What Causes Burning Sensation During Urination Despite Taking Doxycycline?
Chlamydial infection (Urogenital)
Thank you for your query. I can understand your concerns.
At least a 3-week course of Doxycycline (100 mg orally twice daily) for both the partners is needed again.
Failure of treatment with a Tetracycline/Doxycyclin in genital Chlamydial infections usually indicates poor compliance or reinfection rather than involvement of a drug-resistant strain.
Most likely your earlier course of Doxolin(Doxycyclin) for both partners had some interruption.
If possible, confirmatory laboratory tests for chlamydiae should be undertaken again, but even without positive tests , since there is evidence of clinical disease and you have recently been exposed to proven Chlamydial infection (Chlamydial IgG/IgM +ve) both the partners should be offered therapy, as advised. I feel that is the possible option.
Re-infection due to inadequate or incomplete treatment is not uncommon.
Let me know if you've any further queries.
Dr. T.K. Biswas M.D. XXXXXXX