chlamydia issues

[johnnyboy855]

Hello,
I tested positive 2 weeks and a day ago for chlamydia. I was prescribed 1 gram of zipromax and 7 tablets of levaquin taken daily. The night I was treated on was monday night. That saturday morning (which is 4-5 days after treatment) I had unprotected sex with a new uninfected partner. I had sex with the same partner that upcoming monday and then now last friday and saturday. My symptoms seemed to go away and by last tuesday they seemed basically all gone. But after having sex this last saturday night, Sunday morning I felt like I had to pee a'lot and their was pressure at the tip of the penis. It also seemed to have a slight burn when i pee agian. It felt like a'lot of the symptoms from before I was diagnosed the first time but these seem a'lot less mild. This is my first experience with std's and hopefully last I want to be sure that I am doing everything to be safe.

1) Could I have infected my new partner?
2) Could I have infected my new partner and then got chylamydia agian in that short time?
3) If it's unlikely I don't have Chlamydia agian whatelse could be causing this?
4) overall what are you feelings on what I have told you and recommendations?

Thanks.

[Noemi360]

A related discussion, Am I Clean and clear of infection. was started.

[Edward W Hook, MD]

Glad to hear your tests were negative.  I suspect the urine problems will resolve with time. If they do you, I would suggest you return to your health care provider for follow-up.  EWH

[johnnyboy855]

Hey doc. I got retested and the results came back negative like you said they should which was a releive. I started feeling my symptoms which was urinating a'lot, slight pain while urinating, and slight pressure at the tip of my penis. The symptoms started saturday night and it's now thursday afternoon now and the symptoms are going away but not gone all together as I still feel the slight pressure at the tip and peeing more than usual. It seems when i wake up in the morning is the most comfortable point and when i start to have to urinate and use it more it seems to become more irritated. Thanks agian for reassuring me before about the issue. Also, is there anything I should be doing to make whatever is causing the irritation to stop all together.

[Edward W Hook, MD]

Your additional information further convinces me that you have not failed treatment.  Because the newer tests can detect dead, as well as live chlamydia, re-testing is not recommended until three weeks to allow the body time to clear dead organisms.  If you were re-tested and negative, you clearly have nothing to worry about.  If the test was positive, it would difficult to determine whether or not you had failed therapy (statistically VERY unlikely) or dead organisms were being detected.  You need not worry.  EWH

[johnnyboy855]

Yes I actually went and got tested agian tonight. I had a urine sample and showed no uti infection. I would assume this would mean I didn't have white blood cells in my urine.
If I tested positve on monday night and then got retested not that sunday but the next sunday which I believe would be 13days. Would my test quite possible be false positve? I was told it is recommended to wait 3 weeks. I'm pretty sure my new symptoms weren't from being overdramatic on being very cautious of my body. But I am happy to here that I would be unable to give my new partner the infection. I know she is uninfected because she was tested 3 weeks prior to our sexual intercourse and tested negative to both the bacteria stds and she hasn't been with anyone since the test. Any advice or recommendations I should take into consideration with my update?
Thanks agian.

[Edward W Hook, MD]

The odds that you have infected a new partner are zero.  First of all, you were treated not once, but twice.  A single 1.0 gram dose of azithromycin is curative for chlamydia, as is 7 days of levofloxacin.  In addition, when you started having sex with your new partner (BTW, how do you know she was uninfected?) there was still plenty of both drugs in your system to both be sure that you were no longer infected, that you could not be re-infected and that you could not infect her.  I suspect that your new symptoms are either due to recent sexual activity in the setting of being more aware of genital sensations than you were in the past or, perhaps due to another process causing non-chlamydial non-gonococcal urethritis (NGU).  For the first possiblity, you have nothing to worry about - if it is still there, it will pass.  For the second, you should have a penile swab test taken more than 2 hours after you've last voided and, if it shows white blood cells when stained, you should be re-treated, this time with a regimen that also includes metronidazole (Flagyl).  EWH