Trichomoniasis, Chlamydia, or Gonorrhea?

[bubkup]

Hello Drs Handsfield / Hook. I do have a problem, that keeps bothering me immensly and I would really appreciate your help deeply. Roughly about 2 weeks after a sexual intercourse with a new partner, (about 2.5 months ago), I started observing small amounts of yellowish, rather on the thicker side, discharge from my penis. Also, there was an tingly-itching, and slightly burning sensation in my urethra, closer to the end of the shaft of the penis, right where it connects with the head. There was no other symptoms present: no swelling or pain in the testes, no redness of the tip of the penis, etc. During the course of the 7-day period I was waiting for the urologist appointment, the itching/burning progressed slightly up the urethra towards the middle of the penis. The surgeon-urologist (this was in Europe) just visually inspected my penis, performed a quick ultrasound scan of my lower abdomen and diagnosed me with Trichomonas Vaginalis. He also mentioned that my prostate was enlarged. Her prescribed Cipro, 500 mg 2 x day for 10 days, and a Detreomycin 2% ointment to apply to the head of my penis. The symptomes subsided after about 3 days, and they appeared to go away. Unfortunately, the did come back, in about 2 weeks after the end of the treatmen,t again. And my question 1 is: I read that Cipro's spectrum does not encompas treatmetn of Trichomonas Vaginalis (it is not an effective drug against it); why would an experienced doctor prescribe this drug then? Question 2: In the US, I was treated witn Metronidazole 500 mg 2 x day for 7 days (I did not have any tests done), which supposedly is the drug for trichomoniasis, and that this drug did not do anytning to improve the condition; the symptoms are still present. The only difference in symptoms I am observing is sometimes clear discharge, more ofthen though, yellow, thick discharge, which is most observable in the morning, before the urination. Also, there is no odor of any kind. Question 3: Is it possible that I indeed do have a Trichomonas, and it's the Metronidazole-resistant kind, or perhaps it is the case of Chlamydia/Gonorrhea? Question 4: What would be a possible course of treatment for the Metronidazole-resistant Trich? I read, that perhaps Tinidazole would be the next choice of drug? If yes, what dosage should be effective? Question 5: I tried to comb through the net to find anything about after how much time the symptoms of Trich should start disappearing when treated with drugs? (Non of the countless sites mention that at all). Thank you very much in advance for your help.

[Vance2335]

Symptoms should start to decrease within days of starting medicine.

Expert forum is closed for internal review.

[bubkup]

Thank you for reading my post and replying, despite of its length! No, I havent done any testing yet, as at the time of writing my post I was just finished with the Metronidazole, and still hoped it would kick in. Do you know after how much time does it take for the trich symptoms to diminish / disappear after starting the Metronidazole treatment? I searched all over the web, and all the sites seem to answer the obvious questions, ones that have been posted on hundreds of websites, but... haven't found the answer to this one, and sometimes you really want to know what to expect. By, the way, what happened to the experts? Thank you again! bk

[gracefromHHP]

the std experts forum is no longer here at medhelp unfortunately :(

has anyone done any actual testing on you yet? sounds like this last time he guessed and threw cipro at you hoping it helped whatever was going on.

no more antibiotics at this point until you had a better exam to see if the prostate is still enlarged and some actual testing done.

grace