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Help re on going problem
Hello Dr. I am having ongoing problems. On 17th Dec 2010 I had a drunken sexual encounter which was brief protected vaginal and 10-15mins unprotected oral both ways. Started getting symptoms a day or 2 later, slight clear discharge,sticky penis head and was diagnosed with NSU10 days later.
All STD tests taken before meds came back negative. Was given 1g of Azithromycin. Also took 7 days of Erythromycin at 250g x4 per day.
Was still getting symptoms so went back to clinic.Checked a further 2 times at sexual health clinic and told no sign of STD,trich or herpes or infection on urethra swabs.
Gp has also given me 10 days worth of tremathopin tablets followed by 10 days of Ciproflaxin 500g x 2 per day which i completed both courses. Urine sample at Gp's was normal.Female friend i had encounter with also tested twice and negative for everything.
I am still getting stickness of penis head and sometimes noticing pre seminal fluid after passing urine on a morning and my urethra sometimes feels itchy and like i have fluid inside it. My questions are:
1)Could this be an STD after all the medication that I have taken and the negative tests of myself and friend?
2)Would the tremathopin or the 10 days of Ciproflaxin at 500mg x2 per day clear infection of Mycoplasma or Ureplasma, if i had it? Or would the Azithromycin immediately followed by a weeks worth of Erythromycin?
3)Can Trich be passed to a male by a female in an oral sex encounter?
4)If a female is tested at a sexual health clinic would Trich be apparent if she had it?
5)If I had Trich, mycoplasma or ureplasma would it not have showed up under the microscope? (The Dr said he found no Trich or infection on urethra slide),or the urine sample?
6)Is it normal to have pre seminal fluid to come out after urinating or pre seminal type secretions from the urethra? I have not noticed it prior to sexual encounter.
Sorry to ask a further question but I am stuck and have no idea what is wrong.
Many thanks.
All STD tests taken before meds came back negative. Was given 1g of Azithromycin. Also took 7 days of Erythromycin at 250g x4 per day.
Was still getting symptoms so went back to clinic.Checked a further 2 times at sexual health clinic and told no sign of STD,trich or herpes or infection on urethra swabs.
Gp has also given me 10 days worth of tremathopin tablets followed by 10 days of Ciproflaxin 500g x 2 per day which i completed both courses. Urine sample at Gp's was normal.Female friend i had encounter with also tested twice and negative for everything.
I am still getting stickness of penis head and sometimes noticing pre seminal fluid after passing urine on a morning and my urethra sometimes feels itchy and like i have fluid inside it. My questions are:
1)Could this be an STD after all the medication that I have taken and the negative tests of myself and friend?
2)Would the tremathopin or the 10 days of Ciproflaxin at 500mg x2 per day clear infection of Mycoplasma or Ureplasma, if i had it? Or would the Azithromycin immediately followed by a weeks worth of Erythromycin?
3)Can Trich be passed to a male by a female in an oral sex encounter?
4)If a female is tested at a sexual health clinic would Trich be apparent if she had it?
5)If I had Trich, mycoplasma or ureplasma would it not have showed up under the microscope? (The Dr said he found no Trich or infection on urethra slide),or the urine sample?
6)Is it normal to have pre seminal fluid to come out after urinating or pre seminal type secretions from the urethra? I have not noticed it prior to sexual encounter.
Sorry to ask a further question but I am stuck and have no idea what is wrong.
Many thanks.
MEDICAL PROFESSIONAL
Last answer. No, ciprofloxacin has no activity against trich. End of thread. EWH
Dr,
I Did not want to post a new thread for 1 question so could you please advise.
Would 10 days of Ciprofloxin at 500mg x 2 per day be effective treatment for Trich?
I know flagl is recommended but would this work?
Many Thanks.
I Did not want to post a new thread for 1 question so could you please advise.
Would 10 days of Ciprofloxin at 500mg x 2 per day be effective treatment for Trich?
I know flagl is recommended but would this work?
Many Thanks.
MEDICAL PROFESSIONAL
No, ciprofloxacin and metroniazole (Flagyl) are completely different antibiotics which have different mechanisms of action. Each of them works better for different types of microorganisims. EWH
Hello Dr one last question I have before the thread ends.
Does ciproflaxcin have the same qualities as the antibiotic flagyl when it comes to treating STD/bacterial related infections?
Many thanks.
Does ciproflaxcin have the same qualities as the antibiotic flagyl when it comes to treating STD/bacterial related infections?
Many thanks.
Dr,
Many Thanks for your patience and advice re this matter.
Chris.
Many Thanks for your patience and advice re this matter.
Chris.
MEDICAL PROFESSIONAL
Persons who are in your situation have been studied in the past in small studies. In such cases, the persons with problems such as yours did not develop complications and there was no evidence that anyting was transmitted to their sexual partners or that there were problems because of it. EWH
Dr, I am not sure I understand your last paragraph could you please rephrase.
Many thanks.
Many thanks.
MEDICAL PROFESSIONAL
1. Trich is not transmitted by oral sex. Further, your partner has now been checked twice. This is not due to trich.
2. Most likely.
I understand your frustration. When it has been studied persons with persisitent urethral discharge with negative microbiological tests and persistence of symptoms despite treatment have typically been counseled to to be concerned and in these instances I am not aware that there have been complications or evidence of transmission of infection. EWH
2. Most likely.
I understand your frustration. When it has been studied persons with persisitent urethral discharge with negative microbiological tests and persistence of symptoms despite treatment have typically been counseled to to be concerned and in these instances I am not aware that there have been complications or evidence of transmission of infection. EWH
Hello Dr,
I greatly appreciate you time and advice re my situation,
I acknowledge what you are saying re guilt etc but i was not having this discharge, sticky penis head etc prior to the encounter.
I get pre seminal fluid in the urethra at times even if i am sitting having a coffee. I feel irritation at the end of my penis and when i look i can see an amount or pre seminal liquid that can be easily massaged out. Some mornings i can see it and after urination at times sometimes it comes out. Some further queries if i may:
I was concerned re trich but as this was an unprotected oral encounter i would not have contracted it and it would have shown up on the 2 occassions my female partner and myself have been examined. Is that correct?
If I had myco or ureplasma infection they would have been cleared by the medication i have taken? Is that correct?
If by some reason I had contracted Trich would any of the meds I have taken above have treated it?
Are there any other infections i could have aquired following oral sex that would not have been treated with the meds i have taken?
Sorry to be a pain but this has been ongoing for over 3 months now and is starting to get me down and I am trying to get get to the bottom of it.
Many Thanks.
I greatly appreciate you time and advice re my situation,
I acknowledge what you are saying re guilt etc but i was not having this discharge, sticky penis head etc prior to the encounter.
I get pre seminal fluid in the urethra at times even if i am sitting having a coffee. I feel irritation at the end of my penis and when i look i can see an amount or pre seminal liquid that can be easily massaged out. Some mornings i can see it and after urination at times sometimes it comes out. Some further queries if i may:
I was concerned re trich but as this was an unprotected oral encounter i would not have contracted it and it would have shown up on the 2 occassions my female partner and myself have been examined. Is that correct?
If I had myco or ureplasma infection they would have been cleared by the medication i have taken? Is that correct?
If by some reason I had contracted Trich would any of the meds I have taken above have treated it?
Are there any other infections i could have aquired following oral sex that would not have been treated with the meds i have taken?
Sorry to be a pain but this has been ongoing for over 3 months now and is starting to get me down and I am trying to get get to the bottom of it.
Many Thanks.
MEDICAL PROFESSIONAL
Welcome back to the Forum. In our December exchange I mentioned that your persisting problems are unlikely to be an STD. Since then it appears that despite the absence of a diagnosis you have had several therapeutic trials of various antibiotics which have not helped either. This is still not likely to be an STD. I'll go straight to your questions:
1. No, this really is not suggestive of an STD.
2. You remain concerned about mycoplasma and ureaplasmas. the preferred therapy for these infections are erythromycin, azithromycin and quinolone antibiotics (ciprofloxacin is one, the preferred quinolone for Mycoplasma genitalium appears to be moxifloxacin). There is no evidence that you have this sort of infection.
3. No
4. Yes, evidence of such infections would be evident with microscopy.
5. Men can have seminal and pre-seminal fluid detectable at different times. the classical time is following a bowel movement or other times when abdominal and pelvic pressure is increased. Part of this depends on just how hard one looks. Persons who look hardest see it most.
I continue to hear any evidence that this is an STD. Two alternate possibilities come to mind. The first and I think most likely relates to guilt. Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned. This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times. The other is a relatively newly appreciated problem which is not typically an STD called the chronic pelvic pain syndrome or CPPS. A good description can be found at Wikipedia.
Hope this helps. Not much has changed and still little evidence that this is an STD. EWH
1. No, this really is not suggestive of an STD.
2. You remain concerned about mycoplasma and ureaplasmas. the preferred therapy for these infections are erythromycin, azithromycin and quinolone antibiotics (ciprofloxacin is one, the preferred quinolone for Mycoplasma genitalium appears to be moxifloxacin). There is no evidence that you have this sort of infection.
3. No
4. Yes, evidence of such infections would be evident with microscopy.
5. Men can have seminal and pre-seminal fluid detectable at different times. the classical time is following a bowel movement or other times when abdominal and pelvic pressure is increased. Part of this depends on just how hard one looks. Persons who look hardest see it most.
I continue to hear any evidence that this is an STD. Two alternate possibilities come to mind. The first and I think most likely relates to guilt. Sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned. This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times. The other is a relatively newly appreciated problem which is not typically an STD called the chronic pelvic pain syndrome or CPPS. A good description can be found at Wikipedia.
Hope this helps. Not much has changed and still little evidence that this is an STD. EWH
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
