Early 50’s male. Had unprotected oral sex with new partner on 12/17. Began feeling a wetness at penis tip 2 days later but never saw any discharge and no spots in underwear, so assumed it was hyper vigilance.  This feeling continued and it felt like something was inside my urethra. There was no pain urinating. Decided to test for Gon and Chlam out of concern on 11/24 and those tests are negative. On 11/29 noticed discharge in underwear for first time after urinating and having to strain to urinate. It was not just a scant amount and was white.  I have had non bacterial prostatitis before and symptoms are very similar - pain in penis tip, perineal pain, abdominal discomfort; but never with discharge like this so I became concerned again, especially for NGU. Symptoms of feeling like tip was wet with some penis pain continued without noticed discharge again until 12/8 when again I had the same white discharge after urinating.   Does this sound more like NGU or prostate problems? And if NGU, is this dangerous to current female partners? I’ve read a number of your posts and have read that in the UK they don’t even treat NGU from oral and don’t believe that it has any ill effect on sex partners, but felt I should ask this question directly rather than try and glean too much from other posts. Thank you.

Welcome to the forum. Thank you for your question.---

Thanks Dr. H. I’m actually in the US, but was just noting something Dr Hook mentioned in a number of posts that NGU is sometimes not treated in the UK because it doesn’t have serious outcomes. I’m concerned about it and am going to be evaluated at the Drs. Office as soon as I can get in. I would like to point out that I took (2) LET dipstick tests which were normal. Does the lack of WBCs shown in the LET test make NGU less of a possibility?  Or can that vary and mean little?

OK, got it. Sorry I misunderstood.---

Update. I was seen and prescribed Doxycycline 100mg 2xday for 7 days. I think it was precautionary because no WBC was seen in urine sample and doc called it “clean”.  Anyway,I’ve finished the course and symptoms seems to get slightly better but the perineum pain, and penis pain after urinating remain. No discharge seen except today during a bowel movement when straining slightly.  I’ve read in this forum that if this was NGU that the doxy would have cleared it quickly. So, with symptoms remaining does this point more to prostatitis or am I missing something??  Thanks for your review and expertise.

All this argues strongly against NGU, and had you been in my care, I would not have recommended or prescribed doxycycline. Whether you have prostatitis or the male chronic pelvic pain syndrome isn't something I can judge from this distance. (You might google CPPS -- spell it out -- for more information.) The wikipedia article is good.) Whatever the underlying problem, the lack of clinical resolution on doxycycline argues strongly against an infection of any kind. This has absolutely nothing to do with the sexual exposure you mentioned in your initial question.---