u/Complex_Indication49

▲ 8 r/PelvicFloor+1 crossposts

Urethritis symptoms started after sexual encounter, but every test keeps coming back normal — anyone experience this?

Shortly after a sexual encounter, I developed **constant urethral discharge** that I had never experienced before. Around the same time, I had some **balanitis-like symptoms** — irritation/sensitivity around the tip, with occasional mild itching/redness.
The woman I was having sex with was also dealing with **bacterial vaginosis (BV)** around this period and had a noticeable fishy odor. We had sex within that timeframe, and my symptoms appeared shortly afterward. I don’t know if the BV is related, but I figured it was important context.
Over time, I also developed urethral tingling/irritation, a frequent or almost constant urinary sensation, and some groin/pelvic discomfort.
The confusing part is that **everything keeps coming back normal or negative**. Standard STI tests have been negative, and a routine bacterial urine culture showed no growth. Initially, my urine did show leukocytes/inflammation, but that decreased significantly on later testing.
I’ve taken antibiotics, and the symptoms improved while I was taking them. The constant discharge decreased significantly and eventually became something I mainly noticed **after urinating**. After being off antibiotics, though, the symptoms have returned and feel much closer to how they were at the beginning.
I’m currently waiting on broader testing for organisms that aren’t always included on standard STI panels, and I’m also doing broader molecular/NGS testing.
**Has anyone developed persistent urethritis after sex with a partner who had BV, while all the usual STI tests and urine cultures stayed negative?** Did further testing eventually identify **Mgen, Trichomonas, Gardnerella/BV-associated bacteria, another organism**, or did everything continue to test negative?
If you eventually figured it out, **what test finally found the cause and what was your diagnosis?** Mainly interested in experiences from people who actually went through something similar.

reddit.com
u/Complex_Indication49 — 5 days ago

Urethritis symptoms started after sexual encounter, but every test keeps coming back normal — anyone experience this?

Shortly after a sexual encounter, I developed **constant urethral discharge** that I had never experienced before. Around the same time, I had some **balanitis-like symptoms** — irritation/sensitivity around the tip, with occasional mild itching/redness.
The woman I was having sex with was also dealing with **bacterial vaginosis (BV)** around this period and had a noticeable fishy odor. We had sex within that timeframe, and my symptoms appeared shortly afterward. I don’t know if the BV is related, but I figured it was important context.
Over time, I also developed urethral tingling/irritation, a frequent or almost constant urinary sensation, and some groin/pelvic discomfort.
The confusing part is that **everything keeps coming back normal or negative**. Standard STI tests have been negative, and a routine bacterial urine culture showed no growth. Initially, my urine did show leukocytes/inflammation, but that decreased significantly on later testing.
I’ve taken antibiotics, and the symptoms improved while I was taking them. The constant discharge decreased significantly and eventually became something I mainly noticed **after urinating**. After being off antibiotics, though, the symptoms have returned and feel much closer to how they were at the beginning.
I’m currently waiting on broader testing for organisms that aren’t always included on standard STI panels, and I’m also doing broader molecular/NGS testing.
**Has anyone developed persistent urethritis after sex with a partner who had BV, while all the usual STI tests and urine cultures stayed negative?** Did further testing eventually identify **Mgen, Trichomonas, Gardnerella/BV-associated bacteria, another organism**, or did everything continue to test negative?
If you eventually figured it out, **what test finally found the cause and what was your diagnosis?** Mainly interested in experiences from people who actually went through something similar.

reddit.com
u/Complex_Indication49 — 5 days ago