Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

I have std symptoms, but tested negative for the main ones.

Customer Question
I have std symptoms...

I have std symptoms, but tested negative for the main ones. hve been treated for chlamydia, gonnorhea, but still have burning in penis and testicles.

Doctor's Assistant: How long have you been dealing with the burning? Are you experiencing any other discomfort?

Burning since about February 26. Took the azithromycin at the clinic the day I got tested which was about 6 days after I started feeling symptoms. Went to a seperate urgent care facilty who treated me with the gonnorhea shot, doxycycline for 14 days (still taking, 4 more days to go) and flagyl. Burning is still there

Submitted: 1 month ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 52 minutes by:
3/19/2018
Doctor: Dr. Sabina, Doctor replied 1 month ago
Dr. Sabina
Dr. Sabina, Doctor
Category: Medical
Satisfied Customers: 3
Experience: Board Certified Internist
Verified

Hello and welcome! I'm Dr. Sabina and I look forward to helping you with your question today. I'll be back in just a moment with my reply.

Ask Your Own Medical Question
Doctor: Dr. Sabina, Doctor replied 1 month ago

I'm sorry to hear that you are still experiencing burning symptoms in the genitals despite antibiotics. For your symptoms, the most common STD causes are: gonorrhea, chlamydia, trichomonas and mycoplasma genitalium, and more rarely ureaplasma urealyticum.

- It sounds like you have received adequate treatment for gonorrhea (the antibiotic injection and azithromycin), you should have received both of these the first day at the STD clinic, and it sounds like you also got the injection at the urgent care clinic as well (hopefully this was the 2nd shot you got and not the first time?). This is important because we are seeing more strains of gonorrhea bacteria that are becoming resistant to other antibiotics.

- You are also on good treatment for chlamydia (azithromycin and the doxycycline will cover this).

- Trichomonas is a very common but undertreated STD that can cause your symptoms, but the Flagyl you are taking will treat this, so not to worry as you are on proper treatment.

- Mycoplasma genitalium can cause these symptoms but is hard to diagnose. The azithromycin should have covered this, however one option is to add 400mg MOXFLOXACIN once daily for 7 days if your symptoms persist due to this bacteria.

- The doxycycline also should cover ureaplasma infections, but again moxifloxacin is an alternative treatment.

So based on the above, you are on the right treatment for the most common infections that we know cause your symptoms. However since your symptoms haven't improved, there may be a concern that you have a bacteria that is resistant to the antibiotics and should be treated with a different one (like moxifloxacin for mycoplasma or ureaplasma) or repeat an antibiotic (like ceftriaxone, the injection for gonorrhea). Some people need to have even higher than usual doses of ceftriaxone injection if they have one of the drug-resistant strains of gonorrhea.

Therefore the next best steps are:

1) definitely notify your medical providers that your symptoms have persisted. They will need to repeat the tests for gonorrhea and chlamydia and also send out for a urine culture to look for all the bacteria above and see if they are resistant to the antibiotics you received. They should specifically look for mycoplasma, ureaplasma and trichomonas if you weren't tested for these before. This step is very important to getting you the right treatment and helping your symptoms

2) consider changing your antibiotic regimen as the one you have now isn't working for you. Please continue finishing whatever remaining antibiotics you have left to take.

3) consider testing for herpes. You said you were tested negative for the main ones, I am assuming you are including syphilis and HIV. Sometimes herpes can mimic other STDs without the typical herpes blister outbreak. So this is something to bring up with your medical provider

I hope this was helpful for you. Please remember Just Answer is for educational information and not medical advice. Let me know if I can help you further with your question. I hope you are able to feel better very soon!

Ask Your Own Medical Question
Was this answer helpful?
Ask Dr. Sabina Your Own Question
Dr. Sabina
Dr. Sabina
Dr. Sabina, Doctor
Category: Medical
Satisfied Customers: 3
3 Satisfied Customers
Experience: Board Certified Internist

Dr. Sabina is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,750 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,863 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,604 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Azithromycin 4 tablets 500mg Will that treat gonorrhea and
Azithromycin 4 tablets 500mg Will that treat gonorrhea and chlamydia,My girlfriend here chlamydia but I think she had gonorrhea before that? … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,039 satisfied customers
I was given AZITHROMYCIN Tablets 250mg 5 day pack. I
Hi doc! I was given AZITHROMYCIN Tablets 250mg 5 day pack. I Finished the pack on Sunday the 15th. From what i understand even after you finish it the medicine keeps working up to day 10. Since i been… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
967 satisfied customers
I have a sinus infection and am taking 7 days of doxycycline
Hi! I have a sinus infection and am taking 7 days of doxycycline hyclate, but I also am pretty sure I have a UTI. Should I go see a doctor about different antibiotics for the UTI, or just hope this do… read more
Dr. A
Dr. A
Medical Degree
416 satisfied customers
I was given a dose of Azithromycin for chlamydia treatment.
I was given a dose of Azithromycin for chlamydia treatment. I had unprotected sex 3 days after taking the dose with someone who does not have chlamydia. Is there a chance I could have reinfected mysel… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,511 satisfied customers
Does azithromycin oral liquid need to be refrigerated. Never
Does azithromycin oral liquid need to be refrigerated … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,986 satisfied customers
I took 3 doxycycline pills for an ear infection. It didn't
I took 3 doxycycline pills for an ear infection. It didn't work. Now the PA is switching me to amoxicillin. I'm not going to take any more doxycycline. How long do I have to wait to take amoxicillin? … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,039 satisfied customers
I have had prostatitis for 30 days. MD rxed doxycycline and
I have had prostatitis for 30 days. MD rxed doxycycline and I took it for 30 days. Mostly better but discomfort in head of penis only. Urinalysis yesterday was negative except for appearance that urin… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
967 satisfied customers
If i take azithromycin (5 day course) a day after condom
If i take azithromycin (5 day course) a day after condom break and possible exposure, should this stop stds like Chlamydia and gonorrhea from developing? Of course i will need to get tested at 2 weeks… read more
Edgar Rubio Villegas
Edgar Rubio Villegas
Emergency physician
Surgeon in Traumatology and Orthopedics
746 satisfied customers
I dropped a doxycycline down the sink, its 2 a day for 7
I dropped a doxycycline down the sink, its 2 a day for 7 days. If I miss one pill will I be okay and will it still be effective? … read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,741 satisfied customers
I was given azithromycin 500mg 1 tab a day for 3 days but i
I was given azithromycin 500mg 1 tab a day for 3 days but i still have the throat pains is that normal? … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,325 satisfied customers
I'm taking doxycycline monohydrate as a treatment for
Hi I'm taking doxycycline monohydrate as a treatment for clymidia. I took the pill about 30 minutes and two minutes ago I throw up. Most of the vomit was liquid and I did not see the pill. Should I ta… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Just read on your site that doxycycline won't mess with the
Just read on your site that doxycycline won't mess with the STI testing...is that definate? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,511 satisfied customers
I have perineal irritation from oral doxycycline (not a
I have perineal irritation from oral doxycycline (not a yeast infection). I have tried several ointments and nothing is helping. What can I do? … read more
Sumanth Amperayani
Sumanth Amperayani
Consultant Paediatrician
Master\u0027s Degree
596 satisfied customers
Male/ 75years old /was taking Doxycycline for infected cut
Male/ 75years old /was taking Doxycycline for infected cut last 7 days has developed hot feeling ears and feelings in back of palms and face like rain drops (cold sensations) not continuious … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,747 satisfied customers
Is it ok to stop amoxicillan and start doxycycline for
Is it ok to stop amoxicillan and start doxycycline for sinus … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
Prednisone 20mg azithromycin tablet 250mg. Ipratrotiun
Prednisone 20mg azithromycin tablet 250mg. Ipratrotiun bromide > nasal spray 42 mcg. Can I take Benadryl or Advil for headache … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,604 satisfied customers
Is doxycycline an effective antibiotic for treating a
Is doxycycline an effective antibiotic for treating a stubborn bacterial conjunctivitis that hasn't responded to topical antibiotic eye drops?… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,791 satisfied customers
What are the chances of 1g azithromycin taken orally to cure
what are the chances of 1g azithromycin taken orally to cure symptomatic gonnorhoea in men (discharge, burning sensation, pain near urethra) … read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
7,039 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x