NSU for 2nd time???? Help

Hi, Dr. This is what has happen to me.

19 weeks ago I had a unpertected sex with a Female I did not know. After that like the 3rd week I had some discarge I went to the Dr. he gave me a swab test for Chlamydia & Gonorrhea it came back NEG he also gave me a Z-pack. Evry thing was good after that. Then I went to get cheacked at 8 weeks after he treted me I did a second test this time for HIV that was NEG. and a urin test for Chlamydia GC Amplification Nucleic Acid Amp also NEG & Gonorrhea Nucleic Acid Amp. everthing is good. I started worring about HIV then at 15 weeks I did a 3rd test for HIV it was NEG.. and the following

AM143282 Chlamydia Species Abs, IgG

AM14325B Chlamydia pneumoniae IgG <1:32 <1:32

AM14326B Chlamydia trachomatis IgG <1:32 <1:32

AM14323A Chlamydia psittaci IgG <1:32 <1:32 all NEG.

also

3108 HERPES SIMPLEX 1 IGG  0.22
        
NEGATIVE: < 0.90 IV
EQUIVOCAL: 0.90 - 1.10 IV
POSITIVE: > 1.10 IV

3110 HERPES SIMPLEX 2 IGG  0.10
        
NEGATIVE: < 0.90 IV
EQUIVOCAL: 0.90 - 1.10 IV
POSITIVE: > 1.10 IV

4315 HBsAg  NEGATIVE     NEGATIVE    
4335 HEPATITIS B CORE IGM  NEGATIVE     NEGATIVE    
4355 HEPATITIS A IGM  NEGATIVE     NEGATIVE    
4365 HEPATITIS C AB  NEGATIVE     NEGATIVE    
4563 TREPONEMA PALLIDUM IgG  NON-REACTIVE     NON-REACTIVE
TREPONEMA PALLIDUM (SYPHILIS) IgG ANTIBODY PERFORMED BY EIA.

Now yesterday I got the Discharge aging with no pain just the discharge I still have it so today I went to see my Dr. He came in told me that all my test are Neg. then I supride him by telling him I got the discharge aging. I have not had sex with the girl I did not know anymore only my G/F.. He told me that he is stomted that he can not understand. He say that for sure it is not Gonorrhea cuse it is easy to test for but that Chlamydia is harder to test for but that he can not see that it is Chlamydia cuse of all the testing has not picked it up. He did a secound Swab today and gave me a second Z-pack. He told me to tell my G/F to get treted also just in case.

1. My question is the following after all these test can this still be Chlamydia? 2. or is there something eles? that my cuse this? I know every one says HIV is ruld out cuse of the test a 18 weeks is NEG also a PCR at 32 days was NEG.. But what eles can this be evrything was NEG??? Please help me..

[H. Hunter Handsfield, M.D.]

Wow!  That's an awful lot of testing for an episode of NGU!  Beyond the initial urine test for gonorrhea and chlamydia, all the rest was useless and a waste of money and time.

NGU often recurs.  Repeat symptoms almost never are due to chlamydia (which you clearly didn't have before), unless someone is exposed to a new infection.  Recurrent NGU is believed to be entirely harmless, with no important health risk to either the patient or his sex partners.  It does not suggest HIV infection.

Recurrent NGU is treated with the same antibiotics as initial infection, typically azithromycin or doxycline. Treating the partner is a good idea, but probably makes no difference.  If it keeps coming back, sometimes a longer course of treatment is required (but repeated treatment of the partner, beyond the first time, is not recommended by most experts).  Many such cases may not be due to infection at all, just the body's immune reaction to the previous infection.

Bottom line:  Follow your doctor's advice.  And stop worrying.  This isn't a big deal.

Good luck--  HHH, MD

[Fherrera]

But the way I have also had sore armpits and back of my knee also only on the left side....

[Fherrera]

One more thing .. What are the chances that this swab comes back poss?

[H. Hunter Handsfield, M.D.]

The additional symptoms are meaningless with respect to NGU.  Probably nothing more than anxiety.  I expect all your new STD tests to be negative.

HHH, MD

[Fherrera]

Dr. Sorry for the second question.

Do you think the the urin test for Chlamydia GC Amplification Nucleic Acid Amp & Gonorrhea Nucleic Acid Amp. Was Neg. Becuse of the Z-Pak? the test was taken 8 weeks after I toke the Z-pak.

also the Blood test?

Also do you think that it would afect my HIV test at 18 weeks or do I need to retest for HIV?

Dose the Z-pak take alway Gonorrhea too?

[H. Hunter Handsfield, M.D.]

The follow-up tests were negative because you never were infected with either gonorrhea or chlamydia, as shown by the initial rounds of tests.  Azithromycin works against gonorrhea, but you didn't have it anyway.  You do not need retesting for HIV or any other STD; you have had too much testing already.

No follow-up questions, please.

HHH, MD

[Fherrera]

Sorry Dr. You have been alsome with me and my question I am just so scard I do not know what is going on. I thank you and I am sorry for all the questions

[H. Hunter Handsfield, M.D.]

The level of anxiety you are experiencing over this is abnormal and irrational, suggestting a signficiant emotional disorder.  Please see a mental health professional.  I suggest it out of compassion, not criticism.

HHH, MD