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Chlamydia
Doctor,
I woke up this morning to some penile irriation. I have what felt like the onset of a UTI. I had a slight itchy feeling at tip of penis and what looked like white pus(blood cells) discharge a drop. I immediately took one tablet of Levofloxcain I have in the house. It was 500mg. I had just had sex with a woman last night but every thing was protected, but the condom was on really tight. It was a little uncomfortable when on and I did not urinate after ejaculation. I had to really pull the condom off...like it created some kinda of air pocket and had to strecth it off. Other than this encounter I have had unprotected sex with my wife 3 weeks ago. Needles to say after this morning I went to the doctor who did a urine test and I told him about the levofloxcin. The urine test came back negative. He is still sending it off for culture. But could the levofloxcin have cuase a false negative that quick on the urine test. Also after the doctor visit and taking that 1 tablet of levofloxcin I have no symptoms..discharge or need to urinate, Could this all be cause of condom irration? It was a condom without spermicide. Wouldnt symptoms persist despite this single dose?
I woke up this morning to some penile irriation. I have what felt like the onset of a UTI. I had a slight itchy feeling at tip of penis and what looked like white pus(blood cells) discharge a drop. I immediately took one tablet of Levofloxcain I have in the house. It was 500mg. I had just had sex with a woman last night but every thing was protected, but the condom was on really tight. It was a little uncomfortable when on and I did not urinate after ejaculation. I had to really pull the condom off...like it created some kinda of air pocket and had to strecth it off. Other than this encounter I have had unprotected sex with my wife 3 weeks ago. Needles to say after this morning I went to the doctor who did a urine test and I told him about the levofloxcin. The urine test came back negative. He is still sending it off for culture. But could the levofloxcin have cuase a false negative that quick on the urine test. Also after the doctor visit and taking that 1 tablet of levofloxcin I have no symptoms..discharge or need to urinate, Could this all be cause of condom irration? It was a condom without spermicide. Wouldnt symptoms persist despite this single dose?
MEDICAL PROFESSIONAL
Welcome to the forum. I'll try to help.
Your symptoms are consistent with a urethral infection, i.e. gonorrhea, chlamydia, or nongonococcal urethritis (NGU). However, if you have any of these, it was not from the exposure the night before. The condom was effective protection against all of these, and none of them can cause symptoms earlier than 2-3 days (for gonorrhea) or 7-10 days (for NGU or chlamydia).
Another possibility is a little physical or chemical irritation from the previous night's events -- perhaps from the condom, as you suggest yourself in the closing paragraph. This possibility also is favored by the fact that your sympotms have not continued. Even with effective treatment, it takes 2-3 days for NGU, chlamydia, or gonorrhea symptoms to clear up.
As you now realize, it was a mistake to take the levofloxacin. However, it sounds like you were tested soon enough that the test results probably are valid. I'm not clear on exactly what tests have been done, however, Can you say more about what sort of rapid test was done while you were still in the office? And are you sure the urine test was a culture? More likely it is a nucleic acid amplificaiton test (NAAT) -- but let me know if you can. Were you tested for both chlamydia and gonorrhea? (Happily, the NAATs in particular would still probably be valid within a day of taking the antibiotic. A culture would be more problematical.)
Putting it all together, I favor the physical/chemical irritation theory. If the urine test ist a NAAT and returns negative for both gonorrhea and chlamydia, and if your symptoms do not recur, probably you are home free.
I hope this has been helpful. Best wishes-- HHH, MD
Your symptoms are consistent with a urethral infection, i.e. gonorrhea, chlamydia, or nongonococcal urethritis (NGU). However, if you have any of these, it was not from the exposure the night before. The condom was effective protection against all of these, and none of them can cause symptoms earlier than 2-3 days (for gonorrhea) or 7-10 days (for NGU or chlamydia).
Another possibility is a little physical or chemical irritation from the previous night's events -- perhaps from the condom, as you suggest yourself in the closing paragraph. This possibility also is favored by the fact that your sympotms have not continued. Even with effective treatment, it takes 2-3 days for NGU, chlamydia, or gonorrhea symptoms to clear up.
As you now realize, it was a mistake to take the levofloxacin. However, it sounds like you were tested soon enough that the test results probably are valid. I'm not clear on exactly what tests have been done, however, Can you say more about what sort of rapid test was done while you were still in the office? And are you sure the urine test was a culture? More likely it is a nucleic acid amplificaiton test (NAAT) -- but let me know if you can. Were you tested for both chlamydia and gonorrhea? (Happily, the NAATs in particular would still probably be valid within a day of taking the antibiotic. A culture would be more problematical.)
Putting it all together, I favor the physical/chemical irritation theory. If the urine test ist a NAAT and returns negative for both gonorrhea and chlamydia, and if your symptoms do not recur, probably you are home free.
I hope this has been helpful. Best wishes-- HHH, MD
MEDICAL PROFESSIONAL
Neither chlamydia nor gonorrhea is a likely cause of blood in the urine. This is something that should be professionally evaluated without delay. And for goodness' sake, stop taking levo or any other antibiotic on your own. You may already have screwed up any chance of diagnosing your symptoms and bleeding, especially if it happens to be cause by a non-STD urinary tract infection. Another possibility would be a kidney stone, which has passed into the urethra and hung up there -- which could cause both the pain you described plus blood. In any case, it now seems likely that none of this has anything to do with your recent sexual exposure, except maybe for the slight possibility that the unusually tight condom contributed in some way.
We're clearly into a non-STD realm here, and STDs are the only topic for this forum. I'll be interested to hear the outcome after you have been professionally evaluated, but I won't have any further advice about it.
We're clearly into a non-STD realm here, and STDs are the only topic for this forum. I'll be interested to hear the outcome after you have been professionally evaluated, but I won't have any further advice about it.
Doctor
My symptoms have progressed to blood in my urine. I know I wasn't suppossed to but I took another dose of levaquin. Shouldn't this have slowed this down if it was chlamydia or gono? I think this is Turing into a UTI because of some other bacteria..I am going to emergency room
My symptoms have progressed to blood in my urine. I know I wasn't suppossed to but I took another dose of levaquin. Shouldn't this have slowed this down if it was chlamydia or gono? I think this is Turing into a UTI because of some other bacteria..I am going to emergency room
MEDICAL PROFESSIONAL
If other latex condom brands haven't bothered you before, I guess I would just return to one of them. Or consider a polyurethane condom, which many men prefer over latex anyway.
Is there another material of condoms I should consider using if this is the case
I called the office and they said it was a GC Chlamydia test which test for gono and chlamydia. At this point still no discharge...I feel normal. I have skin irration and exczema sometime using latex condoms..and the sex was very rough last night as well.
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