Moxifloxacin (Avelox) is believed to be the most active of all antibiotics against Mycoplasma genitalium, more reliable than azithromycin (Zithromax). However, the chance you have Mycoplasma genitalium is low, and the chance it explains any persisting symptoms is even lower. I do not believe any infection explains your symptoms and would not have recommend antibiotic treatment of any kind. You should not expect your symptoms to improve with this treatment.
My advice is that you stop searching the web and plan on living with your symptoms, as I suggested above. Once you become convinced that they don't mean anything important, my guess is they will fade away -- or at least will not bother you.
That will have to end this thread. Take care.
Dr Handsfield,
This will be my last question on this forum as I feel that I have crossed the threshold for questioning on this forum. The only reason for this question is because I went to the urologist and had EVERYTHING looked at and was told that everything looked fine.
Mycoplasma G.... How does Avelox compare to Zithromax as far as treatment, what testing could be done for this and how do you treat it in your clinic. My Urologist prescribed me 1 weeks worth at 400 mg per day since I had a bad reaction to cipro months back. I have searched this forum from front to back and the web as well not to mention a few books and haven’t found much info at all It seems that everything I read contradicts what I have read previously. I appreciate your help, all of us do more than you know.
Thanks again,
Lost
Trich may be harder to eradicate in men than women, and there has been educated guesswork that the reason may be that the organism colonizes the prostate, but this is mostly speculation. It is true that some antibiotics do not easily get into the prostate, but the drugs active against trich (metronidazole, tinidazole) are not among them. See http://aac.asm.org/cgi/reprint/28/6/812.pdf
Thanks Dr Handsfield,
That is what I needed to hear. I just wanted to be completely sure trich was ruled out; there is so much conflicting information out there and no reliable test, to be truthful all the doctors which I have dealt with are not all that up to speed on std's and urologist HA!!! Honestly I don't feel that the ones I have dealt with should be called Doctors. That's another story though... I have totally hated the last 6 months of my life but it has been a pleasure being a part of your forum. If anything changes I will be in contact....
PS. I have read in some places that trich can reside in the prostate and that allot of times antibiotics can't reach the prostate easily; anything to add to that?
Lost344
Welcome back to the forum. Unfortunately, this seems to be a repeat of the same questions, about the same symptoms, that dominated your prolonged thread (over almost 2 months) on this forum from September to November last year, as well as multiple discussions on the STD communit forum.
I really can't add anything to what you already have been told. The answer to your direct question is no: it is not possible that trich or any bacterial STD could have persisted despite the treatments you have had or that any STD is the cause of your symptoms.
Whether or not your initial symptoms were due to NGU, chlamydia, or gonorrhea, you have no STD now. None of these could possibly persist after the multiple courses of antibiotics you have received; and herpes is not a plausible explanation for your symptoms. My best guess is that you have a prostate gland problem, the chronic pelvic pain syndrome, or an anxiety problem with psychogenic symptoms. For more information about CPPS, google it (spell it out) and start your reading with the excellent Wikipedia article and the information from the Stanford University dept of Urology, both of which will be near the top of the google hits.
My guess is that you're just going to have to live with your symptoms. However, you can be 100% certain that you have nothing that will ever harm you or your sex partner(s) in any important way -- no cancer, no infertility, nothing important at all. If and when you come to understand that, my guess is that you will do just fine. Millions of people do just fine with various aches and pains, once they understand and accept that they don't mean anything serious.
I hope this helps. once and for all. Best wishes-- HHH, MD