If symptoms persist or recur after therapy completion, men should be instructed to return for reevaluation and should be tested for M. genitalium and T. vaginalis. Symptoms alone, without documentation of signs or laboratory evidence of urethral inflammation, are insufficient basis for retreatment. Providers should be alert to the possible diagnosis of chronic prostatitis or chronic pelvic pain syndrome in men experiencing persistent perineal, penile, or pelvic pain or discomfort; voiding symptoms; pain during or after ejaculation; or new-onset premature ejaculation lasting for >3 months. Men with persistent pain should be referred to a urologist with expertise in pelvic pain disorders.
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Natalie's favorite subjects are biology, anatomy and everything related to the human body, she is truly a fan of these subjects and is always ready to offer herself when the professor needs a volunteer. Especially when the professor explains the anatomy of sexual organs and how they work, or the arrangement of a large penis that penetrates Natalie's skull through his mouth, or the behavior of Natalie's sphincter when penetrated by the janitor's cock, or the physical and chemical reactions of her anus as she is mercilessly penetrated and fucked by a huge penis, or the behavior of an excited prostate, of a couple of balls that fill with sperm until they explode in a glorious ejaculation on the whole small and soft Natalie's penis. And then she really likes it when the professor tries to explain why Natalie likes it so much to be penetrated and fucked in public in front of all her classmates. 2ff7e9595c
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