4 Months of Penile Pain, Irritation, Dribbling, Rash - No STD or Diagnosis. Help!

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Hello, I am seeking advice! I am 32 years of age and situation has lasted over 4 months. It started when a female at a strip club slid her hands into my pants and rubbed / grabbed my erect penis near the urinary meatus (opening). I felt a sharp pain at the time (not sure why honestly). I feel like perhaps it was due to her rubbing near the meatus.  The symptoms below started almost immediately from what I can recall.

Symptoms:

1. Slight rash on the top of the penis glans (head of penis). It is worse after a hot shower. It comes and goes, and can appear almost like a plaque covering, scaly at times. It sometimes starts at the top of the corona (where head meets shaft) and runs straight down to the urinary meatus (opening) like a stripe.

2. No visible lesions (or blisters) or warts on the exterior skin surface. Does not appear to be any internally as well and doctors have not been able to observe anything.

3. Slight purple on one side of urethra, when the meatus is opened to look inside. A small bump is near the top of the purple, or tip of the meatus; however, two urologists believe it is vein related.

4. After urinating, urine dribbles out of the bottom of the meatus. The meatus opens and closes (at the bottom) and urine drops drip / discharge. I have to wipe considerably. The glans around the meatus looks swollen (more one side) and when I press on it, urine will discharge. It is almost like urine gets stuck in the tip of the urethra.

5. No noticeable discharge, but the penis appears and feels “wet” inside, especially post urination. It seems that I am leaking / dribbling throughout the day, after urinating. Urine color is clear.

6. Pain consistently on the underside of the glans near the meatus. The pain can sometimes be very sharp and burn. I also feel a tickle or tingle sensation in the head of the penis that comes and goes. The entire glans is sensitive to touch. This is extremely irritating.

7. The meatus looks red and inflamed at times. It can be very sensitive or painful to the touch and irritated by clothing. This feeling comes and goes in intensity.

8. The bottom of the meatus opens wide (top remains closed) when the penis has increased blood flow and/or is erect. This is abnormal for my body. You can see directly into the urethra when this happens.

9. When erect, the glans / head region seems larger than it had previously and I would describe it as swollen. There is also an internal pain near the underside of the meatus, where it opens up near the bottom (as described). Feels like it is stretching / pins and needles.

10. The glans has a more prominent reddish rash, during and after an erection. The rash appears like I have scaly / dry skin. Post ejaculation my urethra appears red and inflamed as well, when looking inside the meatus. This subsides after some period of time.

11. Semen color seems to be more yellow that I remembered, prior to this incident. Sometimes I feel like there is pressure on the front of my testicles.

12. The pain and irritation increase throughout the day. When I wake up in the morning the symptoms are not as noticeable, besides a dull pain on the under-side of penis glans. Sometimes there is some redness on the top of the glans area.

Testing:

I have been well tested (multiple times) and am negative for the following STD's; HIV (RNA testing done as well), Chlamydia, Gonorrhea, Trich, HSV-2, Syphilis, Mycoplama & Ureaplasma, Hep A, Hep B, & Hep C. Again, all negative.

I found in this process that I am HSV-1 positive and likely have been for some period (so is a large % of the population).  I have had  blisters and a HSV like rash on the bottom of my nose in the past. I don’t think this is HSV-1 as there are no lesions in my genitals and this has gone on too long.

Due to viral load factors, I tested the viral infections (HIV, HSV-2, Hep) at 30 days and again at 95 days post exposure. I assume that I am in the clear based on statistics, but am certainly not a doctor. These tests were unlikely to be positive given the event as there was no intercourse.

Urine analysis looked okay. Red and white blood cell counts were okay, no bacteria infection or UTI found or diagnosed based on urine culture.

Treatment:

I have seen 5 urologists, 1 dermatologists and 1 family practice doctor. I have had 2 cystoscopies, and nothing was found (same urologist).

A family practice doctor thought it was due to some soap or lotion, but referred me to the 1st urologist. He thought nothing was visually wrong.

The 1st and 2nd urologist  said they have no clue as there was nothing outside of normal visual tolerance. The 2nd urologist gave me the 2 cystoscopies (camera up the urethra to the bladder) and nothing abnormal was found.

2nd urologist thought it was contact dermatitis due to the rash as nothing surfaced in either cystoscopy. My prostate was examined physically and was ruled to be okay. He referred me to another urologist and also said I should see a dermatologist.

The 3rd urologist confirmed the inflammation in the glans. He suggested to try Quercetin (there are clinical trials which have shown it has helped the prostate) and then potentially Doxy over a longer period as a next step (can be anti-inflammatory). My fear is taking an antibiotic without having a bacteria pathogen diagnosis could be pointless.

The 4th urologist (who the 2nd urologist referred me to) believed that this was related to nerves in the penis. He is a pain specialist and put me on Nortriptyline.

The dermatologist (urologist said I should see one) also saw inflammation and diagnosed the rash as a non-infectious seborrheic dermatitis. He prescribed a topical antibiotic / corticosteroid, which I used. I also tried a steroid. It has reduced some of the redness but not relieve any of the described pain or urine dribble. I am concerned about the use of a topical for an extended period (skin thinning) and have stopped using it. I have a follow-up visit with him scheduled.

Medication:

1. Doxycycline 100mg x2 times a day for 10 days, initially when symptoms started. No relief.

2. Topical cream for rash: Ala-Quin initially for 4 weeks, then tried another steroid cream. Has somewhat resolved the rash issue (not totally).

3. Metronidazole (Flagyl) 2g, x 1 dose for Trich as there is not a great test for this (urine apparently has weak sensitivity). Trich can cause swelling, come and go symptoms, etc.

4. Nortriptyline 20mg every day to resolve nerve issue. I just started this.

5. Supplements currently taking: 1g of Quercetin daily (shown to reduce inflation in clinical trials), Multivitamin, AHCC, Folic Acid, Vitamin E and B12.

The symptoms continue to persist and these treatments have not worked.

My Questions:

1. Does this sound like an STD? Could it be another bacteria pathogen or NGU?

2. If this nerve related due to some trauma, would it cause the rash?

3. Are there any ideas regarding further testing or a diagnosis? I was considering a semen culture but don't know where to have this done.

4. Would a HPV virus cause these symptoms? In men, I believe the HPV virus is typically asymptomatic and/or presents itself with warts.

5. How can I test for HPV other than a biopsy of the penis or penis scrape (which most doctors don’t perform)?

6. Could this be yeast related based on the symptoms? I have noticed an increased coating on my tongue which scrapes off and dry mouth symptoms. I have also noticed the coating and dry mouth is much worse after drinking alcohol or eating sugar (yeast related).

I should mention that my anxiety over this is through the roof and am aware of some changes in my body as a result of it (anxious, no hunger at times, weight loss, etc.). I also think the dry mouth could be related to anxiety.

Please, I am looking for some help! I know there is someone out there that can help me as this has gone on for so long. This is such a struggle and always on my mind.

Further, I am terrified about infecting a new person who I just started dating. A couple doctors indicated that I was safe to have intercourse as I was well tested, but I don’t feel right about having intercourse with the symptoms persistent.

Thanks all for your help. - Steve

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  • Posted

    You know what to do. Sort out the symptoms and then things will go well for you.

  • Posted

    READ THIS. its mycoplasma or ureaplasma have your sperm tested.!!!!! i lived in horrible pain for 3 months i went to 20 doctors in canada. i had so many tests done they never found anything. i came to mexico and paid for every damn urologist i find.

    one finally got a sperm culture and a urethral swab done specifically for mycoplasma and ureaplasma. i think the swab would of came back negative if it wasnt for the fact that i gave the sperm sample first on the same day but thats just a guess. it came back positive for mycoplasma. im starting treatment now. i heard its a tough one to kill. good luck fellas!

    • Posted

      hello please can u tell me what the doctor gave you what are you using now ? and did u got a thrush red glans and some burning stuff because im the same and next week i will do test what should i tell the doctor every time my sperm touch my penis it gets more red

      thanks

  • Posted

    hey. I'm dealing with same issues. I've done the doxy and flucanozole w/ no luck. Im still leaning toward the Candida Albican as the source. Have you figured out the source of your issue yet?

  • Edited

    Hey everyone, Ive been dealing with this for 14 months. Spent a lot of money on antibiotics, doctor visits, STD tests, and home remedies with no change to the problem. Then I bought tea tree oil foot cream on amazon from majestic pure cosmeceuticals. I used a Q tip to rub the cream inside my penis every day and night for about a week. It finally went away. I don't have it anymore. Hope this helps everyone. If it does, don't hesitate to help me recoup my expenses for being the guinea pig.

    Litecoin address: ltc1q9g72al4t7zrtjzfhg9guwpskunnmfcyjcc7x9z

    • Posted

      can you post a picture of the cream you used please. and your symptons?

  • Posted

    Hello friends,

    I am 39 yr old. Was regularly masturbating once or twice a week (and at times for a long duration each time - like 30 minutes) till i started having burning/stinging at my urinary meatus in Jul 2020. Initially the burning was when i peed. I even had a split stream in my urine for 4-5 times (not related to ejaculation).

    I stopped masturbating for the next few months. Started to feel little better.

    Since last two months the symptoms have come back again. I even noticed my meatus getting red while ejaculating. My main issue now is burning/stinging that occurs during sleep that wakes me up. This stinging typically happens one or two days after i ejaculate. I had my urine culture - which was negative and I am going for my Semen culture and sensitivity.

    I would be grateful if anyone of you could provide me with any information or suggestions to help with my condition.

    • Posted

      Semen culture has come back negative. No Neisseria gonorrhea isolated.

      symptoms still continue.

  • Edited

    Hi Gentlemen,

    Good news, I had this and now, it's gone! I hope this helps some of you.

    I came across this thread a couple of months ago when I was battling with a similar condition. Glans/head of penis was inflamed, no infection, antibiotics did nothing, it hurt when I urinated, ejaculated, and often, when I was just sitting there. It lasted 3.5 months. I saw three different doctors who recommended different things. They threw out all sorts of names and conditions and treatments, and I read a lot of stuff online. Here's what ultimately worked for me.

    1. Second most important thing - ejaculate once a day. Sex or masturbation, but if it is sex, wear a condom, otherwise your penis will get more irritated. It hurt in the beginning (kind of an unpleasant experience for something that's supposed to be pleasurable) but I stuck with it daily, and after a few weeks, things started to subside.
    2. Avoid spicy foods - they can irritate the bladder, prostate, and urethra, so take a break for a month. Eat bland.
    3. If you drink, stick to red wine - anti inflammatory properties and doesn't go through you like beer does
    4. Exercise - I recommend a combination of strength training and cardio
    5. THE SINGLE MOST IMPORTANT THING - avoid stress. A lot of what I'm reading here are from guys like me who are hypochondriacs. Here's the best thing my urologist told me - your penis is going to look different every hour. It's going to change color, spots might come and go, even the texture might change. This happens to everyone. I started to realize that I was obsessed with how my penis was feeling all the time. In addition to the other stresses in my life (I also work two jobs, etc.) I was putting the weight of the world on my penis and the result was this terrible feeling. So, I realized the stress wasn't worth my health and happiness, and I just focused on not letting myself get stressed out. This is something I'm working on all the time, but once I let go and learned to relax a bit, everything got better.

    Good luck, everyone. You all can and will get better. I hope this helps.

    • Posted

      hey mate, do you mind describing your symptoms and when it began ? Cheers

  • Posted

    I was wondering if you have ever found a solution? I have the same issue and have had it for about 6 years now. I got it under very similar circumstances but I can tell you after the years of searching for a solution here is what I know from experience.

    1. It seems to be saliva driven. While my wife and I have had numerous std tests (all negative), I cannot receive oral sex without the irritation becoming 10X. I also wasnt thinking recently and sneezed in my hand and without thinking and touched my junk. Within 24 hours I had the strong irritation. Therefore whatever this is I believe to be contagious. While my wife exhibits zero symptoms, I seem to get a stronger version of the infection if either my or my wifes saliva touches the head of my penis. At first I thought I had contracted some sort of STD (which I still believe this is) but its not one that the doctors I have visited have been able to pinpoint. I have been tested for every STD at least 5 times now and I have come back negative for ALL of them. I believe I got it from a stripper spitting on her hand and sticking down my pants. Its the only thing that makes sense and I started having symptoms almost immediately after my encounter.

    2. It never goes away but subsides significantly so that I only notice when I am thinking about it. Other times like now it is painful like a dull annoying pain that feels like your skin got flicked on the head of your penis but it does not subside until my body has had time to fight the infection down to a lesser version of itself. I just fear that as I age the infection will get worse as my body cannot fight it as well. My biggest fear is penile cancer obviously.

    3. No doctors believe me. I have been to more doctors than I can count with no one even giving me an ounce of hope. I have tried antibiotics (numerous), anti-virals (including Valtrax because hey what could it hurt), anti fungals, creams, lotions, I have seen urologists, general practitioners, and dermatologists. I have tried every essential oil and home remedy and still no relief. The only thing that helps is went I am not stressed in life and have been getting really good sleep and I am very healthy. That being said it really never goes away it just temporarily gets more tolerable.

    4. The rash is so subtle in outward appearance, It is difficult to see. I can tell the discloration and irritated skin areas, but I can see how todays doctors who are looking for major abnormalities think its in my head.

    5. While I have learned to live with it I have major concerns long term. I am 43 now and I have noticed it gets a little worse every time I have a flare up for lack of a better term. It seems to get the worst when I am stressed which leads me to believe it is a virus. If it was fungal or bacterial, I believe it would behave differently. I am obviously not a doctor but I am college educated and understand physiology and infections.

    6. I keep checking these message boards praying someone figures something out. If anyone finds a doctor who believes them or has a theory or anything. All I know is that I am sane and not delusional yet the doctors seem to question whether I am manifesting a problem. Seeing all of these posts gives me hope because it has shown me that I am not alone. Really sucks for me because I had to share this with my amazing wife of 17 years that I allowed a stripper to spit on her hand and stick it down my pants. One stupid mistake that has caused me 6 years of fear and pain.

    If anyone has any new information or could give any updates I would be forever grateful. I should have taken the time to write this a long time ago but I feel embarrassed and ashamed of my actions, and I am a highly private individual. I am going to try to see an infectious disease doctor who was recommended to me by another doctor (who doesn't believe me but wanted to appear to me that he did.

    Good luck and thank you for having the courage to post first.

    • Posted

      thank you for the post! same boat with me , been 3 years now and it seemed to be getting better but not gone, i have the same symptoms as you do. i had an ear infection about a week ago and my general doctors gave me a steroid shot to boost my immune system i suppose and the next day it was like it all started over again for the worst , my assumption is the shot made it worse, so i met with a rhuemtologist today to see if he thought it could be reactive arthritis and he said no , but told me that steroid shots make an infection worse so it has to be some kind of infection, and i completely agree with him, he referred me to a infectious disease doctor as well, i have an appointment next monday so i will let you guys know what he says .

    • Posted

      also do you guys have pain in the tip of your penis when you get hard ? or when your penis is starting to get hard? mine never done that until i used a little bit of neosporin on it for about a week. now when i get hard the pain is almost unbareable .

    • Posted

      hey mate, check out my discussion i posted a few weeks ago. Very similar to you

    • Edited

      im at a loss on this as well. done everything i know to do, as of a few weeks ago my eyes starting hurting me bad and now both knees are hurting and tend to swell a bit briefly . went to the orthopedic and says he sees nothing wrong with my knees, eye doctor says i have a lot of inflammation on my nerves in my eyes, he gave me some drops for them but only made thongs worse... i dont know what to do anymore. i can barely walk somedays and no one says anytbing is wrong with me. as i sit in shame everyday and feel like im losing my mind. the thoughts of suicide are on my mind constantly . im a truly at the end .

    • Posted

      hey bro. i also now have pain in my thighs going to my knees and it hurts like hell. i am losing my mind but but lets not give up. I wanna ask, are you circumcised?

    • Edited

      that can be anything my joints hurt out of nowhere all the time please don't overthink i used to do it as well i had suicidal thoughts all day long i can't wear a normal brief or boxer shot because my meatus got so sensitive but trust me i can guarantee that a big part of your problems are mental like mine were I used to link everything to my penis my story is the same i used to spit when masturbating and that one time i hurt my meatus that's when hell started i was very bad for 5 months but after those 5 months I started living normally again wear lose underwear watch our for your testicles they don't do anything crazy when wearing loose underwear because your testicles might twits i know this because mine did had a surgery done to untwist them and after all that misery I'm still feeling strong and good stop masturbating give your penis some time try to get terra-cortril + polymyxine b this ointment helped me get rid of any pain in 5 days never give up remember people live with worse things i had this meatus problem after that my testicle twisted and that was not enough i had a fistula they cut my anus open life really humbled me

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