u/tehuti_infinity

Hey everyone, looking for some advice on a weird, long-term situation.
About 6 or 7 years ago, I tested positive for an infection in Japan. I was afraid to take sitafloxin due to the side effects, so I tried looking for alternatives like Pristinamycin but couldn't find it. Because of that, I ended up doing nothing and never took antibiotics.
Years later, I got tested in America and it came back negative. The doctor claimed it was prostatitis and that the original infection must have just gone away on its own or cleared up.

Currently, I'm living in Japan and saw a urologist here-again, the urine test was completely negative.
Even though it's negative, I still have mild, annoying symptoms here and there. The main one is occasional urethral discomfort when peeing, and pain during orgasm that is much worse specifically during doggy style. The doctor in Japan offered me antibiotics since I still have symptoms, but I'm hesitant to take them without proof. They've only done standard urine tests because the first two were negative.

I want to know what you guys think:

1. Has anyone else had an infection go untreated for years, turn negative on paper, but still leave symptoms?

2. Is it possible the infection is still deep in my prostate and just hiding from standard urine tests? Should I insist on a prostate fluid test (EPS) before touching any antibiotics?

3. Or is it more likely the infection cleared out long ago, and I'm just dealing with chronic, non-bacterial prostatitis / pelvic floor tension?
   It's not life-threatening, but I'd love to finally get rid of this. Appreciate any insight.