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    Penile Discharge after Anal Sex
    jayjdubz posted:
    I am a 35 year old HIV+ male. For years now I have been experiencing this problem…
    Approximately 2 days to a week after having unprotected anal sex, as the giving partner, I begin to experience penile discharge. The discharge is loose and pale yellow.
    At the time of presenting with the symptoms I am given an STD screening through urine/blood and treated with rocephin, azithromyacin, etc. The discharge goes away with the use of antibiotics. When the STD panel comes back it is negative for gonorrhea and chlamydia.
    I have followed due process and notified my partner(s) of the symptoms. They have gone to get tested and have also come back negative for gonorrhea and chlamydia.
    This scenario has played out countless times over the past few years getting increasingly worse as time goes on. It has happened with multiple partners and has often occurred while in monogamous relationships.
    My primary care physician is at a total loss and seems unable to help farther.
    My infectious disease doctor has cultured the discharge and tested for less common STDs finding nothing in the results.
    I have had a testicular ultrasound which came back normal. I've had my prostate checked multiple times and have been told it feels normal.
    I went to a urologist and explained the situation. The urologist said it sounds like chronic prostatitis. He gave me ciprofloxacin with refills and told me to take it when the prostatitis flares up. I am reluctant to accept his diagnosis.
    Again, this past week, I had unprotected anal sex, as the giving partner, and two days later the discharge has returned. I took the ciprofloxacin as directed and it has gone away.
    I completely admit and understand that that the logical answer is to use condoms. However, I refuse to accept that as the only answer. I am unwilling to put down unprotected anal sex for the rest of my life.
    Is it possible that I am just allergic to a bacteria that naturally lives in the rectum? Is it possible that I have gotten a bacteria in my urinary tract that now lives there permanently?
    Does anyone have any suggestions on what could be going on? I'm desperate for answers and even any guidance would be greatly appreciated. I'm at a total loss of what to do next.

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