Hi Doctors,  Let me start by saying about a month ago me and me and my girlfriend broke up. So last Saturday i had drunken unprotected sex with a girl i know. We've had sex before multiple times but it was before i started dating my girlfriend so i don't know what she was up to for the past 5 months.  Keep in mind this is a girl my ex hates. Two days after we had sex my ex contacted me and we talked and decided to give it another chance so Wednesday (3 or 4 days after me and the other girl had sex) me and my ex had sex unprotected. I woke up the following day in a massive state of anxiety, because i didn't even think about the fact i had sex with the other girl and started to wonder if shes clean or not, because i didnt want to spread this to my ex. Ialready suffer from pretty heavy anxiety which im on medication for, i tend to ruminate overthink everything. Ive also gone and been tested twice in the past 5 months because i had a sexual encounter that i was paranoid about. Both times came back negative.  And each time i began to feel like i have a tingling at the tip of my penis and a feeling like i have to pee.  Its the same thing this time. No burning while i pee, i cannot tell if i have discharge or not. Ive always leaked a little in my boxers after peeing for not draining myself enough after peeing. So ive been obsessively checking my penis to see if i notice any,  occasionally ill notice a little bit of clear liquid seep out but most of the time i dont have issues.  Could this be discharge or is it urine?  Also today my testicles start to feel a little sore. Yesterday i was relaxing at home so i didn't focus too much on it and the symptons didnt bother me that much but now today im freaking out again.   I asked the girl hooked up with if she was clean and she said she is positive shes clean and has only been with one guy since me, but idk if i can believe that I went and got tested today but they said it will take 7-10 days to get results and they pretty much gave completely generic answers. I cant wait that long im going crazy. By the way i did have chlamydia once before but it was a couple years ago.

 Here are the main questions i have....

1. Do you think think this is chlamydia or do you think my anxiety is to blame?

2. While i wait for my test results is it safe to have sex with my girlfriend if i use a condom? It will be difficult to explain to her why i can't,  even if we were broken up at the time.

3. Is feeling like you got to urinate frequently a symptom of this?

The symptoms youdesribe really don't suggest any STD, but they certainly are typical for minor symptoms or normal body sensations that wouldn'tbother you or you might not even notice except for your anxiety and possibly guilt over some sexual decisions you regret. That said, it sounds like you could be at risk, given the uncertainties about your partners' behavior (both partners). Anyway, you did the right thing to be tested. Sorry you found a clinic that takes more time than some to have results available-- you might call them after 3-4 workdays. (Oncw a an STD test specimen arrives in the laboroatory, typically the test has been run and results available a day later. The rest of the time is in specimen transport and communication of results back to the clinic.)

You mention chlamydia, but you also should have been tested for gonorrhea (usually done automatically with chlamydia testing). Also blood tests for HIV and syphilis.

Those comments pretty well answer your questions, but to be sure there is no misunderstanding:

1) I doubt you have chlamyida or any other STD, but only the tests can tell for sure.

2) Since you've already had unprotected sex with your regular partner, I see no reason to stop now or to start using condoms. If you have a positive test resilt, she will need to be informed and treated, and what you do sexually between now and your test results won't make any difference.

3) Frequent urination is not a common STD symptom in men. It's a very frequent symptom of STD related anxiety.

I'll be happy to comment further if you'd like to let me know your test results when you have them. I hope these comments are helpful for now.

HHH, MD

You mentioned i shouldn't worry about wearing a condom since i didn't when we hooked up again. Does that mean if i have it i for sure gave it to her? We've had sex since but ive wore a condom every time.  What are the stats behind these transmissions? Im just terrified that it it ends up positive that she will leave me. Also would discharge be clear? Do you discharge continuously or just occasionally? I can't tell if its urine leakage or something else 

But I stress that almost certainly you to NOT have an STD and most likely nothing will come of this. But how you proceed untill you know your test results is entirely your decision. (If your partner also might have had sex with others when you were apart, she also should be tested for STDs.)

Dull testicular pain usually is a consequence of anxiety, not physical disease. With the "discomfort" continuing, you could return to your doctor or clinic for reevaluation. But most likely they would just advise waiting for the test result, so if not severe, I would also suggest you wait for them.

We've gone as far as routine policy permits, i.e. two follow-up quesitons and replies, so this thread is now closed. If you decide to return to provide more details and have further questions, I strongly suggest you wait until your test results are available. But I hope the discussion so far has been helpful.