I had prostatitis for a long time and it went away about 10 years ago.  Recently after each incident of  having oral sex performed on me I get symptoms of prostatitis, burning scrotum, burning perineal area, a little burning tip of penis, 1 instance of a little burning after ejaculation but no burning upon urination etc.  it will usually all go away after a few weeks.  Sometime after a few days.  I have had urine tests for Gonnoreah and clamydia many times and they are always negative. I also was tested for M genatalium and that was negative.  I’m also very anxious and tend to have many somatic symptoms in the past.  Do you think this could be some undetected std or just my anxiety?  Do you see many people post symptoms related to what I describe and it just be anxiety?  Thanks for your help.

Welcome to the Forum.  Thanks for your questions.  I’ll be glad to provide some preliminary thoughts but I would also suggest that if these problems persist that you speak with your urologist about these problems. The reaso I say this is that prostatitis is almost never an STI.  Instead, it arises from the introduction of bacteria into the prostate gland, either through the blood or through the urinary tract.  Only a limited number of antibiotics get into the prostate gland and because initial episodes of prostatitis cause scarring, persons who have had prostatitis have a tendency for their infections to recur.  There are no scientific data to tell us that receipt of oral sex represent a risk factor for recurrence although clearly sexual activity can lead to recurrent symptoms, some of which are infectious, some of which are not and represent mechanical issues.---

I’ve had recently a negative urinalysis, WBC and leukocyte esterase and nitrate all negative.  I’ve had the urinalysis a few times all the same negative.  My PCP evaluated me for prostatitis and said my prostate was normal.  I’m at a loss with this, I’m thinking it’s CPPS.  But if another round of STD test are negative is it safe to say it would not be STD related and more my guilt and anxiety causing this?  

Thanks for the additional information. The normal urinalysis makes the likelihood that this is recurrent prostatitis or any other infectious process close to zero. Sometimes, in persons who have had prostatitis in the past, scarring form the infection can lead to recurring non-infectious symptoms. Alternatively CPPS is an appropriate consideration. I do not see a need for further STI testing but if you choose to do so, I am confident that the results will show that you’re not infected. Guilt and anxiety are common in persons with CPPS. Working through this, with professional counseling assistance if need be is a reasonable strategy. I congratulate you on your thoughtful and mature approach to your problems. EWH ---