Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

129 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for fungal infection in the vagina when diagnosed with chlamydia

Answered by
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 2850 Questions

Posted on Wed, 25 Apr 2018 in Sexually Transmitted Diseases
Question: Hi my name is Bryan. I contracted Chlamydia about 2 months ago and received treated after about 2-3 weeks of seeing the first signs of infection. When I originally went in it was for a rash that was diagnosed at the time as a fungal infection. A week later I got the call that I was negative for gonorrhea and positive for Chlamydia. After treatment my rash cleared up and all was normal for a little bit. Aside from small pimple like bumps around my buttocks area, everything has been normal until last week when the very same rash came back (although less serious this time). The rash is small red bumps in cluster, on one side of my testicles (upper thigh/groin area). I’m worried because when I tested for Chlamydia we never did any Herpes test. The doctor seemed very sure that this was not the same pattern as Herpes, which was reassuring at the time. However, upon reading more and more I found out that these rash’s are very easily confused for other things (jock itch). My question is, does Chlamydia cause rash’s? Hard to find any good pictures online of a Chlamydia rash and most of the symptoms didn’t seem to list a rash as a common syptom of Chlamydia. Even so, I’ve done two rounds of treatment with Zithromax already so the rash should not be coming back if it is Chlamydia? I did blood test today and should have results in a couple days, but emotionally the stress is wearing me down right now.
Answered by Dr. Bonnie Berger-Durnbaugh 1 hour later
Brief Answer:

Detailed Answer:

The cutaneous problems caused by Chlamydia are lymphogranuloma venereum which is a lymph node/lymphatic problem, and conjunctivitis (inflammation of the conjunctiva of the eyes aka pink eye). It would be unlikely to cause the type of rash you describe. And Zithromax should take care of Chlamydia.

It's possible for people to get more than one type of infection at a time. You mention herpes, but this causes very painful tiny blisters. You would know herpes by this.

It's possible you do also have a fungal infection in addition to having had Chlamydia. If the rash is pimply, it's also possible that it is folliculitis, which can have a skin bacterial component, and the antibiotic might have cleared that up.

Without seeing the rash, it's hard to know. (And sometimes even with seeing a rash it is hard to know what it is, as you experienced before.)

I think the reason you couldn't find good images of Chlamydia rash is because this would not be a common manifestation of Chlamydia.

I think you should be good after having 2 rounds of Zithromax regarding Chlamydia. Consider getting an over the counter anti fungal and see if that helps. It can take 7-10 days for an anti fungal to work so don't worry too much if it doesn't go away right away.

If the rash is hot, tender, bright red, and spreading, then do go in to be seen as this can indicate cellulitis which is a bacterial (staph or strep) of the deeper soft tissues.

I hope this information helps.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Bonnie Berger-Durnbaugh 4 hours later
Thanks for the help! The rash is starting to look a little bit better after using Lotramin on it for the last week. I’m still worried about Herpes, although the description is slightly different from what you have told me. The rash isn’t blistering but stays red and small dots. A couple spots have had white head looking tops to them, but the white head looking ones started clearing after lotramin use and now back to a small red dot. It’s still very much there, but there is minimal pain/discomfort and none of the rash has blistered or popped as a blister would. Is it possible to have a mild case of HSV2 that doesn’t show blistering? It’s the same rash as the very first time I went to see a doctor (when he concluded it was fungal infection) although much less thick. Small red dots very similar to an ingrown hair, not blistering and not severely burning or painful. My testicles actually seem to be in more discomfort than the rash area. There is no rash on my testicles just very red and irritated look. They are a little sensitive right now. Also it’s worth noting that my stools have been very soft and most times wet like diarrhea. This has been very consistent since my initial diagnosis of Chlamydia. Hasn’t let up a whole lot in the last two months. Thanks again for the information.
Answered by Dr. Bonnie Berger-Durnbaugh 1 hour later
Brief Answer:
Thoughts on this

Detailed Answer:
I'm sorry you have been having trouble for so long.

The diarrhea is most likely due to the antibiotics. Antibiotics kill the good bacteria in the bowel to some extent, along with the bad. Some are left (of the good natural flora) and will recolonize. You can help it along with a probiotic such as Florajen 3 which you can find in the fridge section of stores like Whole Foods or even Walgreens.

HSVII is going to hurt. Herpes of any type hurt. Before the blisters come out, the area can be just red, but by now the blisters should have shown themselves.

An appearance like ingrown hairs can be folliculitis. That happens often in areas that have been shaved, but can happen elsewhere too.

Diffusely red and irritated looking scrotal skin can be due to candida (yeast). Candida is fairly ubiquitous, but as it is an opportunist, it doesn't usually take hold unless the local immunity is down or it's competitors have been killed off. The Lotrimin can help with treating that. After bathing, XXXXXXX dry and dry additionally with a blow dryer set on low (don't want to burn the already irritated skin) so that all folds and skin are fully dry. Wear loose briefs (cotton if you can) and change them if you get sweaty such as if you exercise.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  

Recent questions on  Gonorrhea

doctor1 MD

I had unprotected oral sex with a girl I met at a party 5 days ago. She performed fellatio on me. The very next day I had a slight burning sensation at the tip of my penis. This got much worse the next day and so I sought out a doctor who suggested it was likely a fungal infection of the urethra caused by an infection in the girls mouth. I am booked to have an STD check after two weeks have elapsed just to check if it s something like chlamydia or gonorrhea. The burning sensation is nearly gone after two days of anti fungal medication and I have had no burning while peeling or discharge and my urine is clear. Does the diagnosis sound correct to you? Thanks

doctor1 MD

Hi I have the chills and nausea off and on. I also have vaginal pain and genital discomfort along with achy kidney. I do not have gonorrhea or trichanomonis or chylimidia or uti/kidney infection or stones as I have tested negative for them. What could be going on?

doctor1 MD

My 21 year old boyfriend was treated for chlamydia and gonorrhea about 2 days ago and still complains of stinging and itching after urination and I'm having an unusual amount of white discharge lately, no smell. What could be wrong? Could it be something other than chlamydia? Could it be warts or herpes?

doctor1 MD

I had unprotected sex 3+ weeks ago and since then have had an ongoing tingling sensation just under the head of my penis. I was tested for chlamydia and gonorrhea negative. The pain usually subsides when I sleep and comes back once I wake up. It seems the pain is mostly linked to when I am sitting. There is no burning sensation while peeing.

doctor1 MD

Ok, I asked about this yesterday in the main forum. After thinking about it and being a little more clear headed, I decided to put it here in the "ask a specialist." Most of my question yesterday went unanswered. What was answered was very short...

doctor1 MD

5 weeks ago, I had an encounter with She male Escort. Possible unprotected anal for 3 minutes, I was on top. I did a HIV RNA test at 14 days, negative. At 35 days, HIV-$ gen Test - Negative. I also tested for Chlamydia and Gonorrhea at 21 days,...