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Trichomonas Testing Question
I know there is a DNA test available that is supposed to be reliable for men. I'd prefer not to explain why, but I need to find a place to get this test done in place of just taking medicine for it. I'm in the Chicago area. This is very important for me and any help is greatly appreciated.
I had a negative on the urine test done at a clinic, but I hear that is quite unreliable.
I had a negative on the urine test done at a clinic, but I hear that is quite unreliable.
Thanks.
He did mention the possiblity of chronic pelvic pain and is using the anti-biotics just as insurance.
I would have taken the flagyl sometime ago but due to my having a long term partner I know she would need to be treated as well. That is why I was hoping to have a definiative test to confirm a need to communicate this or not.
He did mention the possiblity of chronic pelvic pain and is using the anti-biotics just as insurance.
I would have taken the flagyl sometime ago but due to my having a long term partner I know she would need to be treated as well. That is why I was hoping to have a definiative test to confirm a need to communicate this or not.
Thank you,i Iook forward to discussing my situation with you.Sorry for thethread jump.
MEDICAL PROFESSIONAL
Thread jump, no reply. Read the websites I suggested above.
IS CHRONIC PELVIC PAIN SYNDROME RELATED TO A VIRAL CAUSE?IE..HSV.
MEDICAL PROFESSIONAL
I meant to add that it would not be unreasonable for you to be treated for trichomonas, if that hasn't been done -- just to make sure all bases are covered. But don't expect it to make a difference in your symptoms.
MEDICAL PROFESSIONAL
From this additional information, I doubt you have (or have had) trichomonas or any other STD; indeed, I doubt the problem has anything to do with your sexual encounter 4 months ago, just a coincidence in timing. (If related to the encounter, it could be through psychological mechanisms, i.e. anxiety related to the event -- but you are a better judge of this than I can be.)
That your symptoms are not clearing up entirely on antibiotics is evidence no infection is involved; that is far more likely than an antibiotic-resistant infection. You may or may not have prostatitis; I will leave that to your urologist, but it sounds like he isn't at all certain of it. He undoubtedly would agree that prostatitis is often a vague diagnosis, and that most cases are not due to infection of any kind/ No STD is known to cause prostatitis, and that includes trichomonas.
I recommend you look up "chronic pelvic pain syndrome". Just google that term and start your reading with the excellent Wikipedia article, which will be near the top of the google hit list. Then move on to information from the Stanford University Dept of Urology. I'll bet you see a lot in common with your problem. Finally, discuss what you learn with your urologist.
As to your last comment/question, I expect your symptoms likely will continue, but they will then gradually fade with time. Whatever is going on, you can be very certain you have nothing that threatens your health, or that of a future sex partner, in any important way.
That your symptoms are not clearing up entirely on antibiotics is evidence no infection is involved; that is far more likely than an antibiotic-resistant infection. You may or may not have prostatitis; I will leave that to your urologist, but it sounds like he isn't at all certain of it. He undoubtedly would agree that prostatitis is often a vague diagnosis, and that most cases are not due to infection of any kind/ No STD is known to cause prostatitis, and that includes trichomonas.
I recommend you look up "chronic pelvic pain syndrome". Just google that term and start your reading with the excellent Wikipedia article, which will be near the top of the google hit list. Then move on to information from the Stanford University Dept of Urology. I'll bet you see a lot in common with your problem. Finally, discuss what you learn with your urologist.
As to your last comment/question, I expect your symptoms likely will continue, but they will then gradually fade with time. Whatever is going on, you can be very certain you have nothing that threatens your health, or that of a future sex partner, in any important way.
Assuming I start taking flagil how long before I would expect the symptoms to go away?
Thank you for the information.
My exposure was about 4 months ago and I've developed tingling in the urethra plus what seems like mild chronic prostatitis. (discomfort, urge to urinate, pressure in prostate area/perinium) I saw my urologist (no pain on inspection of prostate, negative on infection test, doesn't appear to be enlarged) he still put me on doxy and flowmax because of decreased urine flow and my symptoms. He thinks possibly a stricture or an infection that doesn't show up on test. He mentioned possible PPD as well.
I don't have any discharge or pain during urination. My symptoms, while mild, are definately new and not normal, for me. I recognize my risk of trich is probably very low but the reprocussions would be high so I'd rather know and deal with it if I need to and not if I don't.
Also, I tested negative for other normal STDs at 3 months and took doxy for 7 days right after the exposure.
Reading up on trich is frustrating as the symptoms are like quite a few other problems in men and may show up on not, may last a while or not, may reoccurr or not, may cause prostatitis or not. . . .
What is known on how long trich takes to cause prostatitis and what the symptoms would be, including severity?
I appreciate your advice and I understand it. From reading your site I know that my concerns can't be directly answered by you but I would like to understand this as well as is reasonably possible. For right now I'm taking the doxy for a total of 1 month to see results. I've noticed some improvment, I think, but that could be from the flowmax as well. I'm 10 days into the treatment.
I'm 39.
Thanks.
My exposure was about 4 months ago and I've developed tingling in the urethra plus what seems like mild chronic prostatitis. (discomfort, urge to urinate, pressure in prostate area/perinium) I saw my urologist (no pain on inspection of prostate, negative on infection test, doesn't appear to be enlarged) he still put me on doxy and flowmax because of decreased urine flow and my symptoms. He thinks possibly a stricture or an infection that doesn't show up on test. He mentioned possible PPD as well.
I don't have any discharge or pain during urination. My symptoms, while mild, are definately new and not normal, for me. I recognize my risk of trich is probably very low but the reprocussions would be high so I'd rather know and deal with it if I need to and not if I don't.
Also, I tested negative for other normal STDs at 3 months and took doxy for 7 days right after the exposure.
Reading up on trich is frustrating as the symptoms are like quite a few other problems in men and may show up on not, may last a while or not, may reoccurr or not, may cause prostatitis or not. . . .
What is known on how long trich takes to cause prostatitis and what the symptoms would be, including severity?
I appreciate your advice and I understand it. From reading your site I know that my concerns can't be directly answered by you but I would like to understand this as well as is reasonably possible. For right now I'm taking the doxy for a total of 1 month to see results. I've noticed some improvment, I think, but that could be from the flowmax as well. I'm 10 days into the treatment.
I'm 39.
Thanks.
MEDICAL PROFESSIONAL
Welcome to the forum.
You are correct that standard testing is unreliable for trichomonas, especially in men. That's on reason why the sex partners of infected women are treated routinely, without relying on test results.
A number of research laboratories have developed DNA testing methods that are more effective at detecting infection (in both men and women) than the tests routinely available in clinical laboratories. However, to my knowledge no such test has been made commercially available; and the ones used by research labs have not had regulatory approval. For now the tests are suitable only for research. And even if you had such a test, if negative, it would not necessarily prove you are not infected. Even the DNA tests miss some infections.
I'm afraid you're going to need to rely on routine treatment if you believe there is reason to believe you might have it.
Good luck---- HHH, MD
You are correct that standard testing is unreliable for trichomonas, especially in men. That's on reason why the sex partners of infected women are treated routinely, without relying on test results.
A number of research laboratories have developed DNA testing methods that are more effective at detecting infection (in both men and women) than the tests routinely available in clinical laboratories. However, to my knowledge no such test has been made commercially available; and the ones used by research labs have not had regulatory approval. For now the tests are suitable only for research. And even if you had such a test, if negative, it would not necessarily prove you are not infected. Even the DNA tests miss some infections.
I'm afraid you're going to need to rely on routine treatment if you believe there is reason to believe you might have it.
Good luck---- HHH, MD
You are reading content posted in the STDs Forum
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