After using all of these Antibiotics no improvement ... is it an STD?

[jack059]

   on 13/March/2013 after did Hair removing laser session “Alexandrite laser” for my genital “Including my testicle, penis..etc ,Few Hours after the session I notice a reddish skin on my testicle "having it until now", Heat on my SCROTUM, pain, swelling, erectile dysfunction, and Lack of Sexual desire.

First Doctors Visit:
•ULTRASOUND SCROTUM, URINE, URETHRAL FLUID, URINE ANALSYS and all was NEGATIVE .

•Doctors diagnosis on this stage was Testicular congestion, and Varicocele (based on the ULTRASOUND SCROTUM)
•Medicines: Celebrex and Daflon 500.
•And NO IMRPOVE in this Stage.

•The Second Doctors Visits.
•On 02/April/2013 start using Meloxciam 15 mg for 2 weeks and I felt like I am 100% treated.
•After I quit Meloxicam the swelling and pain return back.

       ### Two Months later Doctors Diagnose me with epididymo-orchitis, because a Sexual Transmitted Infection and he verify my Varicocele , Although I never notice discharge from my urethra, an I have done Urine PCR, Urethral Fluid, Urine and blood test and again all was NEGATIVE.
He gave me this Medicines: two weeks of Arcoxia, Certiaxone IM and Doxycyline followed by 6 weeks of Levofluxaine.
•Few weeks after I finish the Antibiotic course “Levofluxaine” doctor says the infection should be gone now and if there is any more pain I should visit pain management clinic.
•Pain management doctor suggest using Arcoxia for 6 months. ”did not started yet”
### Current Symptoms
•Burning urination “ALWAYS”, and during Ejaculation “SOMETIMES”.
•My testicle is Shrinking.
•Lack of Sexual Desire.
•Heat on my testicle “Can not verify this”
### Questions:
• What I am having now is STD?
•There is many STDs meet same Symptoms but can any of them not to be treat after all of these antibiotics? If yes, can I get better one?
• Since all of my tests were Negative Is there any test can verify if this is an STD or not?
• LAST: I need you help all.

[Edward W Hook, MD]

Welcome to our Forum.  You do not provide much sexual history so it is difficult to determine whether you have been at risk for STIs of not but from the history you provide, there appears to be little reason for concern about STIs.  Your symptoms became problems for you following your laser procedure and none of the symptoms you describe are particularly worrisome for STIs.   Problems such as shrinking testicles or lack of sexual desire are more likely to be a manifestation of non-infectious problems of the testicle or other hormonal problems than related to STIs.  Further, your treatment with ceftriaxone, doxycycline and levofloxacin would have cured virtually all common bacterial STIs.  My advice is to speak to another doctor, perhaps an endocrinologist about your symptoms.  

In answer to your specific questions:
1.  What I am having now is STD?
No, this problem does not sound like an STI at all.

2.  There is many STDs meet same Symptoms but can any of them not to be treat after all of these antibiotics? If yes, can I get better one?
The antibiotics you have received are very good ones,  There is no reason to seek treatment with other antibiotics.   In fact, this is a distraction which is more likely to delay finding out the answer to your problems than to help.

•3. Since all of my tests were Negative Is there any test can verify if this is an STD or not?
Your negative tests, particularly when considered with your non-STI symptoms and your lack of response to antibiotics strongly suggest this is not an STI.

I hope this comment is helpful.  EWH

[Edward W Hook, MD]

This will be my final response.  The Forum is not meant to answer questions that go on and on.  There is nothing you have mentioned that suggests and STI in any way.

this will end this thread.  EWH

[jack059]

Again I really appreciate you cooperation and your answer to our questions.


my main problem is every day I got another symptom and I am worry if that could be an  STD disease
for instance last week
     *I got  skin rash.
     *Many pimples around my body and inside my mouth .
     *I have got blood coming out of my throat and mouth "for the blood I went to E.N.T،Gastroenterology doctors and every thing was good in these two areas,


Do you think these symptom could be from any STI ?



Thank you so much again and again doctor,

[Edward W Hook, MD]

Brief answers:

1- One of the doctors says: since you had an chronic inflammation because of the Infection you had, it can take up to 8 weeks until these symptoms disappear, and suggest playing some sports to speed up the recovery, my question is: with an chronic inflammation cases how long it will take until the symptoms gone after the Antibiotic course "assuming if it was an Infection".

I have no idea what this question means.

2- Since doctors here still diagnose this as an STD even though all the lab test I did was NEGATIVE, is it helpful if I ask the lady "I had anal sex" with her before to do an STDs test? is it easier to find the STIs on the ladies than men?

No, your tests tell you what you need to know. EWH

[jack059]

Dear Doctor,


Can I get an answer for the last two questions plz,


Thank you again,

[jack059]

Thank you so much I really appreciation your efforts,

[jack059]

Dear Doctor,


I am really Thankful for your time and your answers it is make me really  feel much better but on the other hand still worry since still I have the same symptoms, but excuse me to ask couple of questions:

first of all: the Sexual activities:  the last unprotected sex I had was an anal sex with lady (not active sexually ) "8 months before I start getting the pain" any other experiences was either protect or many years ago"


1- One of the doctors says: since you had an chronic inflammation because of the Infection you had, it can take up to 8 weeks until these symptoms disappear, and suggest playing some sports to speed up the recovery, my question is: with an chronic inflammation cases how long it will take until the symptoms gone after the Antibiotic course "assuming if it was an Infection".

2- Since doctors here still diagnose this as an STD even though all the lab test I did was NEGATIVE, is it helpful if I ask the lady "I had anal sex" with her before to do an STDs test? is it easier to find the STIs on the ladies than men?