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Urology (Expert Forum)
Prostatitis after sexual contact
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
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Prostatitis after sexual contact
by MikeTheMan, Dec 12, 2005 12:00AM
I am a 35 year old male that has suffered from bouts of chronic prostatitis for 7 years.
My symptoms are:
* A feeling of fullness in my testicles and they become sensitive.
* Pelvic pain on my left side (the right side if you are looking at me). More of a swollen feeling than pain
* Feeling of urinating more frequently than usual. I usually go every 6-7 hours. When symptoms are present I have to go every few hours and it isn't as much as usual
*My urethra feels like it swollen from the opening to my pelvic region.
I think initially it started from a Chlamydia infection that I was treated for 7 years ago. My girlfriend at the time was diagnosed with Chlamydia and I called my doctor and he called in an antibiotic for me. My girlfriend at the time was also treated with Antibiotics like I was. We didn't have sex until we were both tested and came back negative. Around this time I began having symptoms of Prostatitis. I was on and off antibiotics for years. The one thing is if I do not have sex I will not have any symptoms at all. If I masturbate I have no symptoms. If I have sex and wear a condom I have no symptoms. Just when I have sexual contact with a woman does it flare up. Either oral or regular sex. I use a condom but from time to time if my penis even comes in contact with the outside of the vagina just for a few seconds the next day I have symptoms. Then if I take an antibiotic for a few days it goes away. I know it isn't caused by any type of food because I usually eat the same things and if I do not have sex for a long period of time I feel fine. I have been tested for STD's and they come back negative. The Urologist suggested a seamen culture a few times and most of the time no bacteria is found. At times when bacteria is found the Urologist didn't think it was related because it was a common bacteria. (Sorry don't remember what it was). This happens with every woman I have been with over the last 7 years.
My questions are:
1 - Could this be in my head? I do not think my mind is imagining this but could anxiety lead to these types of symptoms?
2 - Could my body just get infections from oral sex or vaginal contact? What I mean is my immune system compromised? Maybe from years of Antibiotic treatment? Funny thing is that I never get really sick so my immune system is fine every where else in my body
3 - I heard of a book called "A headache in the Pelvis" where they discuss many symptoms I have. Can any DR. here recommend this or is it just another waste of time?
As you can imagine this has ruined my sex life. If I don't have sex I don't have the symptoms. So when I feel fine I want to have sex but get discouraged by thinking about afterwards. This has given me low self esteem and crippled having any kind of meaningful relationship. If you can offer any kind of help I would appreciate it
My symptoms are:
* A feeling of fullness in my testicles and they become sensitive.
* Pelvic pain on my left side (the right side if you are looking at me). More of a swollen feeling than pain
* Feeling of urinating more frequently than usual. I usually go every 6-7 hours. When symptoms are present I have to go every few hours and it isn't as much as usual
*My urethra feels like it swollen from the opening to my pelvic region.
I think initially it started from a Chlamydia infection that I was treated for 7 years ago. My girlfriend at the time was diagnosed with Chlamydia and I called my doctor and he called in an antibiotic for me. My girlfriend at the time was also treated with Antibiotics like I was. We didn't have sex until we were both tested and came back negative. Around this time I began having symptoms of Prostatitis. I was on and off antibiotics for years. The one thing is if I do not have sex I will not have any symptoms at all. If I masturbate I have no symptoms. If I have sex and wear a condom I have no symptoms. Just when I have sexual contact with a woman does it flare up. Either oral or regular sex. I use a condom but from time to time if my penis even comes in contact with the outside of the vagina just for a few seconds the next day I have symptoms. Then if I take an antibiotic for a few days it goes away. I know it isn't caused by any type of food because I usually eat the same things and if I do not have sex for a long period of time I feel fine. I have been tested for STD's and they come back negative. The Urologist suggested a seamen culture a few times and most of the time no bacteria is found. At times when bacteria is found the Urologist didn't think it was related because it was a common bacteria. (Sorry don't remember what it was). This happens with every woman I have been with over the last 7 years.
My questions are:
1 - Could this be in my head? I do not think my mind is imagining this but could anxiety lead to these types of symptoms?
2 - Could my body just get infections from oral sex or vaginal contact? What I mean is my immune system compromised? Maybe from years of Antibiotic treatment? Funny thing is that I never get really sick so my immune system is fine every where else in my body
3 - I heard of a book called "A headache in the Pelvis" where they discuss many symptoms I have. Can any DR. here recommend this or is it just another waste of time?
As you can imagine this has ruined my sex life. If I don't have sex I don't have the symptoms. So when I feel fine I want to have sex but get discouraged by thinking about afterwards. This has given me low self esteem and crippled having any kind of meaningful relationship. If you can offer any kind of help I would appreciate it
Doctor's Answer
by Kevin Pho, MD, Dec 13, 2005 12:00AM
, Dec 13, 2005 12:00AM
To answer your questions:
1) I would only consider psychosomatic causes or anxiety if all the other urological testing is non-revealing.
2) Irritation from intercourse can lead to discomfort in the glans penis - possible due to an allergica reaction or dermatitis.
3) I am not familiar with the book you are referring to.
I would consider imaging the prostate with a transrectal ultrasound. An abscess cannot be treated with antibiotics and may cause the symptoms if this is the case.
You can discuss this option with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
1) I would only consider psychosomatic causes or anxiety if all the other urological testing is non-revealing.
2) Irritation from intercourse can lead to discomfort in the glans penis - possible due to an allergica reaction or dermatitis.
3) I am not familiar with the book you are referring to.
I would consider imaging the prostate with a transrectal ultrasound. An abscess cannot be treated with antibiotics and may cause the symptoms if this is the case.
You can discuss this option with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_b
Member Comments (2)
by Science, Dec 13, 2005 12:00AM
To: Prostate
0
by brewtus, Jan 01, 2006 12:00AM
To: Prostate
0
