[Question #7628] Chronic PID
53 months ago
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Edward W. Hook M.D.
53 months ago
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Welcome to the Forum and thanks for your detailed history. I'll be glad to comment about several aspects of your situation:
1. Your exposures. You don't say much about your past sexual partners and I'm not sure that further information would change my assessment. Most people, even most people with risky lifestyles, do not have STIs, and even when they do, even most unprotected exposures do not lead to transmission. In your case condoms were used and correct and consistent condom use reduces risk for most STIs to virtually zero (FYI, when condoms fail, typically they break wide open, they do not leak just a little. If your condoms appeared intact after use, they were. Bottom line, these were low risk exposures
2. Your tests. STDCheck.com uses highly reliable laboratories to run its tests and the tests currently used for detection of STIs, including HIV are among the most reliable tests in all of medicine. Your tests were performed at a time when your results, including results for HIV were entirely reliable and should be believed. They rule out STIs.
3. Possible causes.. I do not have the advantage of examining you but I can start by assuring you that you did not get an STI, including HIV from the exposure you have described. As for what may be going on, that's harder to say. Not all of your symptoms may be due to a single process. Sometimes when we start looking for signs and symptoms we start to notice things that are normal or which have been present for a long time. Widespread lymph node swelling may result from viral infections such as mononucleosis but these problems typically resolve in a few weeks to months. The genital area discomfort is hard to assess but unlikely to be due to an STI. When persons have tingling at the tip of the penis, this can be due to prostatitis which is virtually never due to STIs but rather results from other types of inflammation of the prostate gland, If your urinalysis did not show signs of inflammation then it is unlikely that this is prostatitis. Some of your symptoms also suggest the chronic pelvic pain syndrome (CPPS) which is well describe in Wikipedia and as not an STI.
My advice is that this is almost certainly not an STI. As to what it may be, that is tougher to say. I'd suggest you work with your own doctor to continue to search for an answer. Sometimes these things take a while to make themselves known
I hope these comments help. EWH
53 months ago
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Edward W. Hook M.D.
53 months ago
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53 months ago
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Edward W. Hook M.D.
53 months ago
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The evidence provided by your test results far outweighs the nature of your partner and associated risks. Further, I am not doubting your symptoms or how much they trouble you. That said, your negative test results rule out STIs including HIV as the cause of your symptoms. In addition, gastrointestinal bloating and vomiting are not STI symptoms
I can only presume that the reading you are doing is on the internet where, unfortunately much of what is said is incorrect, misinterpreted or out of date. The idea of a highly variable and prolonged "window period" is a widespread internet myth. I urge you to accept and believe your test results. believe your qualitative test results. Repeat testing is not going to change these results. I encourage you to pursue other causes of your symptoms and not to allow your continuing concerns delay evaluation of what is actually causing your symptoms.
As you know, we provide up to 3 responses to each client's questions. This is my 3rd response. Thus the thread will be closed shortly without further responses. EWH