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STDs  (Expert Forum)
 | 
Couple of Questions
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.

Couple of Questions

by help9, Jan 07, 2005 12:00AM
Hi, as you already know from my past questions i had a relationship with a pro just over 3 months now and i started having some discharge from my penis afetr uriniting my questions are:
1)How long should someone wait to get a correct result to find out if they have hiv?Ýs 3 and a bit months enough to get an accurate result for a hiv test?
2)i prescribed Tavanic 500mg, would this help cure chlamaydia and Gonnerhea?Should someone take this if they have allergies to Penisilin?
3)Ý got a Elisa test done just less then 3 weeks from having the unprotected relationship and it came back negative.Ýf i get another test done (now beeing just over 3 months) and if that comes back negative, would that mean for sure that i dont and wont have hiv?
4)The doctor also prescribed tetrodox(Doxycycline) with the Tavanic 500mg,Would this help me?
Waiting for your expert advise.
Thanks

by H. Hunter Handsfield, M.D., Jan 07, 2005 12:00AM
You clearly had urethritis, either gonorrhea, chlamydia, or non-chlamydial nongonococcal urethritis (NGU).  Gonorrhea almost always causes symptoms within a few days, so it is much less likely than the others.  Ideally, you should have been tested for both gonorrhea and chlamydia, but many doctors skip that step and just give treatment for all possibilities.  To answer your specific questions:

1) Modern HIV tests usually become positive in 2 weeks and virtually always by 4 weeks.  3 months is more than enough time.

2) I had to look up Tavanic and found it is the trade name for levofloxacin in some countries (Levaquin in the United States).  If given in a single dose of 500 mg, it would not cure chlamydia (but see no. 4 below).  It usually is effective against gonorrhea, but resistant strains are increasingly common in much of the world.  But if your symptoms cleared up, you can be sure that if you have gonorrhea, it was cured.  Levofloxacin is unrelated to penicillin and is safe in pen-allergic persons.

3) Yes.

4) Doxycycline for a week (usual dose is 100 mg twice daily for 7 days) is highly reliable against chlamydia.  (Levofloxacin also would be effective if given for 7 days, but not in single doses.)

You should do fine.  "Pro" or not, you should inform your partner of 3 months ago of your diagnosis, if you know how to contact her.  And of course any other partners between then and now.

Good luck--  HHH, MD
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