[Question #8332] Follow up from question before

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46 months ago
Dear Experts 
So following up from my previous question I want to ask a few more things. 
1. Would the fact that I was on the massage table pose any risk for getting an STD. For example, if the massage table was not cleaned properly and I'm pretty sure it wasn't cleaned. For example, if there was the bacteria/virus on the massage table and then I sat on the table naked, would it be possible for me to get HPV.
2. From this oral sex encounter, I read that getting NGU was a possibility? So after this encounter, a part of my foreskin did appear redder and more painful when I touched it. Also I would say 1-2 months after this encounter, I started experiencing a dull feeling in my testicle. This pain is gone now but I had it for like a few weeks. I also had a nerve pain down both of my legs and both my legs feel quite cold however, this is not a constant feeling. It occurs on and off. I sometimes don't have it during the morning and then it occurs at night. I did not have burning urination but I also had some itchiness on my glands which lasted like a few weeks and then went away and  then sometimes comes back. Also sometimes when I get an erection, one of my feet hurts. I went to a urologist who thinks I have prostatis but he did not do a prostate digital test. It has been 2 years since this encounter and I still get symptoms to this day. I got tested for all STDS and it was negative but I'm not sure if I got tested for NGU. so my questions regarding this are 
3. Do my symptoms sounds at all like NGU? I am scared that I am an outlier and NGU was the cause of my prostatitis. 
4. Is there any way to test for NGU? I think the best solution would be for me to go get tested for everything that I can get from oral. What should I ask to be tested for? 
5. I have taken antibiotics a lot of times since this encounter(not for STDS though but for other things such as an eye/ear infection etc). For example, I have taken doxycycline 100mg for 28 days in a row once a day.

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46 months ago
5. Continuing on for 5. Would this dose of doxycycline have cured the NGU if I did have it? 
6. Is NGU contagious.
7. Can NGU cure itself without the use of antibiotics?
8. Are there any other STDS I should test for from this receipt of oral sex. 
I really am unsure how to proceed right now and from reading the forum about people experiencing prostatitis symptoms following oral sex, I am somewhat convinced I got the prostatis from NGU. (The first symptoms started 2 weeks after oral sex but then more and more symptoms started coming such as the testicle pain and foot pain)
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46 months ago
Just to add- (I also mean NSU as well as NGU )
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46 months ago
Also to add I have an itchy meatus one time for maybe like 1-2 weeks but besides that my urethra and meatus was fine. (no burning with urination etc)
Mainly most of the pain I have on my penis is on the foreskin area to the left. 
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H. Hunter Handsfield, MD
46 months ago
Welcome back, but sorry you felt the need. I'll be taking your questions this time, but I reviewed your recent discussion with Dr. Hook and agree with all he said.

1) Nobody ever gets any STI from lying on a massage table or bed, or from any other environmental exposure. 

2-7) Yes, NGU can be acquired by oral sex, but orally acquired cases are is believed to be harmless, due to entirely normal oral bacteria -- a trivial, non-worrisome condition. In any case, your symptoms are not at all suggestive of urethritis of any kind. They sound entirely emotional in origin -- your anxieties making you more aware of trivial symptoms or even normal body sensations that you otherwise would ignore or not even notice. Further, NGU would clear up on its own within few weeks: you cannot still have NGU from an exposure two years earlier. There is no lab test for NGU. And if somehow you had it, those antibiotics would have cured it -- and yes, NGU from oral sex probably always clears up on its own, without treatment.

8) No other STI is likely from the oral sex event 2 years ago. But if you haven't been tested for STIs in the meantime and would like the reassurance of negative test results, you could have a urine test for gonorrhea and blood tests for HIV and syphilis. If you choose to be tested, you can count on negative results.

NGU and NSU are just different terminology for the exact same condition.

The pains you describe are not possibly due to any STI. As for the other symptoms mentioned above, I strongly suspect an emotional origin.

It's time for you to move on and stop obsessing about a non-risky sexual event that you obviously regret. You have no infection of any kind from it. If you continue to worry despite the reasoned, science based reassurance you have now had (probably from your own doctor[s] in addition to this forum), you should consider professional counseling. Your worries are completely irrational. Also I strongly suggest you stop any and all internet searching about all this. Like most anxious persons, you are being drawn to information that inflames your anxieties. It isn't worth it.

HHH, MD
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46 months ago
Thanks Dr Handsfield for the reply. I have already taken a syphilis and HIV and gonnorhea test and all have showed negative.
Additional questions:
1. So what are the symptoms of NGU/NSU? If I did have NGU, would it be contagious? I am planning on taking a urine analysis test for my prostatitis soon and if it is free of bacteria, I guess I can assume I'm okay then? 
2. Not related, but is it possible for you to get gonnorhea/chlymdia or any of the bacterial STD from fingering of the rectum. Let's say I had my own body fluids from my penis on my hands and I have gonnorhea/chlymdia in my penis/urethra and then I fingered my rectum, would this be any risk? (so transferring it from your penis to rectum) I know this is an extreme situation but I am quite a paranoid person. If this did happen, would the doxycycline that I took have cured it?

Thanks 
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H. Hunter Handsfield, MD
46 months ago
1) NGU causes abnormal discharge of mucus or pus from the penis. If you don't have that, you do not have NGU. When acquired from oral sex, it is not believed to be contagious. 
2) No. You cannot get these STDs by fingering or the rectum or anywhere else. Nobody has ever been known to transfer any infection from their own penis to their rectum.

That concludes this thread. Repeated questions on the same topic are not permitted; this being your second, it will have to be your last on these issues. Such excess questions are at risk for being deleted without reply (and without refund of the posting fee). I do hope both discussions have been helpful. Best wishes.
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