chlamidia exams

[MARCO3532410]

live in italy and want describe my situation. sept/2006 : sex unprotected  with my new partner. After few days I gone to my doctor and he told me that was : candida albicans. So I and my girlfriend took Diflucan + Gyno canesten. Symthoms of my girl go away while mine worse. In particulary  : strongly  itching ; burning (during eiaculation/urination) and above all in the morning a important white discarge.october 2006 I gone to a urologist. He visited me very well : all ok and told me to do uretral swab (Chlamydia; gonorrea; triconomos and all type microorganisms) by pcr system.positive for Chlamydia.My girl done the same but the exam tested positive only ureaplasma. So both took doxiciclina for 15 days (2 pills 100mg fror day) plus 7 days of zitromax. Only protected sex.November 2006 :During the terapy burning eiculation/ urination reduced and discharge gone away. After 15 gg I and my girl done again a check (like the first one): all negative. Sex always protected.March 2007 : after 4  mounths from terapy remains : a sensation of burning when I urinate which everytime give me  a strange sensation like  ipersensibility/pleasure pre-wank on the tip of my penis. No others  problems.last week return to my specialist. He told me that it was normal� sometimes the simpthoms; especially without discharge; are normal and it�s nececessary also 6 mounths or more for go away depend on personal sensibility. I decided also for a dermatologic visit but the result was the same by the urologist. He told me that sensations are normal because the uretra is till some inflamed (red). He told me patients and told me also that it�s impossible that you have till chlamyda or someone else above all the check and antibiotic therapy. Then you told me that the during of my simpthoms could depend also from used euclorina.
1) it�s possible that the . Symthoms during for 6 mounth or more ?
2) it�s possible that chlamidya no gone away ?
3) I must go to another urologist

[H. Hunter Handsfield, M.D.]

In reply to your follow-up question in a new thread, which I deleted:  I agree with your doctor that the IgA test is meaningless.  No blood tests are useful in diagnosing chlamydia.  However, the negative PCR tests prove that you do not have chlamydia at this time.

HHH, MD

[H. Hunter Handsfield, M.D.]

Thank you for using the forum.  I will try to help.  But the main thing to know is that you probably do not have any continuing STD or any other serious infection.  You have been more than adequately treated for all possible STDs that might have been present at the start.  There are some major differences in the beliefs about STDs, their causes, and treatments between countries. For example, unlike your doctors, most STD experts believe that Candida rarely causes urethritis in men and that Ureaplasma is not an STD (we never even test for it in my clinic).

However, as I already said, there is no realistic possibility that any STD explains the symptoms you still have.  In some cases, an abnormal immune reaction might cause symptoms that persist even though the infection has cleared up.  Another possible explanation for symptoms like yours is the male chronic pelvic pain syndrome, which used to be considered a form of prostate gland inflammation -- but the prostate may not be involved at all.  If you Google "chronic pelvic pain syndrome", you will find lots of information about it.  Start your reading with the Wikipedia article, which is very good; I believe you will find your symptoms fit pretty well.  CPPS is uncomfortable but not dangerous.

You might return to your urologist; or if not certain he understands these issues well, perhaps see a different one.  But whatever happens, you can be certain you do not have continuing chlamydia or any other STD.  And you have nothing that will ever seriously harm your health or that of your current or future sex partners.

Best wishes--  HHH, MD