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STDs (Expert Forum)
Prostate Discomfort
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.
Prostate Discomfort
by Norv12, Apr 22, 2005 12:00AM
Hi Dr. Thank you for this incredibly important and helpful forum.
I was treated for gonorrhea and chlamydia after showing symptoms such as a dull ache in the testicles, urethra burning and frequent urination about 5 days after a sexual encounter. I was treated with 500mg Cipro, 10 days Doxycycline and then a follow up of 2g Azithromycin a day after finishing the doxy. The pain was completely gone and I felt perfectly normal for 2 weeks. I then started having similar symptoms (no other sexual contact) and I now have a dull ache in my prostate. Could this just be residual inflammation or is it possible I could still have a bacterial infection after the arsenal of antibiotics I was on? Thanks for any suggestions.
I was treated for gonorrhea and chlamydia after showing symptoms such as a dull ache in the testicles, urethra burning and frequent urination about 5 days after a sexual encounter. I was treated with 500mg Cipro, 10 days Doxycycline and then a follow up of 2g Azithromycin a day after finishing the doxy. The pain was completely gone and I felt perfectly normal for 2 weeks. I then started having similar symptoms (no other sexual contact) and I now have a dull ache in my prostate. Could this just be residual inflammation or is it possible I could still have a bacterial infection after the arsenal of antibiotics I was on? Thanks for any suggestions.
Doctor's Answer
by H. Hunter Handsfield, M.D., Apr 22, 2005 12:00AM
, Apr 22, 2005 12:00AM
You were somewhat over-treated for gonorrhea and chlamydia, so you can be sure those infections are gone.
The American Urological Association now refers to "male pelvic pain syndrome" rather than prostatitis. Well, more accurately, not all pain in the pelvic floor (rectal area, lower abdomen, etc) that used to be thought to be due to prostatitis actually is associated with prostate inflammation, but it could be. Residual inflammation indeed is a more likely explanation than an active infection. If your discomfort persists for more than a couple more weeks, return to your health care provider. But it likely will clear up. (But if you get discharge from the urethra--which I don't think you will--don't wait, get it checked out right away.)
Good luck-- HHH, MD
The American Urological Association now refers to "male pelvic pain syndrome" rather than prostatitis. Well, more accurately, not all pain in the pelvic floor (rectal area, lower abdomen, etc) that used to be thought to be due to prostatitis actually is associated with prostate inflammation, but it could be. Residual inflammation indeed is a more likely explanation than an active infection. If your discomfort persists for more than a couple more weeks, return to your health care provider. But it likely will clear up. (But if you get discharge from the urethra--which I don't think you will--don't wait, get it checked out right away.)
Good luck-- HHH, MD
No fair starting a new message string on the same topic; I deleted it. Only a limited number of new questions are permitted each day, and unnecessary messages prevent others from getting on the board.
HHH, MD