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Is burning during urination with increased frequency symptoms of herpes?

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Practicing since : 2005
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I had sex with a girl. protected vaginal the foolishly about 60 to 90 secs of unprotected oral. then another condom was put on and I finished vaginally after roughly 3 mins. after I washed in the shower liberally scrubbing as such is a habit that I have developed. I forgot to urinate immediately but did some after about 15 mins after my shower the girl said that she had not had sex for 6 months and had been tested at planned parent hood which I believe because she was very tight and she insists she is clean. we all know this could be a lie however the following day urinating was not the worst burning iv ever felt but it did burn a bit I do have a narrow urethra so this is not an uncommon feeling for the first unration of the day an I have not had sex for 3 months so my first thought was that I ejaculated with so much force that is torn or stretched my urethra my concern came later that day when after urination my urethra started to burn a dawl burn but still slightly uncomfortable. that was Thursday of last week. a week later the dawl burn still exisits but mostly only at night after work frequency of urination has increase quite a bit no redness unusual smelling ur no discharge no lessons or sores my concern is herpes but she didn't not have an signs of a cold sore or ever having one but we both know that doesn't mean much and I will be getting tested but it will do little to be tested so soon trech chlamydia and gonorrhea are more likely however then chances of that being transmitted in such a small window of contact time. on the other side of this I am hoping that this is just a urinary infection so I would like an opinion as when I urnated today and pushed I had a sharp pain that I felt from the inside my lower right abdomen to my urethra. but again the intermitate daul burn that occurs after urination and that is more noticeable at night an update I went to get a urine test. It was a instant test so I can only assume it is not that accurate however it came back negative for chlamydia and gonorrhea I have a blood test in the works for a hsv2 test which is now my major concern however the azithromycin which I took last night that I was given to treat the chlamydia and gonorrhea seems to be having significant effect much less burning durning urination and almost no burning after so my question now is that can I look to have this herpes test come back negative and if so what is the next coarse of action as I would like to get back to normal
Posted Sat, 22 Mar 2014 in Sexually Transmitted Diseases
Answered by Dr. Johny Chacko 4 hours later
Brief Answer: ?Herpes genitalis Detailed Answer: Hello, Welcome to healthcare magic, I went through the history and understand your concern. It is very rare to have only urethritis due to herpes without any vesicles or erosions over the tip of penis around the urethral opening. So in my opinion chances of herpes is very low however not nil. Another point which I want to tell you is as the oral sex was unprotected, you may contract HSV 1. Even HSV 1 can cause urethritis. So you should do HSV 1 and 2 IgM and IgG. I want to know what exactly was the test done on your urine. Was it a PCR for gonorrhoea and chlamydia. After how many days of exposure was the test done ? Was a urine routine and microscopy test done and if done how many pus cells were there per high power field? If there are more than 5 pus cells per high power field it means that you have an urinary tract infection. If RBC's are there in urine and if crystals are there it is a clue towards urinary calculi. Even urinary stones can cause dysuria, abdominal pain and Urinary infection. If the HSV 1& 2 IgG and IgM comes negative then do not worry about herpes. Hope this helped, I will be happy to clarify any further queries. Take care.
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