Q. What is the effective treatment for testicular pain and groin discomfort that develops after unprotected oral sex?

Answered by
Dr. Saurabh Subhash Pandya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 29, 2022 and last reviewed on: Dec 19, 2022


I am a 42-year-old male. I have a kidney infection. I was diagnosed with Parkinson's ten years ago. I do not have any history of fever or nausea for the past eight weeks. My issues started about eight weeks ago. I had oral sex with sex worker and also had vaginal-protected sex. Within 72 hours, I developed urethral pain, groin discomfort, and testicular pain. Four days after exposure, I took tests. My test came negative for HIV, hepatitis A, B, and C, syphilis, herpes 1 and 2 via a blood test, and gonorrhea and chlamydia via urine NAAT tests. I took a single dose of 1 g Azithromycin and 400 mg Cefixime. Some issues were resolved, but due to some symptoms, I took 100 mg of Doxycycline twice daily. After two weeks of improvement, I experienced a flare-up and, out of desperation, tried 1 g Cephalexin twice a day for about five days. Still have mild lower belly discomfort and some mild back pain. Most of the testicular pain is gone. What should I do now? Should I take some more antibiotics?

Kindly help.



Welcome to

Thank you for your query.

Your symptoms suggest it could be prostatitis. This is an infection or swelling in the prostate gland. I suggest you to follow a few instructions mentioned below.

  1. Get sonography of KUB, and urine culture done.
  2. Take the tablet Doxycycline for 45 days.

Kindly consult a specialist, talk to them and take medications with their consent.

I hope this has helped you. Thank you.

Hello doctor,

Thank you for your reply.

I missed mentioning that when I saw my doctor, he did a digital rectal check of my prostate, which was not indicative of prostate issues.



Welcome to

You can do a prostatic massage and send post-massage urine for culture. Also, get a uroflow done if there are any urinary symptoms.

I hope this has helped you. Thank you.

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