A 42-year-old male asked:
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Ngu from oral sex 1yr. No discharge 1g azithromycin, 2wk doxy, 6wk cipro (ciprofloxacin). All swabs since neg but still feel symptoms. STDs neg inc MG & UU. What now?

1 doctor answer
Dr. Hunter Handsfield
52 years experience in Infectious Disease
Probably not NGU: NGU doesn't do this. Without discharge, it is unlikely NGU is the problem. Non-response to those antibiotics plus your test results mean you have no infection at all but probably a non-infection problem. Perhaps the chronic pelvic pain syndrome (CPPS) (google it for more info). Happily CPPS is an issue of comfort, not harm. Find a genitourinary med expert, e.g. your local NHS GUM clinic.
Answered on Jan 7, 2017
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Dr. Hunter Handsfield
52 years experience in Infectious Disease
Provided original answer
Re comments in private message: "Puffy meatus & slight irritation" do not qualify for diagnosis of NGU. Neither does a single episode of 7 WBC by urethral swab; probably everybody has that many PMNs sometimes. This isn't an infection and almost certainly not caused by the oral sex event a year ago. No point in further testing or treatment. Just live with it; no harm will come to you or partners.
Apr 8, 2016

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