How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 13834
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now
A new question is answered every 9 seconds

31 year old male, Ive had a new recent sex partner, and within

Resolved Question:

31 year old male, I've had a new recent sex partner, and within a month or so i've started having bladder pain that feels better after urination. I went to an std test center, and was tested for chlymadia and gonorrhea with NAAT test two weeks after that exposure, and both returned negative. What should i do, going forward?
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. D. Love replied 1 year ago.
It will help if you could provide some further information:
Was the test for chlamydia and gonorrhea done two weeks after the onset of symptoms or two weeks after the exposure (and two weeks before onset of symptoms, since symptoms started a month or so after the start of the relationship).
Have you had any physical examination done, particularly of the prostate?

Customer: replied 1 year ago.

Two weeks after exposure (no continued relationship). No physical exam.

Expert:  Dr. D. Love replied 1 year ago.
Thank you for the additional information/clarification.

Since this was a single exposure to a new partner, a negative test for chlamydia and gonorrhea performed two weeks after that exposure is very reassuring, but it would not be considered perfect. These tests are excellent at detecting the germs when there is an active infection, when the number of germs present are greater. When there is not an active infection that has yet developed, when the number of germs is less, the tests are still good, but they are not as accurate as when there is an active infection.

In a man, a simple bladder infection is uncommon. In a man, pain or discomfort that feels like it is coming from the bladder is more often coming from the prostate, as prostate infections are far more common than bladder infections. Most cases of prostatitis are not caused by sexually transmitted germs, but it is still recommended to consider chlamydia or gonorrhea in any young man with evidence of a prostatitis.

The diagnosis of a prostatitis is by examination. Therefore, the next step is for you to be seen by your doctor for an appropriate examination. If there is evidence of an active infection, it would be appropriate to consider repeating the tests for chlamydia and gonorrhea. If chlamydia or gonorrhea is present, then there would be specific treatment for these germs, and if not present, then antibiotics for the germs that are not sexually transmitted would be appropriate.

If you have any further questions, please let me know.

Customer: replied 1 year ago.

So what would further evidence of an active infection entail? simply a re-test? I've read evidence that it would be highly unlikely to test positive for chlymidia / gonorrhea after a negative test after such a long and clear exposure. Any sense of the odds here? 1 in 1000? 1 in 100? So is the more likely case the latter you think?

 

And, as a child I was treated for anterior urethro diberticultis (spelling?). Any complications from that that it could entail?

Expert:  Dr. D. Love replied 1 year ago.
As I said above, prostatitis is the most likely infection, and it is most likely not from a sexually transmitted germ, but it is still recommended that testing be performed for chlamydia and gonorrhea. There are no specific studies looking at the likelihood of a positive test when symptoms develop two weeks after a prior negative test. Certainly, in the absence of symptoms, there is little value in repeating the tests two weeks later, but the likelihood with new symptoms two weeks later is not studied.

The primary evidence of an active infection would be an examination, and primarily an examination of the prostate, as this is the most likely infection, which is why the appropriate next step is to be seen by your doctor for an examination, rather than simply getting re-tested.

It is possible that someone with an anterior urethral diverticulitis could develop further infections in the future, but it usually would cause symptoms before now.

Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 13834
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 8 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. D. Love
Dr. D. Love
12957 Satisfied Customers
Family Physician for 10 years; Hospital Medical Director for 10 years.