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STDs (Expert Forum)
How can this get better?
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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How can this get better?
by Worried7797, Jan 25, 2006 12:00AM
I was diagnosed with gonnorrhea and treated with three rounds of meds -- once was two rounds of antibiotics for Chlamydia and Gonnorrhea before the actual tests came back and the second time was one round becuse the symptoms did not clear up right away.
I have been retested and the results came back negaitve, as did the white blood cell urine test he gave me to see if there was another infection.
That said, I still have an irritation at the opening of the urethra (feels scratchy sometimes as well), often times there is a clear-ish discharge that leaves stains (sometimes white and powdery) on my underwear and a slight irritation after urinating.
My doctor says all is fine, I am OK for sex and that my body is still excising some of the backed up stuff from the gonnorrhea, but I am not comfortable with this.
Is this something more?
I have been retested and the results came back negaitve, as did the white blood cell urine test he gave me to see if there was another infection.
That said, I still have an irritation at the opening of the urethra (feels scratchy sometimes as well), often times there is a clear-ish discharge that leaves stains (sometimes white and powdery) on my underwear and a slight irritation after urinating.
My doctor says all is fine, I am OK for sex and that my body is still excising some of the backed up stuff from the gonnorrhea, but I am not comfortable with this.
Is this something more?
Doctor's Answer
by H. Hunter Handsfield, M.D., Jan 25, 2006 12:00AM
, Jan 25, 2006 12:00AM
It is possible you have postgonococcal urethritis--essentially nongonococcal urethritis (NGU) acquired simultaneously with gonorrhea, unmasked by successful treatment of the gonorrhe and persisting urethritis. But I stress that persistent infection is only a possible explanation; most causes of NGU/PGU, including chlamydia and others, would have been treated with the standard antibiotics--especially if your treatment included azithromycin, a tetracycline (e.g., doxycycline), and/or a fluoroquinolone (e.g., levofloxacin and others). Trichomonas is another possibility, and would not respond to the antibiotics I just mentioned, and is hard to diagnose in males. Some cases like yours might represent a residual immunologic reaction, not persisting infection that requires antibiotics. Or perhaps your provider right and it's nothing abnormal at all.
I recommend re-visiting your provider with these questions/issues; or if uncertain about his/her expertise, seek another opinion, perhaps from your local STD clinic or an infectious diseases specialist. Depending on their judgement, perhaps a course of metronidazole (for trichomonas) might be advisable.
Good luck-- HHH, MD
I recommend re-visiting your provider with these questions/issues; or if uncertain about his/her expertise, seek another opinion, perhaps from your local STD clinic or an infectious diseases specialist. Depending on their judgement, perhaps a course of metronidazole (for trichomonas) might be advisable.
Good luck-- HHH, MD
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