August 10th 1998

I am a 26 year old who began experiencing prostatitis symptoms approximately 2.5 years ago following unprotected sex with a girl I had been seeing.  Since I had never experienced any painful urination prior to that episode, I immediately went to the clinic and was tested for chlamydia, gonnorhea, syphilis, etc.  All tests were negative.  I have seen many doctors since this time, including several uros, however, no one has been able to definitively say what is causing, or what could be done to treat, these frustrating and debilitating symptoms.

My symptoms are as follows: painful urination, urinary urgency, painful ejaculation, diminished semen volume, widespread itching, numbness, tingling and burning sensations, fatigue, cognitive dysfunction, headache, ringing in the ears, and the list goes on.  It feels as though my body simply has shut down.  I have taken several antibiotics (sulfamethoxazole, ofloxacin, ciprofloxacin, doxycycline, azithromycin, levaquin, erythromycin, and metronidazole, none of which have helped me at all.  Personally, this is not surprising, as all cultures (urine, EPS) have been negative.  I did, however, have a trace amount of staph detected in a semen sample, for which my uro prescribed erythromycin (again, to no avail).  The only time I had any resolution of symptoms was when my primary doctor prescribed Nizoral for what he thought was a fungal infection on my arm (which is simply a red rash which I also have on the tip of my penis).  After the single 400 mg dose of the ketoconozole, I felt fine for about two days.  When I reported this to him, he replied that it was simply a placebo effect, and of no significance.  Although I disagree, he cannot be convinced otherwise.  Furthermore, other doctors are reluctant to prescribe this antifungal due to its potential toxicity to the liver.  One doctor prescribed Diflucan and Nystatin, but neither of these helped.

What could be causing this?  I have read so much off of the NG, but I feel as though I am going in circles.  There seems to still be a running debate as to whether or not this affliction is sexually transmissable (or transmitted), and I would like to know the facts.  I would really appreciate your opinion relative to this matter, as I have lost everything in life which once mattered to me (ie. my ability to perform at a high level at work, the ability to date or have sex, etc.)  I have spent 2.5 years and several thousand dollars running around between idiot doctors, and feel no different than when this ordeal began.  Please help me if you can - I am willing to do anything to get my life back.  Also, have you heard of a Dr. Drach???  He is replacing my uro at Upenn, and I've heard that he is very well-respected.  Do you have any insight into his methods of treatment for prostatitis.