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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Continuing Pain While Ejaculation Despite Antibiotics Indicate?

Hi

2.5 weeks ago I had unprotected oral sex in which I both gave and recieved oral sex, no semen was swallowed all though there was some per-cum which I spat out. A few days later I noticed that I was having very mild pain whilst ejaculating and I got tested for ghonorrea and chlamydia a week after exposure, in which I received a negative result. The doctor did prescribe me anti biotics to fight prostatitis as he believes that might be the cause. I have now finished the 5 day course of anti biotics and I still am experiencing pain whilst ejaculating, although it is not as bad, but I'm starting to experience chills at night and sometimes and fever. I am concerned that the symptoms I am experiencing are signs of HIV. Could you please tell me if I should be concerned?
Fri, 15 Jul 2016
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Urologist 's  Response
Hello
Thanks for query .

Fever with chills and painful ejaculation after oral sex is strongly suggestive of
acute Prostatitis .

Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Semen examination and semen culture

You need to take antibiotic as per culture report for a long time .
In the mean while start taking Doxicycline and anti inflammatory medication like Diclofenac twice daily and later on switch on to appropriate antibiotic as per culture report .
.
Ensure to avoid sexual encounters it gets cured completely,

As regards your doubt about acquiring HIV .Please note that HIV is transmitted only through intra vaginal sex with infected female partner and never with oral sex .

Dr.Patil.
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What Could Continuing Pain While Ejaculation Despite Antibiotics Indicate?

Hello Thanks for query . Fever with chills and painful ejaculation after oral sex is strongly suggestive of acute Prostatitis . Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis. 1) Urine routine and culture. 2) Ultrasound scanning of abdomen and pelvis 3) Semen examination and semen culture You need to take antibiotic as per culture report for a long time . In the mean while start taking Doxicycline and anti inflammatory medication like Diclofenac twice daily and later on switch on to appropriate antibiotic as per culture report . . Ensure to avoid sexual encounters it gets cured completely, As regards your doubt about acquiring HIV .Please note that HIV is transmitted only through intra vaginal sex with infected female partner and never with oral sex . Dr.Patil.