Welcome to the Forum.  I'll be glad to comment.  There are a number of possible causes of the discomfort that you are experiencing.  While these include epididymitis as a complication of a urethral STI, other causes include urinary tract infections causing non-STI epididymitis (more common in men over age 40), and kidney stones as well as STIs.  When men have STI-related urethritis, the causes are typically gonorrhea or chlamydia and a penile discharge is present.  For you to not have had symptoms for more than a month since your receipt of oral sex make STIs, and gonorrhea in particular, unlikely.  Perhaps you could provide some additional information which may help clarify things:

How old are you?

Is there any burning on urination?

Is the pain there continuously and has it changed since it began?

What urine tests were performed?  I presume that your urine was tested for: A. gonorrhea and chlamydia (results should be available in 2-3 days, B. bacterial causing non-STI urinary tract infection (culture results may take 3-4 days), and C. a urinalysis which should have provided results while you were in the emergency department.  Do you know the results of the urinalysis?

Were you provided antibiotics?  If so, which ones.

Your replies to these questions may be helpful.  EWH 

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Thank you so much for your prompt reply. I am 48 years old. 

Thanks for the additional information.  Your age places you in the age range where IF this is an infection, it is quite possible that this is related to a urinary tract infection and or prostate infection.  Not having evidence of kidney stones is also helpful.  Your low back and abdominal discomfort could also be related. 

I am doubtful that this is gonorrhea. Chlamydia is a possibility but so is prostate infection and a related UTI.  I would suggest the following:

1.I would call the emergency room and find out the results of your urinalysis as well as what tests were sent.

2.   If you have a regular doctor you should see him/her and, if the following tests were not done, be sure you have a clean catch mid-stream urine culture as well as tests for gonorrhea and chlamydia.  Your regular doctor should be able to have you see a urologist today or tomorrow. If you don't have a regular doctor, I would call around to other doctors- urologists or general internists and get seen quickly.

3.  I would go on and start to take the antibiotics.  If possible, get the tests I mention above before taking them as they will change the culture test results.

I hope this helps.  While I cannot make a diagnosis over the internet and that is not the purpose of this forum, my advice is to be seen sooner than later.  I suspect you do need treatment but the tests will help you to know what treatment is needed as well as whether your partner may be at risk from STI exposure.  It is not sure that she has been exposed and the tests will help.  EWH

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I'm afraid you misunderstood my earlier message.  There is much to suggest this is NOT an STI and that if it is an STI it is NOT GC.  If your ER doctor did not do the tests I suggested, he should have and you should get them now these tests include:

1.  Chlamydia as well as gonorrhea (typically current tests automatically test for both organisms on a single specimen.  FYI, in the lab, results take less than 6 hours to be available.

2.  The test that showed that this is not kidney stones was most probably a urinalysis.  It should have additional information such as the presence of white blood cells, bacteria, etc.

3.  A urine culture.  As I said, this could well be non-STI epididymitis due to urinary tract bacteria related to a UTI and/or prostatitis.

Instead of generating more self perpetuating anxiety, see a doctor and if these tests have not been done, get them done. If they have been done, start the antibiotics and wait for test results. 

 EWH

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While acquisition of chlamydia from receipt of oral sex is relatively uncommon, it does happen and it is the major other STI that causes STI-related epididymitis.  As I have said on several occasions above, a number of things suggest that what you are experiencing is NOT an STI including your age, the long period between your exposure and the onset of your scrotal discomfort and the lack of STI signs, amongst others.  That is the reason I suggested other tests (i.e. a urine culture).  EWH
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This will be my final reply.  You are not reading my replies correctly and appear to be letting your guilt and anxiety surpass logic and the need for more information.  Please re-read my earlier replies carefully, consider the additional steps I have suggested.

There will be no further replies and this thread will be closed shortly.  EWH

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