Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
STDs (Expert Forum)
Follow up Question
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.
 |
Follow up Question
by PhillyMan, Jun 23, 2006 12:00AM
A few days ago I posted the following question and your reply:
"OK....for the past few days I have noticed I have a small but steady discharge of some white fluid that at first I assumed was seminal fluid, ejaculate etc. It is right at the tip of my penis. It is just a small amount. I have not had sex in a while. I am a straight male. Additionally, when I urinate it feels like I am constricted near the tip and there is some mild burning. I also have noticed that there is some minor itching under the glans, but there is no rash, bumps, infections or anything abnormal to the skin.
Thoughts?...anyone else had this?
Thanks-
MarchGuy
Forum-M.D.-HHH
06/17/2006
MarchGuy Sounds pretty certain you have urethritis, i.e. either gonorrhea or NGU. You don't say what "a while" means, but if more than a week, almost certainly it isn't gonorrhea. Chlamydia and other forms of NGU typically show up in 1-4 weeks, but some cases might take several weeks and rarely even a few months. Conceivably you have a nonsexually transmitted problem, such as urethral stricture or other rare explanation. The bottom line is that you need to see a health care provider right away, preferably one with experience and knowledge about STD. If uncertain about your own provider's expertise, visit your local health department STD clinic for expert, low cost (or free) care. (Show up when you haven't urinated for at least 4 hours, so you don't risk not having a visible discharge.)
Good luck-- HHH, MD"
My follow up question is: My doctor gave me 1 500 mg tab of Cipro and 7 days of Doxycycline 200mg per day. Within 2 days I noticed it was easier to urinate and the amount of discharge has lessened by at least 75%. Today 4.5 days after starting treatment, I can see only a small amount of discharge if I "work" the tip of my penis I can get some to come out and I get only minor irritation/feeling of constriction when I pee. I actually noticed I made it worse if I urinated right after I "examined" myself. Is 7 days enough? How long until I feel really good again? What else should I know? Should the course of Doxy have been longer? I have read where the course is usually 10 days-2 weeks!
Thanks for any insight.
"OK....for the past few days I have noticed I have a small but steady discharge of some white fluid that at first I assumed was seminal fluid, ejaculate etc. It is right at the tip of my penis. It is just a small amount. I have not had sex in a while. I am a straight male. Additionally, when I urinate it feels like I am constricted near the tip and there is some mild burning. I also have noticed that there is some minor itching under the glans, but there is no rash, bumps, infections or anything abnormal to the skin.
Thoughts?...anyone else had this?
Thanks-
MarchGuy
Forum-M.D.-HHH
06/17/2006
MarchGuy Sounds pretty certain you have urethritis, i.e. either gonorrhea or NGU. You don't say what "a while" means, but if more than a week, almost certainly it isn't gonorrhea. Chlamydia and other forms of NGU typically show up in 1-4 weeks, but some cases might take several weeks and rarely even a few months. Conceivably you have a nonsexually transmitted problem, such as urethral stricture or other rare explanation. The bottom line is that you need to see a health care provider right away, preferably one with experience and knowledge about STD. If uncertain about your own provider's expertise, visit your local health department STD clinic for expert, low cost (or free) care. (Show up when you haven't urinated for at least 4 hours, so you don't risk not having a visible discharge.)
Good luck-- HHH, MD"
My follow up question is: My doctor gave me 1 500 mg tab of Cipro and 7 days of Doxycycline 200mg per day. Within 2 days I noticed it was easier to urinate and the amount of discharge has lessened by at least 75%. Today 4.5 days after starting treatment, I can see only a small amount of discharge if I "work" the tip of my penis I can get some to come out and I get only minor irritation/feeling of constriction when I pee. I actually noticed I made it worse if I urinated right after I "examined" myself. Is 7 days enough? How long until I feel really good again? What else should I know? Should the course of Doxy have been longer? I have read where the course is usually 10 days-2 weeks!
Thanks for any insight.
Doctor's Answer
by H. Hunter Handsfield, M.D., Jun 24, 2006 12:00AM
, Jun 24, 2006 12:00AM
You still don't say what it means to have not had sex "for a while". If more than several months, perhaps this is prostatitis; or a very rare development of symptomatic sexually acquired NGU after such a long time. Presumably your doc tested your for gonorrhea and chlamydia, right? (If not, big mistake.) In any case, you were treated with a standard treatment regimen which usually is completely effective for NGU. You're wrong about longer treatment; 7 days is standard (and recommended by CDC and other authorities). It often takes symptoms 2-3 weeks to completely clear up, however,
Follow up with your provider if your symptoms don't clear up entirely over the next 2-3 weeks.
HHH, MD
Follow up with your provider if your symptoms don't clear up entirely over the next 2-3 weeks.
HHH, MD
Communities
Ask a Doctor Forums
Tools and Applications
Personal Information
Medical Information
Doctors and Partners