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Would a chlamydial prostate infection have shown up?

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Sexually Transmitted Diseases Question
I Need Help Understanding My STD Results
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February 19th, 2012
Hi. I have had a urine and urethral swab test done (i'm male) for STD's 19 days after risky sex (spermicide condom broke and unprotected oral sex including lots of massage oil) at a specialized STD clinic. First results (after 30min) were negative. After a week the definitive test results came back negative for chlamydia and other common STD's.

I had problems: Red, sensible meatus and very, very little discharge. Sometimes glans feels irritated too. No problems urinating whatsoever. Did not take any antibiotics since I was not diagnosed for anything.

Symptoms as described are not fully over yet, but i think they have decreased. It's now 33 days after the horrible encounter that made me drink a lot and smoke a lot and masturbate daily.

Now I want to be sure it's not chlamydia, or could it still be?
Is it more likely to be something else?
Would a chlamydial prostate infection have shown up in this test (or at least give my chlamydia positive)?

Thanks


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replied February 22nd, 2012
Sexually Transmitted Diseases Answer A31878
Hi, and thanks for your query on eHealth forum!

There are various causes for redness at the tip of the penis. Exact diagnosis is difficult without examination. However here is a list of diseases that can cause redness at the tip of penis: genital herpes, infection under the foreskin of uncircumcised men (balanitis), inflammation of the prostate gland (prostatitis), injury, cancer of the penis, Peyronie's disease, pimples, Reiter syndrome, sickle cell anemia, syphilis, and urethritis caused by chlamydia or gonorrhea.

It is possible to get false positive or false negative results with the standard tests for Chlamydia. Hence it would be wise to repeat the tests. Else you can opt for specific tests for Chlamydia which include Nucleic acid amplification tests (NAAT, to find the genetic material of Chlamydia), Nucleic acid hybridization tests (DNA probe test, Enzyme-linked immunosorbent assay (ELISA, EIA), Direct fluorescent antibody test (DFA) or chlamydia culture.

Since a confirmed diagnosis cannot be given on net please discuss with your urologist. Hope this helps. Take care!



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