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Doctors Lounge - Infections Answers
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| tt1ase3
- Mon Sep 19, 2005 6:30 pm |
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I have a pain in my testicles. Occasionally pinching in penis. Also pain in lower abdomen. It all started after intercourse. Got tested for hiv, hepatitis, chlamydia, ghonorea, syphilis, all negative. Any ideas what else could it be?
with regards..
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| Dr. Anthony Solomon
- Fri Sep 30, 2005 8:06 pm |
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The combination of recent unprotected sexual exposure + tingling or discomfort in the urethra + testicular pain is very suggestive of epididymitis, occurring as a complication of urethritis. Sexually transmitted organisms are the most common cause of epididymitis in heterosexual men under the age of 35 years.
Get examined by a gram stain of a urethral swab specimen taken after holding the urine overnight, as this establishes the diagnosis of urethritis with a greater degree of certainty. Urethral swab specimens should also be cultured for N. gonorrhoeae and Chlamydia trachomatis.
Dr Anthony Solomon
Consultant Physician, Tropical & Genitourinary Medicine
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