perspective is helpful.  If your symptoms have persisted or are progressing, given your history, after obtaining urine and STI testing, I would probably start treatment for a UTI.  Please feel free to use your up to two follow-up questions if parts of my reply are unclear or there are new questions.  EWH

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35 months ago
Thank you for your reply. I forgot to mention that the rapid urine test did detect a small amount of bacteria in my urine (I forget the unit of measurement she said, the number was 25). Could this be another kind of bacteria and not an STI? A sign of a UTI or bladder infection? Also, I was wondering whether use of the butt plug after not having cleaned it first could have resulted in a bacterial prostate/bladder infection or a UTI?
Edward W. Hook M.D.
Edward W. Hook M.D.
35 months ago
As I said above, I suspect your symptoms are totally unrelated to your use of the butt plug.

As I also said, your symptoms do rise the possibility that this could be. UTI or prostatitis.  See are not STIs and are treated differently.  I would suggest that you see your own doctor and consider a urine culture.  EWH
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35 months ago
Thanks again for your response. I did have a urine test. The rapid test in the office revealed a low level of bacteria in my urine. My doctor prescribed a week of cipro at 500mg twice per day for 7 days. I am finishing up the cycle of cipro tomorrow. I still have symptoms. The urinary frequency has decreased, but I still feel bloated, I have increased pain in my abdominal region.  No pain when I urinate and no discharge. But a general discomfort in that region (urethra, lower abdomen...feeling like I have to pee when I don't, discomfort when I press against my abdomen).  

Given that symptoms persist after 6 days of treatment on cipro, would your feedback change?

Please note: I understand that it is impossible to diagnose online and I am not asking for one. I should have my urine culture results that were sent to a lab back tomorrow. Just having a little anxiety around it.

Best,

J
Edward W. Hook M.D.
Edward W. Hook M.D.
35 months ago
That your symptoms have persisted does not change the fact that there is no reason to worry that you might have acquired at STI or infection from the activities you described.  I do not know what is causing your symptoms but I am confident this is not an STI problem related to either your casual encounter or use of the butt plug.  Some of your abdominal bloating may be related to the ciprofloxacin.  My advice is to work with your doctor to sort this out.  There may be some trial and error involved to resolve it.

As you know, we provide up to three replies to each question.  This is my third comment.  Thus there will be no further replies and the thread will be closed in a few hours.  I wish you the best.  EWH
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