[Question #5586] Pelvic symptoms

20 months ago
Dear Drs.

Thanks in advance for your expertise. I respect your time and and will be concise.

Symptoms:  
1. Persistent aching / burning in testicles, perineum and rectal area 
2. Persistent burning down both inner thighs and back of both legs below butt cheeks
3.  Feeling of urinary urgency but not going frequently
4.  Feeling of pressure in testicles (like a vice grip) 
5.  No dysuria or discharge from penis
6.  No noticeable pain during ejaculation

Symptom duration:
3 weeks

Symptom frequency:
Constant/persistent throughout the day 

Exposure:
brief hand to glans contact

From your wealth of experience can you advise on what the genesis of these symptoms could be?
 
Thank you

Edward W. Hook M.D.
Edward W. Hook M.D.
20 months ago
In preparing to answer your questions, I reviewed your four prior interactions with Dr. Handsfield.  With this background it saddens me to see that you continue to worry about the possibility of acquiring and STI from had to genital contact.  Despite the multiple prior assurances you received from Dr. Handsfield, it seems that you are now back with a repetitive question on the same topic.  Since you haven't accepted Dr. Handsfield's repeated, science based assurances, I doubt that you would believe the same response from me.  Instead, I'll paraphrase Albert Einstein who said the "one definition of insanity is to do the same thing again and again and expect a different result."

I do not know what your symptoms are due to but like the four prior results I can assure you that they have no relationship to the "brief hand to glans contact" you mention.  I will also repeat the warning that Dr. Handsfield also gave you that repetitive, anxiety-driven questions may be deleted or closed without a reply or return of your posting fee.  EWH
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20 months ago
Thank you Dr. Hook.  

Since this was a new encounter I didn’t think it would be considered repetitive to inquire as to whether my symptoms could be related to it.

I don’t doubt that anxiety plays a role but from a medical perspective is it possible for anxiety to manifest as real physical symptoms such as the ones that I described?

Lastly, I have read from some sources that M. Genitalium can be transmitted through rubbing / contact but it wasn’t clear on whether that meant hand to glans and/or meatus or something else.  Do you know if MG is transmitted that way?

Respectfully.
Edward W. Hook M.D.
Edward W. Hook M.D.
20 months ago
You are playing word game, presumably related to a pathological level of anxiety.  The fact that this was a new event does not change the fact that you have been told that hand to genital contact and mutual masturbation has never been proven to result in HIV acquisition.  

Anxiety disorders can certainly both amplify existing sensations and symptoms as well as cause them.

There are no data that M. genitalium is transmitted by non-penetrative sexual activity, including mutual masturbation.  EWH
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20 months ago
Thanks Dr Hook.  This will be my final post.  

You mentioned HIV in your previous thread but HIV wasn’t my concern.  It was mainly other STIs that might cause those symptoms.  

So in your professional opinion is it safe to assume no STIs:

a) would be acquired from the hand to glans exposure I described and;

b) would cause the host of symptoms that I am experiencing?

Thanks again for your time and patience. Take care.
Edward W. Hook M.D.
Edward W. Hook M.D.
20 months ago
Yes, my earlier responses covered the possibility of STIs too.  Thus:

So in your professional opinion is it safe to assume no STIs:

a) would be acquired from the hand to glans exposure I described and;
Correct

b) would cause the host of symptoms that I am experiencing?
Correct

This will complete the response to this serious of questions.  Let me close by reiterating Dr. Handsfield's earlier statement that future anxiety-drive, repetitive questions regarding STI/HIV risk may be deleted without a response or return of your posting fee.  This policy reflects our continuingg concern for you and nothing more.  EWH

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