Sexually Transmitted Diseases/I AM CONFUSED PLEASE...


hi Mark,
i contracted gonorrhea from my ex-gf sometime ago. i got treatment for both of us and i completed the medication. she also said she had completed hers so i wanted to be sure. i had sex with her without a condom again. some days later, i realized some whitish fluid from ma penis again. i then realized i hv gotten re-infected. i left it untreated for several months and later, i saw some rashes like pimples around my penis. i really got scared so i got medication as soon as i can. i was given and injection (i hv forgotten of the name of wht i was injected with) and was given some other drugs to take (Cipro and some other green capsules).
i have completed all these now and still have these rashes around the shaft of my penis. should i be worried? because i am confused now. what is happening and do i need any additional treatment?
please let me know...thanks..

Hello Kingsford,
The appropriate treatment for gonorrhea is ceftriaxone (Rocephin) 250mg IM as a single injection, plus azithromycin 1gram as a single oral dose. Doxycyline (the blue or green capsules you had) is okay if you take it correctly, one tab twice daily for at least 7 to 10 days, without forgetting a dose. (You see, the azithromycin as a one time dose is far easier!).  Cipro is ABSOLUTELY no longer a recommended treatment from the Centers for Disease Control and Prevention Guidelines, which you may look up below:

The pimples are not related to the untreated gonorrhea, but are probably due to something else, but requires an examination by a skilled provider to identify what you may have and how to best treat it.  A clear enlarged photograph of the area may help, but it is best evaluated with a in-person visit.

Good luck!

Sexually Transmitted Diseases

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Mark P. Behar


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!


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.

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)

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

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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