[Question #6243] Worried

18 months ago
Worried about encounter
18 months ago
I think I did something wrong in submitting bit I had unprotected sex with a old friend who said she does not have any diseases but I worry a lot so I started milking and squeezing my penis looking for discharge and checking underwear so after 10 days I got tested for gonorrea,chlymidia and trich all came back negative but I feel like I have a burning at the tip of my penis after I urinate and I feel it in the head sometimes also but still nothing, could it be I injured my penis checking so much or could it be my anxiety getting the best of me or should I retest. My test was done at Quest labs with a urine specimen. I had not urinated for about 2 hours before I went in.
Edward W. Hook M.D.
Edward W. Hook M.D.
18 months ago

Welcome to our Forum.  I'll do my best to help.  For starters, let me tell you that your tests prove that you were not infected through the low risk encounter.  Quest laboratories is a highly respected lab and urine tests for the STIs you tested for are highly accurate. No further testing is needed.

So, what about your ongoing discomfort.  I suspect, from what you have told me, that there are two contributors.  The first is that the trauma of repeated self examinations has caused local penile irritation.  This would account, in part, for the burning that you experience on urination.  Secondly however, when persons start to worry about having acquired an STI, they tend to become hyper-attuned to any genital sensations and, as a result there is a tendency to notice otherwise normal sensations that would otherwise be ignored and probably not even register.  In your case, I suspect that the irritation due to repeated self-examination is contributing to the sensations you are experiencing.

My advice.  Keep you hands off your genitals.  No more self-examination.  These sensations will diminish with time.  Please don't worry.  Believe your test results.  EWH

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18 months ago
Dr. you would rule out NGU also?
Edward W. Hook M.D.
Edward W. Hook M.D.
18 months ago
NGU  is diagnosed based on the presence of symptoms which include a visible discharge or burning on urination, not afterward.  In some patients demonstration of increased numbers of white blood cells in the urine also support the diagnosis.   Your symptoms do not match the diagnosis. Further, in your case increased white blood cells in a urinalysis could well be the result of the trauma of your repeated self examination.  NGU is most commonly caused by chlamydia or an organism which you were not tested for called mycoplasma genitalium.   You could test for mycoplasma genitalium if you wish. If that test is negative you should not be concerned and keep your hands off of your penis.   If I were you however I would not be concerned. EWH ---
17 months ago
I have one last question yesterday and this morning I have noticed white spot in my underwear and this is after I have urinated first thing. Is this normal I don”t see anything else during the day?
Edward W. Hook M.D.
Edward W. Hook M.D.
17 months ago

I suspect this is a manifestation of continued hyper-vigilance.   I urge you to believe and accept your test results and move forward.  No changes to my assessment or suggestions.

As you point out, as this is my 3rd response to your questions, this thread will be closed shortly without additional responses.  Take care.  Please don't worry.  EWH

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