Question: I continue to experience physical symptoms even after all STD testing came back negative following unprotected sex 14 weeks ago with someone I only knew for a couple of days when I was away from home on business. I had tests for Hep A, B and C, HSV 1 and 2, HIV, Syphilis, gonorrhea, Trich (at 3 weeks only) and chlamydia at 3, 6, 9 and 12 weeks after exposure.

Symptoms include discolored urine especially when not diluted and some of what feels like kidney discomfort or maybe liver too. Also consistent tingling in the groin and thighs. I was also experiencing notable discomfort with frequent feeling to want to urinate and some minor burning sensations on the penis but never did I have any burning sensations while urinating nor did I observe and discharge from my penis. The frequent urge to urinate has subsided considerable in the last week to ten days.

I should mention that my PCP doctor thinks this is psychosomatic because I've been married for a long time and I have kids at home. I am very ashamed of my conduct considering my family situation and I pretty much slipped into a depressive state immediately following this incident. My doctore first tried Zanex to help with anxiety but he quickly put me on Zoloft.

I'd like to know how much faith I can put in the STD tests. If it isn't an STI then what could it be? It's just very difficult for me to not feel like my body is fighting some sort of infection. Thank you for your assistance.

1. I'm submitting my full blood work test results to you from back in the middle of September which was 2-3 weeks after exposure. I've also had two urinalysis tests at the recommendation of both my PCP and urologist in September and October. Everything in those urine samples was negative. Two of these results came back in the "High" range at the time.

2. Should I have any concerns about sexual transmission of anything to my wife?

Thank you for your assistance doctor:

CBC With Differential/Platelet

Test Name          Result          Reference Range
WBC                6.9           3.4-10.8 x10E3/uL
RBC                5.10           4.14-5.80 x10E6/uL
Hemoglobin      16.2           12.6-17.7 g/dL
Hematocrit           47.3           37.5-51.0 %
MCV                93           79-97 fL
MCH                31.8           26.6-33.0 pg
MCHC           34.2           31.5-35.7 g/dL
RDW                13.7           12.3-15.4 %
Platelets           262           150-379 x10E3/uL
Neutrophils      67           %
Lymphs           25           %
Monocytes           6           %
Eos                2           %
Basos                0           %
Neutrophils (Absolute) 4.5           1.4-7.0 x10E3/uL
Lymphs (Absolute)      1.7           0.7-3.1 x10E3/uL
Monocytes(Absolute)      0.4           0.1-0.9 x10E3/uL
Eos (Absolute)           0.2           0.0-0.4 x10E3/uL
1 of 2
Baso (Absolute)       0.0           0.0-0.2 x10E3/uL
Immature Granulocytes      0           %
Immature Grans (Abs)      0.0           0.0-0.1 x10E3/uL

Comp. Metabolic Panel (14)
Glucose, Serum           100           HIGH 65-99 mg/dL
BUN                 12           6-24 mg/dL
Creatinine, Serum      0.99           0.76-1.27 mg/dL
eGFR If NonAfricn Am      92           >59 mL/min/1.73
eGFR If Africn Am      106           >59 mL/min/1.73
BUN/Creatinine Ratio      12           9-20
Sodium, Serum           142           134-144 mmol/L
Potassium, Serum      4.4           3.5-5.2 mmol/L
Chloride, Serum       100           97-108 mmol/L
Carbon Dioxide, Total      23           18-29 mmol/L
Calcium, Serum           9.6           8.7-10.2 mg/dL
Protein, Total, Serum      7.4           6.0-8.5 g/dL
Albumin, Serum           4.8           3.5-5.5 g/dL
Globulin, Total       2.6           1.5-4.5 g/dL
A/G Ratio            1.8           1.1-2.5
Bilirubin, Total       1.1           0.0-1.2 mg/dL
Alkaline Phosphatase, S 123           HIGH 39-117 IU/L
AST (SGOT)      27           0-40 IU/L
ALT (SGPT)           44           0-44 IU/L

Urinalysis, Routine
Specific Gravity      1.015           1.005-1.030 01
pH                6.0           5.0-7.5
Urine-Color      Yellow           Yellow
Appearance      Clear           Clear
WBC Esterase      Negative      Negative
Protein           Negative      Negative/Trace
Glucose           Negative      Negative
Ketones           Negative      Negative
Occult Blood      Negative      Negative
Bilirubin           Negative      Negative
Urobilinogen,Semi-Qn      0.2           0.2-1.0 mg/dL
Nitrite, Urine           Negative      Negative

Microscopic Examination Comment
Microscopic not indicated and not performed.
Trich vag by NAA
Trich vag by NAA      Negative      Negative