Question: Hello,
I received oral sex during a one-night stand about 8 weeks ago. Within a day or two of the encounter, I was suffering from urethritis symptoms. I went to the clinic (three days after the encounter) and was found negative for any STDs/STIs, though I was even treated on site, as a precaution, for both chlamydia and gonorrhea. The symptoms continued, worsened and changed over time. I went to another walk-in clinic and was tested (via dipstick) for a UTI, which came back positive. Antibiotics helped some but certainly not eliminated the issues. I have since suffered from fever, chills, dizziness, nausea (extreme with vomiting in mornings after only a little alcohol consumption), frequent urination, abdominal ache/pain, testicular ache/pain, penile and testicular discoloration, pre-ejaculate over-production, burning semen (it's actually burned the tip of my penis causing immediate discoloration), itchy foreskin. On top of that, mild to severe rectal pain that may be chronic hemorrhoids. I've at no point experienced any discharge burning DURING urination, but urethral burning has and does occur at other times. Collectively, I've completed a week on erythromycin as well as 7 weeks on cipro after my doctor presumed I had prostatitis. The antibiotics certainly seemed to have helped the symptoms and I've had symptom free days of late. However, the urethritis seems to be returning, particularly after ejaculation. Pre-ejaculate is still present and excessive.
I'm still awaiting the results of a PSA and a follow-up STD urinalysis. My doctor is set on diagnosing me with Chronic pelvic pain syndrome, which I refuse to buy in to, given my recent infection diagnoses.

So the question remains, what is this?
1. Mycoplasma genitalium? And would that have been screened for during the initial STD screening included in the swab and urinalysis? The Erythromycin did render a very successful initial response.
2. A run of the mill UTI that just hasn't been treated with the right antibiotic?
3. An antibiotic resistant pathogen?
4. Fungal or viral?

Thank you so much for your time.
Mark.

I'm not 100% sure the dose of the Erythromycin, but I believe it was 500mg/day for 7 days.

What about a pH imbalance in my semen?

So, a semen culture and sensitivity test would give very clear results as to the nature of the infection?

In regards to the culture and sensitivity test of my urine, it was only done the once, if I understand correctly. In follow up exams, urinalyses were microscopic and rendered no conclusive evidence of bacterial infection.

Can Mycoplasma genitalium be passed on by oral sex? I've heard mixed reports.

Thanks, Doctor.

.... Ps. and based on the one urine dip done, I was prescribed cipro, but I'm not sure if that Doctor took any time to assess the requirement for treatment.

I'm not sure about pus cells.

Could a semen culture/sensitivity test determine if the infection was due to yeast, as well? What about pH?

As a subsequent inquiry, my current girlfriend has Crohn's disease. She's since performed unprotected oral sex on me. She hasn't consumed any of my semen, but I would presume some other seminal fluids prior to climax. Coincidentally, she's been suffering with some apparently new symptoms, presenting as a burning, first in a concentrated location in her stomach and today, more so throughout the lining of her intestine, along with frequent trips to the washroom (not so abnormal).
Is it possible the pathogen I'm hosting could be complicating her condition???

Thanks again, Dr. XXXXXXX I greatly appreciate your time.