[Question #6598] Chlamydia, gonnoreah, or anxiety

12 months ago
Hello ...  

I am a 40 year old male. So on Jan. 14th I stupidly met a CSW.   I received condom protected oral and condom protected vaginal sex. A condom was on before any sexual contact was made and it stayed on the whole time as it was intact when finished in her and when I pulled it off. 

On Feb. 1st I had a dull achy pain inside my penis below the head. That went away by the next day, but I started to feel a stinging/burning sensation on my shaft on the underside below the head. My penis head feels cold and always feels like it’s dripping, but it never is. No discharge at all that I can tell. I have been urinating more because I feel like I’m leaking. I urinate just fine without pain. 

My symptoms are not noticeable in the morning and slowly become noticeable as the day progresses and worst at when sitting down and trying to relax. 

On Feb. 4th I went to my doctor as I was diagnosed with chronic prostatits back in 2013 with no infection found than. A few of the symptoms I’m having are similar to those I had back in 2013. 

They did a urine test quickly and found nothing abnormal, but will culture the sample. I also provided a ‘dirty’ urine sample first to check for chlamydia and gonnoreah. I have to wait up to 3 days for that result.   I was told my prostate was spongy and enlarged. So I was told it was prostatits again. 

Do any of my symptoms show any cause for concern?  I am worrying that the proatatits was caused by an sti. I have been extremely stressed out over this and I hope that I am just so focused on that area that it’s in my head. 

That you for help!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
12 months ago
Welcome to the forum. Thank you for your confidence in our services.

Condoms work when properly used and don't break, as obviously the case here. There is no possibility you could have caught gonorrhea, chlamydia, or any other STI from the exposure described. Your symptoms don't suggest any STI, but I agree they are consistent with prostatitis. That's not an STI problem. (In the distant past, i.e. before antibiotics became available in the 1940s, gonorrhea present for several weeks sometimes caused prostatitis. But that's not possible in this situation.)

For all those reasons, you can expect your gonorrhea/chlamydia test to be negative. (If positive, it will be from some previous sexual exposure, not the one desxribed here.) Your prostatitis has nothing to do with the sexual exposure 3 weeks ago, except for the possibility that anxiety over that event may be contributing to your prostatitis symptoms. So follow your doctor's advice about treatment and don't worry about STIs.

I hope this response is helpful. Let me know if anything isn't clear.

HHH, MD
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