Thanks for putting up with me I'll move on now :)
Your negative test result is pretty much meaningless after taking doxycycline. You were tested 9 days after starting treatment. I disagree that "more than likely" you would still have a positive test at that time, due to persisting gonorrhea DNA. To my knowledge, this has never been studied for gonorrhea, only for chlamydia -- but there are reasons to believe that gonorrhea DNA would be rapidly cleared by treatment. Most likely you did not have gonorrhea, but at this point you'll never know for sure. In any case, the negative test result is reliable -- so for sure you don't have it now.
A question about naat gonorrhea tests. When I had mine it was a couple days after finishing a one week course of doxy. What I've read on several sites is that if I had been infected I more than likely would still test postitve because the tests are so sensitive they would pick up the dead gonorrhea should the treatment have worked. Is there a chance of a false negative.
I appreciate your answers to my questions. You and the other Dr.s on the site provide a valuable service. Kudo's By the way. Gonorrhea test was negative. My Personal Dr. Diagnosed it by the symptoms as prostatitis as well. Symptoms are better with treatment. Still a little uriine dribbling from inabiilty to completely eliminate. Maybe my flomax will get it under control. thanks again
The treatments you had almost certainly would cure gonorrhea, not just temporarily suppress it. Neither prostatitis, gonorrhea, nor any other STD causes a brief fever.
Also i've noticed a little more stinging in penis tip this am over what I have been having last couple of days This is reason for question of possible false positive because of the antibiotics in case it is gonorrhea which has been temporarily suppressed by the drugs
Thank you very much for the answers. One last one if I may. Will a gonorrhea test after being on antibiotics a few days give a false negative. One addition
symptom i had after a week was a low grade fever. My reading kinda pointed toward prostatitis as I'm not thinking fever is a early sign of gonorrhea
Several of the conditions under consideration -- NGU, chlamydia, gonorrhea, bacterial prostatitis -- would be expected to improve on the treatment you had. Considering all the available information (including knowing you're over 50) I think it most likely you had prostatitis and no STD. But you may never know for sure, but it's good to hear your symptoms are clearing up.
Thanks for the response Dr. I am 52 so not that young lol. I have went to my primary care provider and recieved a weeks worth of doxy and SMZ-TMP DS in case of uti or ngu. I also went to a std clinic for gonorrhea test will have results next week. I have taken full course of the treatment and about 3 days after finishing symptoms have improved dramatically and are practically gone. Would this be a good sign for ngu or should i still be concerned about gonorrhea test. It has been about 10 days since the start of symptoms.
Welcome to the forum.
Vance's reply on the community forum was brief but accurate. When STDs infect the urethra -- (gonorrhea, chlamydia, nongonococcal urethritis (NGU) -- the main symptom is discharge of pus or mucus. Pain or discomfort on urination may be present, but not usually as the only symptom. A nonsexually acquired UTI is possible, but UTIs are rare in healthy men, especially under age 40. On the other hand, the timing with a new sexual exposure makes NGU or gonorrhea possible. (Chlamydia is rarely if ever acquired by oral sex.)
The main thing here is to get professionally examined, preferably by a clinic or doctor who understands STDs well. If not certain about your primary care provider's expertise, your local health department STD clinic or a Planned Parenthood clinic would be a good option. Examination, testing, and the chance of an accurate diagnosis will be increased if you can avoid drinking fluids and manage to be examined when you haven't urinated for at least 3-4 hours.
Please return with a follow-up comment and let me know what is found.
Regards-- HHH, MD