This is a follow-up question on my question #9525 where you helped me already tremendously.

However I still have a question, since I realize I forgot a maybe important detail in my previous description of the events.

Before I start, I still feel often irritation/burning  AFTER urinating (not always, or not always in the same degree), and an uncomfortable feeling at the tip of my penis (as if I always feel my penis touch the cloth of my underwear).  No discharge seen.

The detail I forgot in my previous question :  12 days before I took the last test (full panel, see #9525) I took 1 Mg Azithromycine in a single dose. My question is: could this have led to false negative results for Chlamydia and Gonorrhea ?  Because the bacteria load was too low ?  And as a result have it now ?

I know anxiety/guilt is still playing a role in al this, what is your opinion on the idea that some symptoms such as described above could be caused by tension on pelvic floor muscle ?

I have an appointment with an urologist next week Thursday to let met checked.

Thanks in advance.

Kind regards,

H.

Dr. Hook's initial comments included the statement that oral sex "only occasionally leads to infection", and all evidence is that you were not infected with any STD. As for your current symptoms and test results, no STD causes discomfort after urinating, or could cause such a symptom only some of the time. Almost certainly this is the result of your anxieties magnifying trivial symptoms or normal body sensations that otherwise would not be bothersome or, even more likely, you otherwise would not even notice. I cannot judge whether pelvic floor muscle tension is the biological mechanism, but that doesn't matter. Your initial negative test result confirmed you did not have gonorrhea or chlamydia; and contrary to frequent belief, antibiotics generally do not cause false negative test results. They result in negative testing because they cure infections; they do not temporarily suppress them. Your second test confirmed you were not infected. 

Feel free to see a urologist if you wish, but personally I would not recommend it. I'm confident the discomfort you are feeling will fade away once you come to a true understanding (emotionally as well as intellectually) that you have no STD from the exposure described.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD 

Thank you very much for your answers. 

I know that this probably is all emotionally (anxiety extra fuelled by guilt), but sometimes emotion takes over from ratio.

I try to give it a place, and your answers certainly help.  The appointment with the urologist is made and I will go anyway, at my age (52 j) a check of prostate etc is noy a bad thing I guess.

I will keep you updated of the outcome.

Kind regards,

H.

As for your urological evaluation, it sounds like it agrees exactly with my opinions and advice, and it confirms you have no infection from the sexual exposure(s) you have been concerned about. I hope the medication helps.

That concludes this thread. I hope the two discussions have been helpful. Please note the policy against repeated questions on the same topic, exposure, etc. This being your second, it should be your last. Thank you for your understanding. Best wishes and stay safe.