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Sexually Transmitted Diseases/being on antibiotic for almost 2 month now

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QUESTION: Dear Doctor,
I have quite the same experience/suffer similar to below link cases too,
http://en.allexperts.com/q/Venereal-Diseases-2106/2011/1/STD-54.htm

where i felt some tingling or itchy feeling s as well.  Those weird feeling does stop when I took the week 1-week 8 antibiotic below but once the treatment stop, those weird feeling came back again. It’s been happening to me on and off for couple month now, hope there is some kind of medication that could help and cure my disease.
Meanwhile as for this week, i could still feel some tingling/cold sore feeling below even I am on medication.  That’s the very first time I got this symptoms with Medication (doctor claimed that it caused by the nerve system), would this be true? Or is it I am having some kind of drug resistance now?
Looking forward for your reply.
Thanks!

Week 1 – doxy and needle  (1st GP doctor)
Week 2 – levoflexin  (2nd doctor)
Week 3 – levofelxin (2nd doctor)
Week 4 – cedax / metronidazole 2 pills twice daily / doxy (3rd doctor)
Week 5  and 6 – Cedax/ metronidazole 2 pills twice daily / doxy (3rd doctor)
Week 7-9  - Cedax/ doxy/ cravit/ Augmentin (3rd doctor)
Week 10 & 11– same as above (now in the 3rd days)  - (3rd doctor)

ANSWER: Hello Tommy,
Have you been ejaculating daily or very frequently while on this antibiotic melange? Such ejaculation improves blood supply into the prostate, and perhaps one of these antibiotics will be effective if it's tissue perfusion is adequate.  However, one of the main reasons for antibiotic resistance of germs is inappropriate and extensive over prescribing of antibiotics for conditions NOT documented by laboratory tests. The itching and tingling you have are clearly from nerve stimulation, and what I would recommend is to complete all recommended antibiotics as directed, and then stop all new medications, continue to ejaculate (masturbation), and avoid constipation.

The only way to check for antibiotic resistance is to be re-tested.

Good luck!
--mark


---------- FOLLOW-UP ----------

QUESTION: Dear Mark,

Thanks! for the advice.

Hope the tingling feeling are really caused by the nerve stimulation.  Since the doctor recommend to stop those antibiotic in week 5.  But those weird feeling came back to me after 2 to 3 days.. so he decided and told me that i might need to take those antibiotic for as long as 6-8 months (just like his last patient).  

wondering is it hard to spot these disease with the laboratory test? since he mentioned that there is only 60-70% success rate for spotting them..most likely a false negative/positive.  

Thanks!!!! a lot!!!!
Tommy

Answer
Hi Tommy,
It depends on the tests that are competently ordered by your doctor, the actual tests that may be available in your country and at the doctor's office, and the ability to properly interpret test results. Incorrect tests may be used, and like with anything else, "garbage in, garbage out".  I cannot help you with details about this, because the specific tests and manufacturers of tests may be unique in your area and specifications that guide test use are available only by the clinical staff in that area.

Good luck!
--mark  

Sexually Transmitted Diseases

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Mark P. Behar

Expertise

Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience

Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Education/Credentials
Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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