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STDs (Expert Forum)
following topic "chlamydia info" dated 04/05/07 from Marco3772
Answered by
Edward W Hook, MD - HIV Prevention, stds
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.
following topic "chlamydia info" dated 04/05/07 from Marco3772
by MARCO3532410, Oct 25, 2007 04:13PM
c.a. Handsfield
I'm here again.Thank you very much for your answer of 04/05/07 but now I want ask you further dectails about my situtation. In may (for my decision and reassured myself) check again for all type microbiology) : all negative. In september urology and dermatology visit again. Both doctor told me.... you have nothing of patology.. the only one problem is that you are too much focus on your genitals and perhaps more sensitive than normal person. They told me that the genitals -nerves are very very sensitive and you must patient and with the time... the "memory" will go away. Now the only one simptom is ipersensitivity on meatus (tip of my penis) above all contact with underwear.. and this sensation is more present when I urinate...
some question :
1) You remember some your patients who after chlamydia urethritis have simptoms like me and so long ?
2) it's possible that Clamydia (chlamydia) is go away from my urethra but not in my prostatis ?
3) from sept. 2006 I have always used condom... but if in the future I will unprotected sex it's necessary more exams and attention ?
4) It's possible that clamydia (chlamydia) has damaged irreparably my urethra ?
5) it's possible that my simphtoms depend only my focus and my mind ?
6) do you agree about doctor told me ?
7) in your opinion .. it necessary to do further exams ?.. for example citoscopy.. ?
Thank you for your answer and patient ....
I'm here again.Thank you very much for your answer of 04/05/07 but now I want ask you further dectails about my situtation. In may (for my decision and reassured myself) check again for all type microbiology) : all negative. In september urology and dermatology visit again. Both doctor told me.... you have nothing of patology.. the only one problem is that you are too much focus on your genitals and perhaps more sensitive than normal person. They told me that the genitals -nerves are very very sensitive and you must patient and with the time... the "memory" will go away. Now the only one simptom is ipersensitivity on meatus (tip of my penis) above all contact with underwear.. and this sensation is more present when I urinate...
some question :
1) You remember some your patients who after chlamydia urethritis have simptoms like me and so long ?
2) it's possible that Clamydia (chlamydia) is go away from my urethra but not in my prostatis ?
3) from sept. 2006 I have always used condom... but if in the future I will unprotected sex it's necessary more exams and attention ?
4) It's possible that clamydia (chlamydia) has damaged irreparably my urethra ?
5) it's possible that my simphtoms depend only my focus and my mind ?
6) do you agree about doctor told me ?
7) in your opinion .. it necessary to do further exams ?.. for example citoscopy.. ?
Thank you for your answer and patient ....
Doctor's Answer
by Edward W Hook, MD, Oct 25, 2007 09:59PM
, Oct 25, 2007 09:59PMTo: MARCO3532410
Since you wrote to Dr. Handsfield I have joined him in answering questions. I do not know of your previous situation but do feel comfortable in addressing the questions you have asked. Using your numbers:
1. The sypmtoms of uncomplicated chlamydial infection typically go away quickly following therapy. If you were treated six months ago, that chlamydial infection should no longer be causing your problem.
2. Very, very few people with chlamydial urethritis get prostatitis to start with. The symptoms you describe are not suggestive of prostatitis. I would not worry about this.
3. In the future, unprotected sex will place you at risk for acquiring another STD if your partner is infected. I would recommend you continue to use condoms. In general, it is a good idea for persons who have new sex partners, multiple sex partners or sex partners who practice risky behaviors to be checked for STDs at least once a year, even if they do not have symptoms.
4. Chlamydia can cause scarring of the urethra. This is very unusual and your pain symptoms are not suggestive of this problem.
5. The power of the mind is great. If you are focused on your genitals, you may notice sensations and features that you were unaware of before you began to be concerned. This is very common. Try not to worry.
6. Yes, I agree with your Dr. I suspect it is unlikely you have chlamydia or another STD causing your problems.
7. There is nothing in the history you have given which would cause me to order further testing. As I said, I would recommend that you try not to worry about this.
EWH
1. The sypmtoms of uncomplicated chlamydial infection typically go away quickly following therapy. If you were treated six months ago, that chlamydial infection should no longer be causing your problem.
2. Very, very few people with chlamydial urethritis get prostatitis to start with. The symptoms you describe are not suggestive of prostatitis. I would not worry about this.
3. In the future, unprotected sex will place you at risk for acquiring another STD if your partner is infected. I would recommend you continue to use condoms. In general, it is a good idea for persons who have new sex partners, multiple sex partners or sex partners who practice risky behaviors to be checked for STDs at least once a year, even if they do not have symptoms.
4. Chlamydia can cause scarring of the urethra. This is very unusual and your pain symptoms are not suggestive of this problem.
5. The power of the mind is great. If you are focused on your genitals, you may notice sensations and features that you were unaware of before you began to be concerned. This is very common. Try not to worry.
6. Yes, I agree with your Dr. I suspect it is unlikely you have chlamydia or another STD causing your problems.
7. There is nothing in the history you have given which would cause me to order further testing. As I said, I would recommend that you try not to worry about this.
EWH
There is nothing more to be done. You are well. It is time to just live with it and forget it. Not all symptoms mean disease, and you can be certain you have nothing that will ever harm you or a sex partner.
I think that now is arrived the moment to live my life....stop spend money for doctor or exam...
Marco. D.