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Advice

Post a new topicby Guest on Sat Jun 29, 2002 5:55 pm

13 months ago, I foolishly had sex with a stranger on a business trip (she too is married). When I returned from the trip, I gottested for STDs and all tests were negative. Ever since then, I have had intermittent pain in the groin all the way up to above my navel. I have been on Cipro, Doxi, etc., none of these seem to do much. Sometimes the pain disappears for a few weeks and then upon having sex with my wife, I start having pain within hours or a few days. The pain may be on left about 45 degrees and 1/2 way between navel and groin. then, sometimes, it is on the right side. It makes it feel as though I have to defecate (which sometimes helps the pain). Occassionally, while defacting, I have a grayish liquid come out of my penis. Dr. thinks it 's fluid from the prostrate (I am 39 YOA). have been to a urologist he saw nothing under microscope. I also had an ultra sound (which reveled a small varicoeole and I believe a spermatocele). The dr. seems as puzzled as I and I am frantic with worry that I could be passing something dangerous to my spouse. I have had a CT Scan and reults aren't back yet. I am thinking Chlamydia or Prostatis, but am running out of patience with this whole thing. Even though the STD tests were negative, could it matter that I had urinated over an hour before the cotton swab test? Is there something the dr. could be missing? Thanks in advance.
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Re: Advice

Post a new topicby Guest on Sun Jun 30, 2002 10:22 am

There are dozens of similar posts on the forum. We do not have an answer to many mysterious syndromes associated with extra-marital sex, and suspect stress/anxiety/worry as the culprit. Please review the multiple posts/replies as they will be helpful.
Go to:

http://www.urologychannel.com/hcforum/search.php3?q=pain&FID=19&date=&UserName=&action=search&pagenumber=3

[quote] 13 months ago, I foolishly had sex with a stranger on a business trip (she too is married). When I returned from the trip, I gottested for STDs and all tests were negative... [/quote]
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Re: Re: Advice

Post a new topicby Guest on Mon Jul 01, 2002 11:41 am

These symptoms have not been restricted to those who have extramarital sex, as single men have reported problems (typically following unprotected oral sex). Also, married men who have had had multiple affairs previously without undue guilt have suddenly been striken. I certainly agree that stress and anxiety is a culprit in many cases, and such may be the case with you. One key is that you immediately decided to get tested after the affair, meaning you were worried from the beginning, thus possibly triggering a stress-related illness. Still, I have difficulty believeing that stress and worry alone creates penile discharges; though I know that frequent genital self-exams can inflame and may occasionally result in a discharge. Were you checking yourself over a lot?

I wish I had some answers, but all I can recommend is to perhaps ask your doctor for a longer prescription of antiboitics (maybe try Levaquin in lieu of Cipro for a month or two). I doubt you have chlamydia, and even if you were exposed to it, either the doxycycline or the Cipro should have been quite effective against it. You may also ask to have a sample of your expressed prostatic fluid cultured to see if anything grows in it. If so, then a particular antibiotic might then be found to be effective, whereas the Cipro and doxy have not.

If the doctors can find no infection, then your spouse if probably safe. In the case this is stress-related, try to calm down and not think so much about what has happened. Hot baths may help with the discomfort and aid you in relaxing. In time, this problem does seem to resolve, but whether this is due to a lowering of stress or due to the body finally fighting off a bacteria or virus is open to debate and speculation.
[quote] There are dozens of similar posts on the forum. We do not have an answer to many mysterious syndromes associated with extra-marital sex, and suspect stress/anxiety/worry as the culprit... [/quote]
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Re: Re: Re: Advice

Post a new topicby Guest on Tue Jul 02, 2002 8:20 pm

Thanks for the response, I have not checked myself out a lot. Normally the discharge is while sitting, trying to defecate. It is not always due to forcing or pushing, as sometimes it's there and sometimes it isn't. I was on Levaquin also and Septra DS. I have noticed that a heat pad helps and Motrin 800. I noticed last week after intercourse with my spouse (twice in two days), that I was very sore for several days. The pain can be below and above the navel. The CT SCAN ws fine, dr. tested urine for Chlamydia, awaiting results now. if nothing, then he is thinking Barium Enema and I am thinking prostatic exam of fluid. Thanks again. Thoughts?
[quote] These symptoms have not been restricted to those who have extramarital sex, as single men have reported problems (typically following unprotected oral sex). Also, married men who have had had multiple affairs previously without undue guilt have suddenly been striken... [/quote]
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Re: Re: Re: Re: Advice

Post a new topicby Guest on Wed Jul 03, 2002 10:30 am

My own thoughts are that the chlamydia test will be negative, and if you do the barium enema, nothing will be found, and I am hardly suprised that the MRI revealed nothing. But, to avoid lawsuits and to leave no stone unturned, doctors have to order these things, some of which can be very invasive and uncomfortable. I think that culturing the EPS is your next best step.

Note that having a lot of sex in a relatively short time period can produce some discomfort. That is, if you have not been having regular sex then all of a sudden you have a lot, stress on the body can be introduced. Patients with prostatitis are encouraged to have sex, but to have it periodically, i.e. every second day, rather than 4 times over a weekend and none during the week, say.

I think you will get better over time and treating yourself as if you have prostatitis seems to make sense. Again, try to relax, eat a healthy diet and get regular exercise and sex (be sure to use protection if you sow any more wild oats, including protection for any oral activities), and I think you will do well. Please keep us informed.


[quote] Thanks for the response, I have not checked myself out a lot. Normally the discharge is while sitting, trying to defecate... [/quote]
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Re: Re: Re: Re: Re: Advice

Post a new topicby Guest on Sat Jul 06, 2002 6:26 pm

Thanks again for replying. I need to askl what EPS is?

Thanks again.
[quote] My own thoughts are that the chlamydia test will be negative, and if you do the barium enema, nothing will be found, and I am hardly suprised that the MRI revealed nothing. But, to avoid lawsuits and to leave no stone unturned, doctors have to order these things, some of which can be very invasive and uncomfortable... [/quote]
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Re: Re: Re: Re: Re: Re: Advice

Post a new topicby Guest on Sun Jul 07, 2002 10:34 am

EPS= Expressed Prostatic Secretion (fluid expressed from a prostate massage).
[quote] Thanks again for replying. I need to askl what EPS is... [/quote]
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Re: Re: Re: Re: Re: Re: Re: Advice

Post a new topicby Guest on Sat Jul 13, 2002 7:35 pm

Sir: You say above that if the Chlamydia is negative and barium enema is negative, have an EPS done. If that is negative, you say my wife is probably safe. If not, what else could it be? I pray I don't have anything she can catch. The Chlamydia tests had to be sent to a lab, so no answer as of yet......

Thanks again!
[quote] EPS= Expressed Prostatic Secretion (fluid expressed from a prostate massage).
[quote] Thanks again for replying... [/quote]
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Re: Re: Re: Re: Re: Re: Re: Re: Advice

Post a new topicby Guest on Mon Jul 15, 2002 2:27 pm

I think that a culture of the EPS should have been done much earlier, actually. But, that is only my humble, cyberland opinion, and your doctor is clearly looking after you and you need to listen to him. Certainly, ask the doctor to culture your EPS to see if anything grows. I would not be too surprised if nothing of significance is found, however, but the test is easy enough to do.

I must ask, however, if your wife knows and if you have been having unprotected sex with her. While I doubt you ever had an STD, in the chance you did and gave it to her, she could have given it back to you after you were done with your antibiotic treatment.

While we can't be 100% certain, I would think that if these last test come back negative, that both you and she are free of STDs. I would then hope you can begin to relax and put this whole episode behind you. At that point, you may gradually find that you begin to feel better.




[quote] Sir: You say above that if the Chlamydia is negative and barium enema is negative, have an EPS done. If that is negative, you say my wife is probably safe... [/quote]
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Re: Re: Re: Re: Re: Re: Re: Re: Re: Advice

Post a new topicby Guest on Mon Jul 15, 2002 11:11 pm

I will ask dr to do EPS. Yes, I have been having unprotected sex with spouse. Thanks again for your advice.
[quote] I think that a culture of the EPS should have been done much earlier, actually. But, that is only my humble, cyberland opinion, and your doctor is clearly looking after you and you need to listen to him... [/quote]
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