Suggest remedy for persistent penile discharge

Posted on Thu, 19 May 2016

Question: Hi I am a 21 year old male. I have been having persistent clear penile discharge for a few months now. I was initially treated for chalmydia and prescribed doxicycline the first time followed by some other antibiotics the second time. No lab test was done prior to determine cause. Subsequent to the antibiotics treatment, the Lab test was done but did not reveal chlamydia or any other growth. It was there mainly in the mornings but I now see it during the day. I now have anal itch. Dont know if one has anything to do with the other. Getting frustrated because Im told its nothing.

Answered by Dr. Ronald Schubert (54 minutes later)

Brief Answer:
non specific urethritis

Detailed Answer:
Thank you for contacting HCM with your health care concerns.

I am sorry to hear that you have been having trouble with a clear persistent penile drainage. And despite being treated you still have this discharge. This is called non specific urethritis. The usual causes are not chlamydia or gonorrhea. The usual causes are otehr bacteria Ureaplasma, Haemophilius and mycoplasma. Parasitic infection Trichimonas, and even viral infections from adenovirus.

The best way to diagnose for Non specific urethritis is the culture and gram stain of the fluid.

The usual treatment is to take both tinidazole with either doxycycline or azithromycin.

In summary
1. Non specific urethritis
2. Gram stain and culture fluid discharge
3. Treat with both Tizidazole and either doxycycline or azithromycin

I hope I answered your question. Please contact us again if you have any additional questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar