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0.5g CEFTRIAXONE IM injection - is this what will work?

40yo male. Had unprotected sex. Did not pee after. The next day, irritation at tip, a couple of days later discharge - first in the mornings then during the day also. Sometimes cloudy white, sometimes transparent, sometimes grey. A little difficult to pee. Urine smells bad and is cloudy-green.

All tests were negative. 12 days doxy, partial improvement, followed without a break by 3 days azythromycin - more partial improvement, then straight with another week of doxy. It seemed fine but symptoms came back after a few days.

Another week of doxy, no help, another week off meds, then another week doxy, no help. Now 2-3 weeks off meds.

Was sent to a urologist who said this was clap and sent me to the nurse to get a single 0.5g CEFTRIAXONE shot.

Is this reasonable or am I missing something?
If yes, considering i'm 7 weeks into this story, can it be that a single shot is not enough because there is already a lot of abscess and bacteria in the bladder, it's lining the urethra and has become compacted etc.?
Assuming the bacteria is dead how do I get rid of just a lot of abscess?
As the tests were negative, can the infection be the cause of semen in the bladder (I had that once, doxy fixed it)? What is my recourse if that is the case?
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Avatar universal
Gonorrhea is notoriously difficult to culture.  If your STD test was actually a culture rather than a NAAT then I can see why your urologist would want to treat for it.  500 mg of ceftriaxone should be enough unless you've been experiencing other symptoms (particularly joint or tendon pain and lesions on the skin).  It could also be NGU/NSU.  The doxycycline you took would clear it up in many (perhaps most) cases but sometimes you get a resistant strain for which you would need either moxifloxacin (for mycoplasma) or clarithromycin (for ureaplasma).
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Avatar universal
We can't give medication info/advice.

You tested negative and that tests don't always find it? That is crazy talk. A urine sample or swab would find the bacteria.
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Avatar universal
Hi,

The urilogist did NOT come up with chlamydia, but with gonorrhea (clap).

She said tests do not always find it in the culture and that symptoms of discharge, pain at tip of organ, difficulty in urinating and green-color urine indicates it might be that and that if the shot does not work we will continue with the evaluation.

It is now 2 days plus a few hours after the shot. Not symptoms free yet *sigh* but this morning there was no discharge. Should I follow up with some doxy 100mg as I have here 12 pills so can take it for 6 days? Or is the fact that it did not clear up completely with doxy in the past indicates what I have is resistant or it is simply not the right drug for the problem? I'm concerned of the treatment kind of falling through the cracks as it has been going for a long time already and it would be a shame if the infection is almost cured and then comes back and I have seen doxy and a ceftriaxone IM shot indicated together in a different forum question here somewhere.

Or any other thoughts about this matter? I am looking to be proactive about doctor visits and tests so as to end my problem already :(

Thanks!
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Avatar universal
If you had negative tests then how did the uriologist come up with chlamydia?
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