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HELP: Chlamydia
I was tested for Chlamydia and Gonorrhea after experiencing symptoms of a greenish discharge from my penis and tingle at the end of my penis. I was immediately treated on Sept 5 with 400g Cefixime and 1g Azithromycin (Zithromax) pending results.
My wife (who I had sex with a day or two after my indiscretion) was also given both sets of treatment.
Test results received two weeks later (Sept 19) I was negative for Gon but positive for Chlamydia.
I'm a male aged 37 and live in the UK.
I have some questions
- Will the 1g Azithromycin cure the Chlamydia? It seems some doctors prescribe 2g doses and others 1g doses, why is that?
-Its now 18 days after treatment, so how safe is it to have sex with my wife again?
-Discharge is now gone but I still have a tingle sensation. Is this something to be concerned about?
-My wife had some slightly abdominal pain which has now disappeared and slight discharge (which she suggests is no more than usual) but the smell is a bit stronger. Should she be concerned that treatment with Azithromycin has not been successful? Is this is a sign that other bacteria is present which requires follow up treatment?
-How common is it to have other infections like Bacterial Vaginosis (BV), Mycoplasma Genitalium, Trichomonas Vaginalis and Ureaplasma Urealyticum present and why is only Gon and Chlamydia tested for? I've heard these other infections are just as harmful, particularly in women.
-If Azithromycin treatment is unsuccessful for Chlamydia (unlikely I'm told), why is Docxy prescribed vs another 1g of Azithromycin?
My wife (who I had sex with a day or two after my indiscretion) was also given both sets of treatment.
Test results received two weeks later (Sept 19) I was negative for Gon but positive for Chlamydia.
I'm a male aged 37 and live in the UK.
I have some questions
- Will the 1g Azithromycin cure the Chlamydia? It seems some doctors prescribe 2g doses and others 1g doses, why is that?
-Its now 18 days after treatment, so how safe is it to have sex with my wife again?
-Discharge is now gone but I still have a tingle sensation. Is this something to be concerned about?
-My wife had some slightly abdominal pain which has now disappeared and slight discharge (which she suggests is no more than usual) but the smell is a bit stronger. Should she be concerned that treatment with Azithromycin has not been successful? Is this is a sign that other bacteria is present which requires follow up treatment?
-How common is it to have other infections like Bacterial Vaginosis (BV), Mycoplasma Genitalium, Trichomonas Vaginalis and Ureaplasma Urealyticum present and why is only Gon and Chlamydia tested for? I've heard these other infections are just as harmful, particularly in women.
-If Azithromycin treatment is unsuccessful for Chlamydia (unlikely I'm told), why is Docxy prescribed vs another 1g of Azithromycin?
Hello Jose
Thank you for your quick response.
I have a few more questions just to close this out:
1. - I did a home test 19 days after treatment and it came back negative for both Chlamydia and Gon. Can I assume these home tests are accurate?
2. Assuming the results are correct and I'm no longer infected, I recently felt generally unwell in my stomach and vomited for no reason, is there potentially something else wrong with me that is related to an STD?
3. What are my risks of attracting Hep B in the UK, it is common?
4. Before trying to get pregnant with my wife, is there anything else I should be concerned about?
4.
Thank you for your quick response.
I have a few more questions just to close this out:
1. - I did a home test 19 days after treatment and it came back negative for both Chlamydia and Gon. Can I assume these home tests are accurate?
2. Assuming the results are correct and I'm no longer infected, I recently felt generally unwell in my stomach and vomited for no reason, is there potentially something else wrong with me that is related to an STD?
3. What are my risks of attracting Hep B in the UK, it is common?
4. Before trying to get pregnant with my wife, is there anything else I should be concerned about?
4.
MEDICAL PROFESSIONAL
Hello,
Thank you very much for your post. I will reply to your questions here below:
- Will the 1g Azithromycin cure the Chlamydia? It seems some doctors prescribe 2g doses and others 1g doses, why is that?
IN MOST CASES, 1G. OF AZITHROMYCIN IS ENOUGH TO TREAT CHLAMYDIA, ESPECIALLY IF LOCATED IN PENIS OR VAGINA. SOMETIMES ONE NEEDS TO GIVE A HIGHER DOSE IN THE CASE OF ANAL OR THROAT CHLAMYDIA. HOWEVER A SMALL NUMBER OF CASES REQUIRE A ONE WEEK COURSE OF DOXYCYCLINE, ESPECIALLY IF SYMPTOMS PERSIST AFTER THE SINGLE DOSE OF AZITHROMYCIN.
-Its now 18 days after treatment, so how safe is it to have sex with my wife again?
IF BOTH OF YOU REMAIN ASYMPTOMATIC, IT WOULD BE SAFTE TO RESUME SEX AS AZITHROMYCIN USUALLY CLEARS THE INFECTION AFTER 72 HOURS OF TAKING IT.
-Discharge is now gone but I still have a tingle sensation. Is this something to be concerned about?
IF THAT IS THE CASE, YOU MIGHT NEED TO BE EITHER RE-TESTED OR TREATED WITH DOXYCYCLINE
-My wife had some slightly abdominal pain which has now disappeared and slight discharge (which she suggests is no more than usual) but the smell is a bit stronger. Should she be concerned that treatment with Azithromycin has not been successful? Is this is a sign that other bacteria is present which requires follow up treatment?
THE SAME MIGHT APPLY TO YOUR WIFE. SHE COULD BE RE-TESTED OR DIRECTLY TREATED WITH DOXYCYLINE.
-How common is it to have other infections like Bacterial Vaginosis (BV), Mycoplasma Genitalium, Trichomonas Vaginalis and Ureaplasma Urealyticum present and why is only Gon and Chlamydia tested for? I've heard these other infections are just as harmful, particularly in women.
WE TEST FOR THESE ROUTINELY WITH A SWAB. THEY ARE VERY COMMON INFECTIONS, WHICH ARE EASY TO TREAT WITH ANTIBIOTICS. AZITHROMYCIN WOULD ALSO TREAT MICOPLASMA AND UREAPLASMA.
-If Azithromycin treatment is unsuccessful for Chlamydia (unlikely I'm told), why is Docxy prescribed vs another 1g of Azithromycin?
AZITHROMYCIN IS EFFECTIVE IN OVER 90% OF CASES AND THAT IS WHY FIRST TREATMENT CHOICE BECAUSE IS ONE SINGLE DOSE. IF IT IS NOT EFFECTIVE, WE TREAT WITH DOXYCYCLINE, WHCIH NEEDS TO BE TAKEN TWICE DAILY FOR AT LEAST ONE WEEK.
Best wishes,
Dr José
Thank you very much for your post. I will reply to your questions here below:
- Will the 1g Azithromycin cure the Chlamydia? It seems some doctors prescribe 2g doses and others 1g doses, why is that?
IN MOST CASES, 1G. OF AZITHROMYCIN IS ENOUGH TO TREAT CHLAMYDIA, ESPECIALLY IF LOCATED IN PENIS OR VAGINA. SOMETIMES ONE NEEDS TO GIVE A HIGHER DOSE IN THE CASE OF ANAL OR THROAT CHLAMYDIA. HOWEVER A SMALL NUMBER OF CASES REQUIRE A ONE WEEK COURSE OF DOXYCYCLINE, ESPECIALLY IF SYMPTOMS PERSIST AFTER THE SINGLE DOSE OF AZITHROMYCIN.
-Its now 18 days after treatment, so how safe is it to have sex with my wife again?
IF BOTH OF YOU REMAIN ASYMPTOMATIC, IT WOULD BE SAFTE TO RESUME SEX AS AZITHROMYCIN USUALLY CLEARS THE INFECTION AFTER 72 HOURS OF TAKING IT.
-Discharge is now gone but I still have a tingle sensation. Is this something to be concerned about?
IF THAT IS THE CASE, YOU MIGHT NEED TO BE EITHER RE-TESTED OR TREATED WITH DOXYCYCLINE
-My wife had some slightly abdominal pain which has now disappeared and slight discharge (which she suggests is no more than usual) but the smell is a bit stronger. Should she be concerned that treatment with Azithromycin has not been successful? Is this is a sign that other bacteria is present which requires follow up treatment?
THE SAME MIGHT APPLY TO YOUR WIFE. SHE COULD BE RE-TESTED OR DIRECTLY TREATED WITH DOXYCYLINE.
-How common is it to have other infections like Bacterial Vaginosis (BV), Mycoplasma Genitalium, Trichomonas Vaginalis and Ureaplasma Urealyticum present and why is only Gon and Chlamydia tested for? I've heard these other infections are just as harmful, particularly in women.
WE TEST FOR THESE ROUTINELY WITH A SWAB. THEY ARE VERY COMMON INFECTIONS, WHICH ARE EASY TO TREAT WITH ANTIBIOTICS. AZITHROMYCIN WOULD ALSO TREAT MICOPLASMA AND UREAPLASMA.
-If Azithromycin treatment is unsuccessful for Chlamydia (unlikely I'm told), why is Docxy prescribed vs another 1g of Azithromycin?
AZITHROMYCIN IS EFFECTIVE IN OVER 90% OF CASES AND THAT IS WHY FIRST TREATMENT CHOICE BECAUSE IS ONE SINGLE DOSE. IF IT IS NOT EFFECTIVE, WE TREAT WITH DOXYCYCLINE, WHCIH NEEDS TO BE TAKEN TWICE DAILY FOR AT LEAST ONE WEEK.
Best wishes,
Dr José
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