But now I have an additional question. I took the test today, when I went to the lab the nurse told me that one of the conditions of the test was to "abstain from any sexual activity from 2-3 days for the test". To be honest I completely ignore this because Ive always heard only about not peeing 1-2 hours before the test, but never heard about sexual activity.

To be clear I did masturbate on saturday around noon so that counts as a sexual activity 1 day and a few hours before the test this morning, not the 2-3 days the lab seems to ask for

- How could sexual activity affect the test? Did I do it wrong for giving the sample today? The test I took is a whole STI panel via urine sample so in additional for Chlamydia and Gono it tests for mycoplasma genitalium, trichomonas vaginalis, uraplasma and other. (Just if that makes any difference). 

I gave aprox 60ml of urine sample

- To clarify a misunderstanding from my last question, I took 1gram of azithromycin in the form of 2 tables of 500mg. Should that cured chlamydia if I had it?

- About my HIV inquiry, as I told you I recently started feeling very sick and experiencing canker sores in my inner cheeks. My last test was at 10 months post exposure. Do you think I could be at risk as some sort of late seroconverter?

The reason you were advised to avoid sex after your new test obviously was not related to the reliability of the result. How could that be possible?? The reason is to avoid infecting someone if you are infected and before you know the test result, which of course is quite common in people tested for STIs. The nurse did not alter her standard, common-sense advice, perhaps not understanding that you have been seriously over tested and it is already proved you cannot possibly be infected. You did not need treatment with azithromycin, but yes it would have cured chlamydia if you had it.

There is no such thing as HIV "late seroconversion". It's an urban/internet myth. And it is impossible to have symptoms from HIV with a negative HIV test. (It isn't the virus that causes symptoms, but the immune response to HIV -- which is reflected as HIV antibody.)

Please do your best to stop obsessing about your ENTIRELY SAFE sexual exposure all those months ago, and your symptoms which cannot possibly be due to any infection from that event. And please carefully consider Dr. Hook's closing advice, which I just quoted again. Finally, please do not ask anything more on the forum:  you can be 100% certain that nothing you will think of can possibly change our professional evaluation and advice about your situation.

Best wishes to you.

HHH, MD

The conditions for taking the sample by the lab were:

I'm sorry to hear you still have symptoms. It has been repeatedly explained to you that your symptoms are not consistent with any STD and that no STD is a possible cause.

You have one more follow-up comment/question opportunity on this thread. Be sure you do not ask anything that has already been answered, or for which the answers are obvious from this and/or your previous thread.

Hi doctor, just to let you know my test came back negative as you anticipated. I do have a few questions regarding these non stoping symtpoms and some diagnose I have so far:

1. Urodynamic results came back abnormal. Residual urine, very weak stream and long time void, but my bladder is working just fine so the issue is believe to be physical. Another fact was that foley 16 couldnt reach the bladder. The main theory is a urethral stricture. What are your thoughts on this?

2. Could this physical blockage or stricture or anything could alter the urine test for STIs?

3. My urologist believes that the bladder not being able to empty completely is causing a lot of pressure to pelvic area causing all my symptoms. Could I have your input on this?

This is all VERY coincidental and all started after my exposure so Its very hard no to believe that it had something to do with all this. 

I saw this statement from you in one of your answers here: "I have never once seen or heard of any patient who turned out to have anything serious. Nobody with these problems later turned up with infertility, cancer, urethral stricture, epididymitis, or any other complication of the sort that can follow genital STDs and other infections."

 So clearly urethral stricture is something that can follow genital STD and infections. It there reason to believe my tests are wrong? What you would suggest I do? Please any advice would be useful and if I can ask you to be as thorough as possible. Thanks!

A lot of strong and unusual persistent symptoms like:

- Crawly pin prick feel sometimes in urethra in head of penis

- Discomfort is not localized in specific spot but mainly groin and legs

- Sometimes after masturbation my whole penis stays inflammed like all the skin around it.

- Urinary symptoms like weak stream, split stream, frequent urine and more, seems to vary and come and go but always somewhat there

- Chlamydia trachomatis

- Neisseria gonorrhoeae

- mycoplasma genitalium

- mycoplasma hominis

- trichomonas vaginalis

- ureaplasma urealyticum

- ureaplasma parvum

Is this a good test? I know youve said is not the same as DNA test

I agree that the sexual event indeed "had something to do with" your symptoms, but the connection definitely is not because of any STD or other infection from that event. Almost certainly the connection is psychological. And before you assume I'm saying the sypmtoms are all in your head, that's definitely NOT the case. They are real and physical, probably related to increased pelvic muscle tension (same idea as tension headaches causing real pain from increased neck and scalp muscle tension). If you really have a urethral stricture, it isn't from the sexual exposure. STDs cannot cause urethral stricture without first causing overt urethritis, which you have not had.

You'll need to keep working with your doctors on all this. Best of luck with it. However, please note that repeated questions on the same topic are not permitted:  this being your second about this sexual exposure and your unresolved symptoms, it will have to be your last. Such repeated questions are subject to being delete without reply and withour refund of the posting fee. Thanks for your understanding. Best wishes.