so ive done a bit of digging and found this information with regards to NGU/NSU from user "HowardH"
CDC treatment guidelines suggest a specific sequence for NGU that doesn't respond to treatment: Initial NGU should be treated with either azithromycin (single dose) or doxycycline 7 days; if it persists (by professional exam, not just symptoms), give the alternat drug, i.e. azithro or doxy, whichever wasn't used first, PLUS metronidazole to cover trichomonas; and if still persists, try moxifloxacin, generally considered the best drug against M genitalium. Specific testing for M gen is not recommended, because approved testing is not widely available.
The CDC recommendations do not distinguish NGU acquired by genital versus oral sex. For oral, it probably is reasonable to go through the same sequence, but there is less confidence it would work, because neither trich nor M gen is known to be acquired by oral sex. OTOH, these drugs have activity against a wide range of other bacteria (probably including most oral bacteria), so it is still a reasonable sequence to try.
See your doctor to confirm you still have active urethritis. (Urinary discomfort without visible discharge usually doesn't count.) If so, remind him or her of the CDC recommendations. (They can be confirmed on line at www.cdc.gov/std. The current guidelines are dated 2010, but no change is expected in new 2015 guidelines that probably will be released in the next month or two.)
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I've had treatment with Doxy for 7 days. Do you think it's necessary to be treated with these other aforementioned antibiotics to treat the less well known possibilities of this infection, such as trich, m gen etc?
ok thanks.
Hopefully its just residual inflamation but im not sure that would result in dysuria.
different bacteria maybe, depends what kinds of tests they do.
hi thanks for the reply.
what kind of things can they find in a urine sample?
Wish I could help out but all of my ideas have been covered by Dr's. Maybe they will find something in the latest urine test.