Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

196 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Treated for bacterial prostatitis. Tested negative for std and uti. Looking for suggestion

Answered by
Dr. Sudhir Kumar


Practicing since :1994

Answered : 5700 Questions

Posted on Sat, 8 Dec 2012 in Urinary and Bladder Problems
Question: I'm being treated for bacterial prostatitis. I'm feeling pretty much back to normal but I have a question related to the possibility of my condition not actually being prostatitis but something else. I have had a full blood profile that shows I have no STDs, but I am still curious about something:

I recently had a urinalysis done that showed I was completely clear of pathogens in a 24 hour and 48 hour culture. My question is...let's say in theory I did NOT have prostatitis, but instead had chlamydia or gonorrhea, would something/anything show up on the urinalysis that would tip off that something was wrong?

I am a virgin in the term of intercourse, but I have had oral sex and my symptoms did show up after receiving oral sex. But, I showed no symptoms of either of those diseases but all symptoms pointed to prostatitis so the doctor just considered it a coincidence since I have been treated for prostatitis in the past.

So, my curiosity is still raised since my symptoms came on after oral. I have a round of Zithromax I could take just in case.
Follow up: Dr. Sudhir Kumar 4 minutes later
Sorry, it wasn't a urinalysis that is tested that day, it was a urine culture and they did a 24 hour and 48 hour test on it. Each one reads "no pathogens" next to it.
Answered by Dr. Sudhir Kumar 4 hours later

Thank you for posting your query.

First of all, I wish to reassure you that there is no evidence of any UTI) or sexually transmitted disease (STD) in your case.

Both Chlamydia and gonococci infections, if present, would show up in urine culture. So, a negative culture rules out both the possibilities.

Also, there is no risk of getting UTI with oral sex.

As of now, there is no need to take any antibiotics, as there is no evidence of infection at present.

I hope it helps. Please get back if you have any further queries.

Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Sudhir Kumar 52 minutes later
Hi doctor,

Thank you for your great and reassuring information. My question from here is that how would one acquire prostatitis from right after an oral sex encounter? I mentioned earlier I am nearly pain free from taking other antibiotics but I still feel some pain from it. It has happened to me twice and has lingered for months. And although again I feel almost back to normal, it's still there a little, and the timing of it made me think it could be something else that we discussed here.

However, with a clean urine culture and clean full blood profile for STD, what could possibly be left other than prostatitis that this could be? Thank you!
Answered by Dr. Sudhir Kumar 25 minutes later

Thank you for getting back.

One can get prostatitis without sex. So, in your case, prostatitis is not related to oral sex. Just as one can get UTI without sex, prostatitis can occur too like that.

In some cases, urine culture would be negative. For prostatitis, treatment is often empirical (diagnosis made based on the symptoms). Sometimes, a rectal examination can reveal tenderness when pressed over the prostate.

A good ultrasound examination can reveal changes in prostatitis and can also show up any alternative diagnosis.

I hope it clarifies. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Medical Topics ,  

Recent questions on  Prostate

doctor1 MD

My husband has really bad leg cramps at night they are also starting to bother him during the day. He has tried everything and asked every doctor what to do . He was just told 4 weeks ago that he has prostate cancer could this be the cause of his leg cramps?

doctor1 MD

my brother had a prostate surgery last year and there after cancer was detected.he was put to radiation treatment and had a nine week course.after that psa level got down and he was ok. but after about six months since last three months he is suffering from heavy urinal bleeding. sometimes blood clottes block the urinal path.

doctor1 MD

i have notice when i wake up in the morning there is blood in my underwear some times i go for weeks with no pain or visible blood had prostate exam prostate is not enlarged did have a urinary tract infection about 1 year ago been taking antibiotics for about three months dont know what to do

doctor1 MD

I am 52, 6 feet tall and weigh 160 pounds. I am very active physically for recreation, either walking or cycling. I cycle more in the summer and about a month ago I noticed nonspecific discomfort in the area between my penis and anus while out cycling immediately after having a double unusual dosage of caffeine for me. I am a physiotherapy (orthopedics) lecturer who has not practiced in almost 20 years. I have palpated the area and found no specific areas of tenderness or swelling though I have varicosities in my scrotum of long standing. I had the prostate blood test this spring and it was negative and this was the second negative test in the past 4 years. I have also had 2 colonoscopies in the last 15 years, both negative. The discomfort has been consistently mild and can be brought on with a full bladder and prolonged sitting (I just sat in a car for 18 hours over the last 2 days). The best way to describe the symptoms is what I have always referred to as blue balls though orgasm has not relieved this problem. Please advise. Thanks.

doctor1 MD

Dear Dr. Ditah, THANK YOU for asking me how I am doing, as I do have several follow questions for you Here goes: 1. I have believed for some time now that I have some form of inflammation or infection in the area of my eye cage and forehead. This...

doctor1 MD

I am a 39 year male and I am urinating every 30 minutes to 1 hour. I don't have any pain or discoloration. Just concerned at how often im going I'd like to know what this could be if anything dangerous or to be concerned of.

doctor1 MD

I have a bladder that is not functioning and have been self cathing for almost 7 weeks. The problem is not with the actual cathertization but after I finish...and not always immediately...I seem to have what I would term an ache or almost like a...