[Question #4537] Possible STI/UTI

28 months ago
Encounter with a girl,  unprotected oral (both), some external genital to genital contact, protected insertion.  She did have some sort of cough and had been sick over the past few days.

After a couple of days, some urination frequency and penile discomfort.  No increase in discomfort on urination.

At 5 days post exposure, tested for gono/chlam/HS/HIV/Hep - all negative except HSV1 (have had that for some time)

Next day, white milky discharge started (and has been on/off since).  Discomfort there, but no increase of that on urination. So, in presence of that, I got retested (7 days post encounter), same as above but added test for Trich - all negative again, except HSV1.

Regretful action goes without saying, as I am married.  Have not had sex with wife since the encounter.  Cannot risk going to GP Doctor as they may want to do a culture (logically), and anything that might come up would be reported.

Questions:
1.  What are the chances this is still actually an STI?
2. As all the above tests are negative, what meds could clear this up without having the GP do a culture.
3. Can I somehow get such meds prescribed?  Can you do that?  Do you agree with such an approach?

Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
Welcome to our Forum.  I'll try to help.  Your testing effectively and accurately rules out the important, transmissible STIs.  If your symptoms were "just" urinary frequency I would attribute them to guilt and anxiety as research has demonstrated that urinary frequency is NOT a symptom of STI.  The presence of discharge however suggests that there may be an infection present, possibly non-gonococcal urethritis arising from the introduction of oral bacteria into your urethra during oral sex or a UTI.  Research on this topic performed in the United Kingdom suggests that sexual partners of persons with non-chlamydial NGU following oral sex do not need treatment.  In either instance, such infections are typically not infectious to sexual partners and can be readily treated with antibiotics available from your physician.  I would suggest you see them.  Testing with a urinalysis would, I suspect, show the presence of inflammatory white blood cells in a urine specimen.  Thus, in answer to your specific questions:

1.  What are the chances this is still actually an STI?
See above.  this may be non-chlamydial NGU.

2. As all the above tests are negative, what meds could clear this up without having the GP do a culture.
Therapy with doxycycline or a quinolone antibiotic such as levofloxacin will most likely resolve your symptoms.

3. Can I somehow get such meds prescribed?  Can you do that?  Do you agree with such an approach?
On this site we offer only advice and are not able to perform diagnostic tests, provider a diagnosis or prescribe antibiotics.  You would need to see your own doctor for this.

Hope this information is helpful.  EWH

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28 months ago
Thank you , thank you,  thank you - can't say that enough!

Lightening fast reply!
I had an appointment with my GP today for other reasons.  Thankfully, your reply came in before that.  The GP did a stick test of urine which showed protein and (think she said white blood cells).  She prescribed Cipro for a suspected UTI.
Thank you for your detailed and very thoughtful response!
Edward W. Hook M.D.
Edward W. Hook M.D.
28 months ago
Cipro should do the trick.  Glad to hear it.  Take care.  EWH---