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Suggest Treatment For Urethritis While On Amoxicillin

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Posted on Wed, 22 Mar 2017
Question: I had oral, vaginal and some anal play sex 3 weeks ago. A week and a half ago my urethra started itching, then a few days later it started burning when I was urinating. I went to a lab and had an std test done for chlamydia and gonorrhea only. It came back negative. It was a urine test. Then I called a doctor and he prescribed me 500mg Amoxicillin 3 times a day for 10 days. I went in again to get tested for all stds the next day but I had already taken 1 pill of amoxicillin. The urine test came back negative again and the blood test is not done testing yet. I am still having the same symptoms with little improvement 3 days on amoxicillin.

I am worried that the first test may have been bad because I urinated quite a bit in the cup and when I went in the 2nd time, the nurse told me that the urine needed to be concentrated, only a very small amount in the cup, which I did the 2nd time but I had already taken 1 pill of amoxicillin. Any advice would help here. I am very worried and I do not have a regular doctor established since I just moved recently.

One final note, the girl I slept with has no symptoms and says she was tested with all clear results fairly recently.
doctor
Answered by Dr. Dr. Monika Dede (2 hours later)
Brief Answer:
please see the detailed answer below

Detailed Answer:
Hello! Ι have been through your question.

Regarding your symptoms, I think this an urethritis. The same bacteria that can cause bladder and kidney infections can also infect the lining of the urethra. Bacteria found naturally in the genital area specially in anal sex as you have been involved in, may also cause urethritis, if they enter the urinary tract.

Usually in men, symptoms may not be apparent if the urethritis developed as a result of chlamydia or occasionally trichomoniasis infection.

But in your case, you have excluded these STDs. Regarding the use of antibiotic, of course this could have an impact in the result even not well taken urine test.

I'd suggest to finish the treatment till the end to see the improvement and not to stop it without talking with your doctor.

I hope my answer help you.
Feel free to ask further.
I wish you a quick recovery.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Monika Dede (18 minutes later)
Is it a ok to have sex with the same partner I had mentioned previously while showing these symptoms or do I need to wait until all the medication is taken and my symptoms are gone to continue physical relations with her?

Also, is amoxicillin 500mg effective against treating urethritis or do I need to see another doctor and possibly change to a different antibiotic?
doctor
Answered by Dr. Dr. Monika Dede (11 hours later)
Brief Answer:
Hello again. thank you writing back.

Detailed Answer:
Related your situation I think is better to await for further physical relationship with her until finishing all treatment and your symptoms are gone.
I suggest as well if you could ask her to test again for STD even if she sad that have done before.
Please explain me what you mean of all STD because different STD has different treatment.
Taking of amoxicillin is not the best choice because of resistance and in your case I think to meet an infectious diseases specialist to exclude and other pathologies (maybe penile yeast) and to get a prompt adequate treatment.
I hope my answer helps you.
I wish you a quick recovery.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Dr. Monika Dede

Infectious Diseases Specialist

Practicing since :2003

Answered : 1005 Questions

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Suggest Treatment For Urethritis While On Amoxicillin

Brief Answer: please see the detailed answer below Detailed Answer: Hello! Ι have been through your question. Regarding your symptoms, I think this an urethritis. The same bacteria that can cause bladder and kidney infections can also infect the lining of the urethra. Bacteria found naturally in the genital area specially in anal sex as you have been involved in, may also cause urethritis, if they enter the urinary tract. Usually in men, symptoms may not be apparent if the urethritis developed as a result of chlamydia or occasionally trichomoniasis infection. But in your case, you have excluded these STDs. Regarding the use of antibiotic, of course this could have an impact in the result even not well taken urine test. I'd suggest to finish the treatment till the end to see the improvement and not to stop it without talking with your doctor. I hope my answer help you. Feel free to ask further. I wish you a quick recovery.