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STDs (Expert Forum)
Antibiotic Effectivness
Answered by
University of Washington
Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
Antibiotic Effectivness
by anrol, Jun 11, 2007 12:00AM
After having an vaginal sex with a prostitute I went for full STD tests. Tests were approx 6 - 7 days after exposure. I was given azithromycin and another antibiotic. ( all results were negative )
About 3 weeks later co-incidentally I got tonsilitus and was prescribed 2 weeks of penicillin.
I have had no symptoms to this exposure which was approx 10 weeks ago, however my only concern is syphilis, I know I tested too soon for this to be accurate.
My questions are:-
1) Would the 2 antibiotics prescribed at time of tests plus subsequent penicillin have been enough to cure incubating syphilis if present.
2) Would I have seen symptoms by now? if so what would they be?
3) How low is syphilis in hetrosexual relationships (even CSW)
Thanks for a valuable service you offer.
Regards
About 3 weeks later co-incidentally I got tonsilitus and was prescribed 2 weeks of penicillin.
I have had no symptoms to this exposure which was approx 10 weeks ago, however my only concern is syphilis, I know I tested too soon for this to be accurate.
My questions are:-
1) Would the 2 antibiotics prescribed at time of tests plus subsequent penicillin have been enough to cure incubating syphilis if present.
2) Would I have seen symptoms by now? if so what would they be?
3) How low is syphilis in hetrosexual relationships (even CSW)
Thanks for a valuable service you offer.
Regards
Doctor's Answer
by H. Hunter Handsfield, M.D., Jun 11, 2007 12:00AM
, Jun 11, 2007 12:00AM
Directly to your questions:
1) Both azithromycin and penicillin are 100% effective in curing incubating syphilis.
2) If you mean symptoms of syphilis, the question is irrelevant; given the treatment you had, there is no chance you have syphilis. You can read any number of websites about the symptoms of syphilis. Generally the first sign is a painless open sore, most likely on the penis, appearing 3-6 weeks after exposure.
3) Syphilis risks vary geographically and by population group. If your commercial partner is an ethnic minority in a southeastern city, or along the Mexican border, her risk of having syphilis might have been high. Elsewhere in the country and in non-minority populations, extremely rare--and reported syphilis is entirely absent in many states in the US.
Bottom line: You have no STD worries from your recent adventures. Best wishes--
HHH, MD
1) Both azithromycin and penicillin are 100% effective in curing incubating syphilis.
2) If you mean symptoms of syphilis, the question is irrelevant; given the treatment you had, there is no chance you have syphilis. You can read any number of websites about the symptoms of syphilis. Generally the first sign is a painless open sore, most likely on the penis, appearing 3-6 weeks after exposure.
3) Syphilis risks vary geographically and by population group. If your commercial partner is an ethnic minority in a southeastern city, or along the Mexican border, her risk of having syphilis might have been high. Elsewhere in the country and in non-minority populations, extremely rare--and reported syphilis is entirely absent in many states in the US.
Bottom line: You have no STD worries from your recent adventures. Best wishes--
HHH, MD
