[Question #4045] White discharge

33 months ago
Hi your probably going to say see previous post. I have a white discharge coming from my penis no burning on urinating or needing to wee more often.
This started 10 days after meeting someone who I received a oral sex from. The first thing was I felt very unwell with a high temperature and going to the toilet constantly. For two days. Then a clear discharge but not at night at all. Not needing the toilet to often just the usual amount.  Today I have started with a white discharge nearly 4 weeks after my contact. I have booked into the clinic and I am worried. Thanks for the advice in advance. What is your verdict. I did not use a condom for the oral.

Edward W. Hook M.D.
Edward W. Hook M.D.
33 months ago
Welcome to our Forum.  thanks for your detailed description and timeline of symptoms. I do believe that much of what we've said to previous visitors to our site may be relevant to you as well.  Some elements of the history you provide as a bit atypical and there may be more than one thing going on.  thus testing is absolutely the way to go.  I suggest that you be sure not to urinate for at least an hour before you are seen in the clinic as some tests are slightly less accurate if you have recently urinated.

Receipt of unprotected 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.  Symptoms typically start 3 or more days following exposure and are characterized by discomfort on urination and/or urethral discharge.  Urinary frequency such you report is not typically a sign of STI and fever is rare, thus some of these may be due to something other than an STI such as prostatitis (you do not mention your age but urinary tract infections are rare in men less than 40 years of age).  At this time, optimally whomever sees you at the clinic will do a stain of the discharge from the penis and look at it under the microscope.  In some clinics this is not possible and tests are sent. Even so, if there is an abnormal visible urethral discharge, most clinicians would provide therapy to cover both gonorrhea and NGU at this time.

I hope this information is helpful.  Please let us know what happens at the clinic and I will be happy to ccomment further. EWH

I hope this helps. Going to the clinic is the right thing to do.  You should be tested BEFORE you take treatment.  EWH 
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33 months ago
I am 47 years old my symptoms are only a white discharge nothing else typically what is ngu and would it be classed as sti? Also with me only starting as I said 10 days after the incident would this be to late for an std. I have spoken to the person who I gave me oral. She had her test and was negative for all. Oral test included. What are the chances of an std to my penis from her mouth if she was lying and how many people have you seen with an std gonorehea from oral sex?
Edward W. Hook M.D.
Edward W. Hook M.D.
33 months ago

NGU is the acronym for non-gonococcal urethritis.  This syndrome is an STI and the causes vary depending on the sort of exposure that has led to it.  Following genital-genital exposure the most common cause of NGU is chlamydia.  Following oral sex the most common cause of NGU is mouth organisms introduced in to the urethra during sex although chlamydia may also rarely be present.  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 either azithromycin or doxycycline, oral sex-related NGU typically resolves quickly. 


The frequency of either gonorrhea or NGU following oral sex is difficult to specifically calculate.  It certainly is not all that rare and we see it regularly.  Please understand that more oral gonorrhea and chlamydia is asymptomatic, thus most people who pass these infections on do not know they have them.  EWH


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33 months ago
Ok so what you are saying is that most ngu is caused by mouth organisms or judging by my age it could be a uti which I have suffered from about 3 years ago same sort of symptoms. Gonorehea and chlymidia are rare in this case but can cause ngu  I  am right. 
Edward W. Hook M.D.
Edward W. Hook M.D.
33 months ago
close.  Gonorrhea is different from NGU- both at sexually acquired and can be acquired through receipt of oral sex.  OTOH, in a man of you age, there may be other causes such as UTI and the timing can be coincidental.  Being seen in the clinic and tested is the right thing to do

Our Forum provides up to three responses per question. This is my 3rd response.  Thus there will be no further responses as part of this thread and the thread will be closed later today.  EWH
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