Give Dr. Jebrini my thanks for his report and kind comments. I'm glad you are getting such excellent care. But since STDs are the only topic for this forum and you have no STD, I have nothing more to say. That will end this thread. Best wishes.
Dear Dr. H. Handsfield,
I had a meeting with my doctor today and I printed the discussion that we had last night.
Therefore I am typing to you the following reply from my doctor.
“ Hi, I am thankful for your words and comments. My patient visited me with your discussion, with all my honor and hoping my patient taking benefit from your help and recommendation.
With full respect to your words and discussion I did TPHA analysis and was negative , which assured to my patient that he didn’t had STD. My patient living in the Middle East not north America. The patient had several analysis for STD, included Urine Analysis and CUH, THPA, which was fine. The patient didn’t complain from secretions or warring complains. HIV was away from my concern as lab.tests were fine, but I dint’t do HIV test as no meaningful. The patient come to my clinic many times, afraid from last sexual partner. So I decided to do chlamydia test with diagnosis Upper.Resp. Trat.int , as chest x-ray was fine, blood tests didn’t show any int.process.
F.B.C Full blood count, WBcs 8.5, CRP 3.5,ESR 2.
So as result of these tests I excluded Pneumococcal pneumonia. I prescribed Aziel Azithormyciu as a prophylactic for URII.
To noted Chlamydia serologically should IgG positive high titre indicating old infection.
Chlmy_ IgM, borderline which indicted recent infection. My plan with my patient as he had chlamy infect to give him of 3rd generation cepalsporins cetriatone 3 shots, then orally course p.o, Doxycycline for a week as our ministry of health recommended then do follow up.
I didn’t related pneumonia to last sexual intercourse, but as a family Dr and I knew my patient, I should give him the full information about the risks from these relations,my patient was worried about HIV I assured to him that he didn't have it.
I am glad to hear from you soon.
Yours Sincerely
Dr. Jebrini”
I might have spelled some medical terms wrong as I was typing from my doctor hand writing, and normally is not easy to understand Drs hand writing:) should you need any further clarification let me know.
Once again many thanks and I look forward to hear from you soon.
Thank you doctor, I will print this thread as aframwork and discuss with my doctor tomorrow
I will let you know tomorrow what he says, now you made me more relax at least I can have a night of good sleep without thinking of STD.
Once again thanks
Thanks for the clarifications.
The blood test: Chlamydophila pneumoniae (formerly named Chlamydia pneumoniae) is the bacteria I mentioned above. As the name implies, it causes pneumonia and other respiratory infections. It is not an STD; you cannot catch it by sex and it has nothing to do with your sexual contact a month ago. It is possible that infection with C. pneumoniae explains your cold symptoms and cough. Or maybe you have actual pneumonia, which might be why antibiotic shots are recommended.
It seems the main need here is for you to have another discussion with your doctor. Probably he does not realize that you were afraid you had an STD, and does not know you have been confused by genital (STD) versus respiratory (non-STD) chlamydial infections. You could print out this thread as a framework for discussion with him. If I had understood your confusion, my comments above would not have been so critical of your doctor's apparent knowledge about STDs!
Let me know what your doctor says after you have discussed it with him. In the meantime, you can completely disregard your sexual exposure a month ago. It has nothing to do with your current respiratory infection.
Dear Dr. H. Hnadsfield,
Thank you for your quick reply. I really appreciated I am in Jerusalem Israel, and I have a full free government health insurance so I don’t think my doctor taking any advantage but what I am worried that he might not be familiar with chlamydia, but he showed me in the computer that result indicted CHLAM. PNEU. I GG is positive and he told me that is chlamydia, what sort of test instead of blood test will you advice me to tell my doctor to take? He told me that I need five shots I had one and tomorrow morning I will have another shot then he will prescribe me an antibiotics after all the shots. I did not had an HIV test to be honest with you I only had TPHA I am so worried to have HIV and to be positive.
I can see from you pervious postings that you are an expert doctor I wish I can be your patient.
Please doctor tell me do you think I have STD or my doctor is not familiar with STD? advice me what to do? And what to tell my doctor? I am totally lost and confused and so worried full of regret as I am married man with kids and stable family.
Once again thank you
Also, I see no need for you to see a urologist. Don't spend the money on care you don't need and will not help!
Welcome to the forum and thanks for your question.
This is a peculiar situation. It sounds like you had a chlamydia blood test, which useless in diagnosing genital chlamydial infection. It only indicates you have been infected sometime in your life. Perhaps more important, it also is positive in people who have been infected with chlamydia-like baceria that cause colds and bronchitis -- not sexually transmitted.
Where are you (city, country)? Chlamydia blood tests are rarely done in North America, except in evaluating women with infertility. Also, the need to treat chlamydia with injections is ridiculous. Standard treatment is a single oral dose of azithromycin, or with 7 days of a tetracycline (usually doxycycline) -- also given by mouth. I fear your doctor either does not know chlamydia well, or is taking advantage of you with more complicated and more expensive diagnostic tests and treatment than you need.
Those comments partly address your specific questions, but to be clear: 1) You probably do not have chlamydia; if you do, it goes back to some other sexual exposure, not the condom-protected event a month ago. 2) Chlamydia is easily treated and clears up -- but not with antibiotics by injection. 3) Your negative syphilis blood test (TPHA) is reliable. PSA (prostate specific antigen) is not an STD test; it checks for prostate cancer. 4) With condom protected sex, you can be sure you did not catch HIV -- but you don't mention an HIV test.
Fill in the missing information and I may have more advice. In the meantime, don't worry. Almost certainly you have no STD or HIV from the exposure last month.
Best wishes-- HHH, MD