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STDs (Expert Forum)
gonnorhea resistent to cipro?
Answered by
University of Washington
Seattle - WA
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This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
gonnorhea resistent to cipro?
by orallyfixed, Jul 21, 2007 12:00AM
Hello doctor I have a question, I am currently taking cipro 500 mg twice a day for 14 days, if I were to have contacted gonnorhea would this amount listed above get rid of the gonnorhea... even though in California cipro is prone not to cure gonnorhea at the 500 mg dose. I think I might have gotten gonnorhea from a oral incident 4 days ago, no symtoms but I have already started taking the cipro I will have taken it 3 times by the end of this email. I know oral is low risk, oh I am a male by the way and I was the not giving head. LOL Thanks for your time, I specifically want to know if the amount I will have taken in the 14 days would be enough.
Doctor's Answer
by H. Hunter Handsfield, M.D., Jul 21, 2007 12:00AM
, Jul 21, 2007 12:00AM
Among gay men in California, in some cites (e.g., the Bay Area) up to 50% of gonorrhea strains may be resistant to the fluoroquinolone antibiotics. There is a lot of geographic and population variability, and the rates aren't as high in other places and groups--but gay men in California lead the pack. So you still need to be on the lookout for symptoms (urethral discharge, primarily) and get checked out promptly if that happens.
HHH, MD
HHH, MD
Member Comments (9)
by orallyfixed, Jul 23, 2007 12:00AM
Hello Doc that really didn't answer my question. I am a straight male and I received head from a female. I am on cipro because of a prostate issue. I just wanted to know that since cipro does cure gonnorhea would the two week dose I am taking do the job if I did catch it. I have heard of the resistant strains in California. I am in California and in the bay Area. So what are my chance with a dose that high, if I happen to have it and it is a resistant type of gonnorhea?
by H. Hunter Handsfield, M.D., Jul 23, 2007 12:00AM
, Jul 23, 2007 12:00AM
Logically the risk is too low to worry about. Chance your partner had gonorrhea of the throat, say 1 in 1000 (tops). Chance you caught it if she had it, maybe as high as than 1 in 10. Chance of cipro resistance, if you were exposed, probably around 10% (since it's a heterosexual situation--higher for gay men). Chance of getting gonorrhea of the penis without symptoms, about 1%. Thus, if you have no symptoms, your odds of having been infected come to 0.001 x 0.1 x 0.1 x 0.01 = 0.0000001. That's one chance in 10 million--actually even less, since I used high estimates for the individual odds. In other words, forget it.
by orallyfixed, Jul 23, 2007 12:00AM
Thanks doc for breaking that down for me. But since I am on Cipro would I even develope sysmtoms? I know from what you told me not to worry, and I am not truly worried just seeking infor. Thanks again.
by orallyfixed, Jul 24, 2007 12:00AM
Hey Doc I think my above question is legit... How would I know if I had something being on Cipro? I know risk was low but don't you think you could explain that to me. I am by know mean paranoid, I would just like to be better informed. Thanks
by H. Hunter Handsfield, M.D., Jul 24, 2007 12:00AM
, Jul 24, 2007 12:00AM
If infected by a strain resistant to the antibiotic you are taking, it is as if no antibiotic is present. In other words, you would develop the same symptoms. Urethral gonorrhea without recognized symptoms is rare. If you haven't developed a urethral discharge (and often painful urination) within a week of exposure, you can be confident you didn't catch gonorrhea.
by H. Hunter Handsfield, M.D., Jul 26, 2007 12:00AM
, Jul 26, 2007 12:00AMTo: SpecialEd
The only way to ask a new question is to use the Post a Question button on the forum home page.
by stanope, Aug 10, 2007 01:19AM
To: doctor help!
hey doc like 3 weeks ago i had this burning feeling when i urinated..and there where times when i were to masturbate and before i even ejaculate there would be a thick yellowish discharge at the tip of my penis..then a week later i started taking different kinds of anitbiotics and the pain is gone but when i wake up in the morning and if i were to kinda pull up the skin the disharge will still come out..i havnt gone to a doctor cus im kinda worried..im 16 and my girlfriends 15 and if her parents find out were having sex there guna kill me..but im her first and shes my first but we have sex constantly..but none of us has ever had sex with another person..now my question is do you think from what i told you do i have gonnorhea?and if i do can you tell me a medicine that i can take that will get rid of it so i dont have to go to the hospital?pls help!
by orallyfixed, Aug 17, 2007 01:26PM
Doc if you are around still, I have always wanted to ask, why oral is such a low risk for STD's. If you have the time to explain it to me.
