Thank you so much for your time and efforts!!
Your questions about HIV risk were addressed by Dr. Hook a couple of weeks ago. None of the new events change any of that. You were not at any measurable risk of HIV.
That's all for this thread.
Actually doc, the cultures came back negative but i was put on doxycycline (100mg) and cipro (500mg) BID for 7 days, and i felt almost 100% better the next day, save for the tickle when i urinate, perhaps still tender from the swabbing ?... my question is, should I be worried about HIV? I was diagnosed with prostatitis and read that an HIV infection is a risk factor, but what are my chances of contracting HIV considering my exposure. I had a test at 4 weeks and the results will be in this monday the 15th. If negative, can i stop worrying even only after a month?
Doxycycline is good for chlamydia and nongonococcal urethritis, but I would not have prescribed it unless there was definite evidence of urethritis on examination (e.g., abnormal discharge from the penis, increased white blood cells under the microcscope). And if I prescribed anything, I would have also included an antibiotic active against gonorrhea. But I wasn't there and won't second guess the ER doctors. However, my guess is the improvement is coincidental, not due to the antibiotic. No antibiotic can work that quickly -- it usually takes at least 2-3 days for STD symptoms to improved after effective treatment. All things considered, the quick improvement is most consistent with the alcohol/dehydration theory, not with an STD.
This question would have been more appropriate on the STD forum; this one is devoted only to HIV. (See the statement at the top of the page.)
Sometimes heavy alcohol intake, and maybe spicy foods, might cause uncomfortable urination. This is actually somewhat controversial -- but stories like yours are pretty common, and my guess is that it sometimes happens. Conceivably you could have a urethral STD, such as chlamydia or gonorrhea, in view of your sexual exposre in February, and it was wise to be tested for gonorrhea and chlamydia. But most likely the results will be negative.
Follow the advice of the ER once your test results are back. If negative for gonorrhea and chlamydia and your symptoms fade away, I wouldn't worry about it. If they continue, have a follow-up visit with a primary care provider or your local health department STD clinic.
Regards-- HHH, MD
i was put on a doxycycline (100mg) and cipro (500mg) BID for 7 days, and i felt almost 100% better the next day