[Question #6307] Follow Up

16 months ago
I asked a question about 9 days ago and Dr. Hook answered , I had been tested for chlamydia, gono and Trich I told the Dr. that before testing I had been repeatedly checking myself so he told me to stop and  I did, I still feel a burning after urination and just irritation in penis if any of the sti’s were present would there be discharge also? By the way all the results were none detected.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Welcome back. I'm taking your question this time, but I reviewed your recent discussion with Dr. Hook. I agree with all he said. That includes agreement with the low chance you have any STD. And as Dr. Hook said, if you have urethritis, you should be seeing obvious urethral discharge. From your description, I think it likely that your symptoms are the result of hypervigilance or perhaps anxiety magnifying normal body sensations. However, with the continued discomfort on urination, I would encourage seeing a physician -- ideally one highly experienced in STDs (maybe your local health department) -- for professional evaluation. If you still have increased WBC in your urethra (not urine, but in a urethral swab), that might indicate you in fact have nongonococcal urethrits. However, my prediction is that nothing will be found.

In addition, since you know you don't have chlamydia or gonorrhea, you should feel confident that you have nothing likely to ever be harmful for you or any current or future sex partner. In Dr. Hook's and my combined 7 decades in the STD business, neither of us has ever seen or heard of a patient with symptoms like yours who turned out to have any important problem. Whatever the ultimate answer, probably it won't be important to your or your partners' health in the future.

Feel free to report back after you have been professionally evaluated. Until then, there isn't anything more this forum can do.

Sorry I can't give conclusive answers, but hope this information is helpful. Let me know if anything isn't clear.

HHH, MD
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16 months ago
I have one last question on urine testing, as long as it is after an hour does it matter if you fill the cup, I read 20 to 30 milliliter so if over that is it still accurate?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Actually, neither the time nor the amount of urine makes much difference. Those were official guidelines when the tests were new, but 20 years of experience shows it makes no difference. A negative test result is always reliabble.---