Had 1st ever 2 unprotected vaginal sex w/ new partner w/ bacterial vaginosis (very strong rotten fish odor during sex) on Dec. 17-18. On Dec 26, developed mild urethral discomfort at base of penis—persists until today. Pain levels 1 to 2 over 10. No other symptoms such as dysuria, sores, discharge, flu symptoms, and etc. All viral STD except HPV clear. No syphilis test.

Have taken many urinalysis. All had small presence of bacteria except 2 most recent urinalysis on May 31 & June 1 where there are moderate presence of bacteria—also around the time when pain level went up from 1 to 2. Had urine culture on May 26, tagged as no growth, although when I asked lab, they just throw away samples not tagged as significant infections despite presence of bacteria without determining purpose of culture (below 10,000 CFU).

Taken 3g Fosfomycin (FT) on Jan. 29. Relieved symptoms entirely for entire Feb. & relapsed Mar. until today. Took 1g Metronidazole & 1g Azithromycin on April 4, no relief at all. Did personal urine culture on selective & differential MacConkey agar, found bacteria in urine most likely E. Coli or Klebsiella (due to lactose fermentation & pink colonies). Due to Fosfomycin inhibiting, no effect of NGU antibiotics, common bacteria, & culture. Most likely gram negative bacteria. Do not know if I have mild NGU, prostatitis, or UTI. One of my concerns is: I ejaculated into my partner today because I was told it’s safe to have sex given I don’t have STD bacteria, is it, really?

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I've seen 5 urologists. The first 1 just took a urinalysis and when he saw nothing he just said nothing can be seen and just asked me to wait for viral STD tests. I never came back to this one. The second one was the one who gave me the antibiotics he's the one I go to the most. He asked me to get a urine culture, which I did only recently as mentioned, but there was no growth. I was not tested for gonorrhea and chlamydia because there are no urine tests in our country. Only urine cultures which I know not always tests for STD's because all they always assume is for UTI bacteria, but they don't tell us that so i'm not sure. Also since I have taken 1g Azithromycin shouldn't have chlamydia already been ruled out right now--as well as other bacteria such as ureaplasma spp. and mycoplasma spp.? I don't know about gonorrhea although I heard it's common for men to have discharge and  I do know Azithromycin is a drug used in combination with another one to treat gonorrhea. The third one just said (without any further tests such as obtaining prostatic fluids) that I had chronic pelvic pain syndrome and just said to take anti-inflammatory because my pain level was low. The fourth urologist (not exactly a urologist but he deals with urologist diseases--Dr. Feliciano's clinic of a well known pioneer of prostatitis treatment) said my prostate was not boggy. No white blood cells in EPS as well as urine after prostatic massage. Although they asked me to come back for 2 weeks to get regular prostatic massages to find the pathogen (assuming it is really prostatis). The fifth urologist just kept laughing and asked me to get an ultrasound before anything else. He also didn't know you could gram stain a urine culture and only thought you could only gram stain a swab. The one antibiotic I did not take as prescribed by my second urologist was a fluoroquinolone called ofloxacin. I did not want to take it because of the side effects, but looks like i'm out of options. I wanted to take fosfomycin in the long term but it was not in the standards of the doctors. More or less those summarizes the medical care portion. I only had unprotected sex once with that new partner I mentioned--also the first unprotected encounter in my life (also my first time to experience genital pains in my 23 years alive and it's been 6 months) . Right now I have a new partner. 

I forgot to mention that I asked the lab for the cultures, but they said they discard them when infections do not reach 10,000 CFU and immediately mark them as no growth which is the standard for a significant infection (probably for UTIs only but not for chronic pains that only release small amounts of bacteria, possibly)

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Despite having no syphilis test and gonorrhea test I believe I can rule those out right?  Also thank you for explaining bacterial vaginosis. What people post online is quite different sometimes--where it can be caused by wiping from back to front for women when rectal bacteria is introduced into the vaginal flora. 

I forgot to mention that the pain increases (although quite tolerable still) whenever I have sex. Just to add

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Thank you Dr. Hook. I do notice that there are a lot of discrepancies among websites on the internet. But I also read a lot of journals and I try to cross check them depending on how much time I have. When it comes to learning, the internet is the best information I can get hold of. After my experiences with several doctors I have learned to research and converse with my doctors to see if they know what they're really doing and if my understanding is correct.