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Avatar universal

Advice please

Hello Drs,
I am male in long term relationship for 4 years with a female.
Last December my partner was having contraception issues so we didnt have sex for approx 2-3 weeks. I went on work Xmas party got drunk and went back to a female work colleagues house.We had protected vaginal and unprotected oral both ways for approx 15mins.
A day or so later I had slight clear discharge and itchy urethra. Went to GUM clinic a week later and told I had NSU after urethral secretion examined and had White cells.
STd tests for clam/gon came back neg. Was given 1g azithromycin and the following day I was at Drs for throat infection and given 7 days of erythromycin at 250mgx4 per day. Still feeling symptoms I went back twice to GUM who took slides from urethra and told no sign of infection.Female I had encounter with checked twice for STD and negative. I was still feeling symptoms and went to gp urineanalysis-negative. I paid for private trich urine test-negative. Gp gave me 10 days of trimethropim followed by 10 days of Ciprofloaxcin 500mgx2 per day. I am still getting symptoms of itchiness on penis head and urethra a few times each day.
My questions are
1.Are there any bacterial STds that could survive the therapy described above?
2. I was taking Penecillin VK for throat infection leading up to my tests. Could this have caused a false negative on the chlamydia/gon test?
3. If I had gonnoreah would I have obvious overt discharge?
During this nightmare 9 months I have had no burning during urination or puss stains on underwear on morning.
Many thanks.
8 Responses
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Avatar universal
Many thanks.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
We are getting off the topic of your original question.  Therewill a single answer. If you have further questions you'll need to start a new thread.

The evaluation under the microscope gives important clues to diagnosis and can specifically diagnose over 90% of gonorrhea infections.  For the other problems (i.e. chlamydial infection, M. genitalium, etc), the clinician looking under the microsope can diagnose NGU which is a syndrome present in most but not all persons with such infections.  Microbiological testing adds to the diagnoses.  EWH
Helpful - 0
Avatar universal
Hello Dr.
Just a follow up question if that's ok.
When a Dr at an STD clinic takes a slide from the urethra and examines it immediately under a microscope are they able to see gonnoreah, chlamidea, m.genetalium or do they have to be done by specific swab tests in a lab to identify the bacteria?
Helpful - 0
Avatar universal
Many thanks Dr.
Take care.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Sigh.  I'm suprised you cannot find the answers in what I wrote:

1.Are there any bacterial STds that could survive the therapy described above?
No

2. I was taking Penecillin VK for throat infection leading up to my tests. Could this have caused a false negative on the chlamydia/gon test?
No

3. If I had gonnoreah would I have obvious overt discharge?
Most likely.  

"Thick urine" does not change my assessment.
EWH
Helpful - 0
Avatar universal
Hi Dr, Thank you very much for your expert advice.
Could you answer the 3 specific questions for me that I asked above if possible please.
1 further point my urine seems to be a bit thicker and seems to make my penis head a bit sticky.
Does that make a difference to your assessment?
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum. Listening to your tale, it sounds as though you had non-chlamydial NSU following your encounter, most likely related to receipt of oral sex and introduction of bacteria from your partner's mouth into your urethra.  Such infections are well recognized in our discipline and the treatment you had far exceeds recommended therapy.  The effectiveness of your therapy is validated by your repeated examinations which show no signs of inflammation (white blood cells).  At this time, you should consider yourself fully treated and should be concerned that you might have a lingering infection that you could give to your regular partner.

As far was where your current symptoms are coming from, I would point out that it is absolutely typical for person who are concerned and actively checking themselves for symptoms of an STD to become aware of minor itches and other sensations which are not abnormal but are typically overlooked and do not register in instances when we are less focused on the possibility of genital symptoms. I suspect this is contributing to your continuing symptoms.

I hope this helps. You really do not need further testing or treatment for a possible STD acquired from the encounter you described. EWH
Helpful - 0
Avatar universal
I forgot to mention. The female I had the encounter with had a general throat infection at the time and failed to tell me. This needed anti biotics from her doc to clear it up. And I did not have sex with my regular partner until I had received the 'all clear'from the GUM clinic.
My reg partner was treated for a throat infection With erythromycin at 250mgx4 per Faust the same time as myself.
Many thanks.
Helpful - 0

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