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Struggling since 6 months - Testicular ache - Need your help
smrn_ posted:
Hi Team

Age - 26

I am writing in with a lot of hope of getting a useful advice. In September, 2013 I had a sexual contact (anal) with a sex worker post which I got balanitis (Yeast infection, Genital wart, Molluscum papule). I got in touch with a dermatologist and he cleared the infections. During same time I tested negative for HIV, Syphilis and HSV.

Things were going well, infections were clearing up when in January, when I woke up in the morning my right testicle was aching - low grade ache. I went to a urologist he prescribed a semen culture and sensitivity test. While I was waiting for the results the ache in the right testicle cleared up and the left testicle started having the similar dull ache. I used to have burning sensation on the scrotum sometimes.

The semen culture came out positive with moderate number of Klebsiella and insignificant number of Enterococcus. I was prescribed antibiotics as per the sensitivity report. The dull ache in the left testicle continued off and on. Sometimes I used to feel alright, sometimes the dull ache would come again. It was not hindering my normal life, other than the fact that I used to feel extremely frustrated when the testicle used to ache.

During the last 6 months I have gone for several tests - 4 ultra sounds/Doppler - all clear, HIV - negative once again, VDRL - negative once again, Chlamydia (done through urine sample) - negative, Examination by a vascular specialist for Varicocele - negative, Urine test - negative (No UTI, no problem in urinating)

Since the last 2 months I have been taking - 200 mg Doxycycline + 1000 mg Cipro + 1000 mg Azithromycin + 1g monocef (Ceftriaxome) - everyday to rule out any possibility of an STI.

How the condition has changed in the last 6 months is the frequency of testicular ache in the left testicle has reduced (as it comes and goes) - I feel dull ache in left spermatic cord - some weird sensations in the scrotum on both the sides (can't explain in words). and dull ache in both the knees - No constipation, never had one.

I am still waiting for an accurate diagnosis for the condition (let alone the treatment). I don't even know if this is related to the contact I had in September (after which I did not have any other contact).I am really worried about my fertility as I am still not married.

I would really appreciate if someone can guide me on how to proceed with the condition - which tests can help me in diagnosing the condition.

Please do write back in case you want me to clarify something.

Thanks in advance - waiting for a reply in anticipation.
georgiagail replied to leifok's response:
This person isn't asking about dating with an STD you moron.

smrn_ replied to georgiagail's response:
Update: I was put on linezolid (600 mg, twice daily) by my urologist, and he told me stop all the other medicines. 6 days down the line it seemed as if I am back to all my symptoms again.
I went back to my earlier dose (Doxy - 200 mg daily, Azithro - 1000mg daily and Cipro - 1000mg daily).

In a day I got a lot of releif and felt a lot more comfortable.

Observations: I feel ache in spermatic cord (Vas deference, I am guessing). I also feel like rubbing the skin above the spermatic cord, spermatic cord feels itchy and rubbing the skin releives the itchiness.
If I poke the testicles they ache for 15 - 20 min then back to normal. It seems as if they have become sensitive to pressure.
I also feel uncomfortable in the area where the thighs meet the groin (Are these the Lymph nodes ?)
Last observation which I observed today only is extremely little white discharge from the penis while I was rolling the foreskin back after bathing. It was a small drop, could not even drop from the penis. It got smeared over the meatus and I had to clean it by dabbing a tissue. Did not observe any secretion earlier.

My query is still the correct diagnosis of the condition. Which tests should I go for ?

Helpful Tips

How to Live With an STD
1. Be yourself, and be patient. No matter what situation it is you are going through, and don't ever let anyone make you feel bad about ... More
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