So
The Beginning (2 years ago):
I don't like casual relationships, but foolishly, I had oral sex. After that, I started to feel stress and anxiety, waiting for something to happen. I checked myself daily, and my diet was very poor due to anxiety. After 8 days, while examining myself, I noticed my urethral opening looked different - I don't know if it was inflammation, swelling, or redness. That same night before sleep, I started feeling pain.
First Symptoms:
Swelling and redness only at the urethral meatus, and pain in the upper part of the urethra. I had no burning during urination .The stream is also good , no purulent discharge, no ulcers, and no fever. On the contrary, urination was comfortablea, like a painkiller. Masturbation was also comfortable.
However, after masturbating—especially if I go to sleep—pain occurs at the base of the penis, as if I had masturbated dozens of times.
Progression:
· After a few days: Post-void dribbling started.
· Week 3: Visited a urologist. Urine culture, semen culture, and urinalysis were done. Results: Negative. Despite the doctor asking about the encounter, I don't know why he didn't refer me for STI testing. Took Fosfomycin for 2 days, no benefit. Changed the doctor.
· Note: Initially, the pain came before sleep or during rest (like sitting), and I often woke up without pain.
· Week 5: Took Doxycycline for 1 week. On the 4th day, I felt improvement as if I was cured, but upon waking, the pain didn't go away; it started coming in the morning (and so it is now). No improvement .
· Week 6: Returned to the doctor. Took Ceftriaxone and Azithromycin, no improvement .
· Week 8: Decided to see an infectious disease specialist. PCR for 13 sexually transmitted bacteria and viruses - Negative.
· Week 11: Another PCR - Negative. Urine culture - Negative. Urinalysis - Normal. Only 3-5 RBC, WBC 0-2, Blood Trace, Mucus Trace. The doctor didn't pay attention and said it was within normal limits due to first urine and antibiotic effects. The infectious disease doctor told me: "You have no infection, neither sexually transmitted nor UTI."
· After that: I started searching AI, which told me it might be inflammation, give it time and the body will handle it. I waited an extra month, nothing changed. Because I was anxious and searching a lot, I found doctors online saying it might be prostatitis. I started feeling perineal pain then.
· Another urologist: Requested KUB ultrasound and CT of the pelvis, everything was normal. He told me: you need to find a permanent relationship and sexual regularly and it will go away." I told him about the urethral opening change, he examined it and said "normal". Prescribed anti-inflammatories, no improvement.
· Another doctor: Said "You have chronic prostatitis, and 80% of your symptoms are in your head and 20% in your organs." I told him about the tip inflammation, and on examination he said "normal". Prescribed Doxycycline for 3 weeks and Cipro for 2 weeks, no improvement.
· Neuro-urologist: Decided to refer me to him. He told me: "You are stuck in a vicious cycle, and you need to break it. Exercise, start making changes in your life, and ignore it, and you will succeed." I told him about the meatus and its inflammation, he looked and said "normal". . I found this page then, and started reading negative and positive stories, and continued searching every day. I suffered from anxiety and scenario-building: it was an infection or not?
· After 1 year: PCR for 13 types and blood tests - Negative again.
· Another doctor: Treats prostatitis. Prescribed Fosfomycin for 6 weeks, anti-inflammatory for 2 weeks, and a supplement for 3 months. No improvement . It ended with him advising me to undergo a cystoscopy.
Current Symptoms (after 2 years):
· Post-void dribbling (sometimes comes, sometimes doesn't, just a sensation).
· Perineal pain.
· Sensation of a drop in the urethra or clear watery or sticky discharge sometimes.
· Clear discharge (sometimes comes with movement and long walks).
· Symptoms disappear when the bladder is full.
· Pain is now mostly at the meatus, and symptoms are milder than before.
.meatus like lips
What I'm Currently Taking:
· Quercetin - Recently started.
· Magnesium and Ashwagandha - For anxiety.
My Current Fears:
· Was this a sexually transmitted infection (Chlamydia, Gonorrhea, Mycoplasma, Herpes) or oral bacteria?
· Did the delay in treatment (3-6 weeks) cause a problem?
· Is there a possibility it's an autoimmune disease?
. Is there anything I’ve overlooked—such as seeing new doctors to try different medications (like antidepressants , antibiotics or other drugs) or undergoing a cystoscopy? I am planning to visit a dermatologist.
· Will I suffer from this forever?