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Brandye,
What I did isn't much different than what you did with the blood in the cum post. There you informed the patient that this was probably due to prostatitis which would require rather specific antibiotic managemnt to treat. Yes, acute bacterial prostatitis does require antibiotics but there are lots of other potential diagnosis' at play that do not require antibiotic management. Eventhough it is impossible to diagnose over the phone, web...you and I know that a vast majority of the diagnosis can be made off the history alone. No where did they list any supporting symptoms to suggest a bacterial etiology. This appears to be asymptomatic hermatospermia which would probably resolve over the next few weeks with no evaluation at all. Should they still be evaluated by their MD, Yes! It is possible that an infection is at the root of the problem but many other more suitable diagnosis exist from what was explained by the patient's GF.
The point is, what if the couple walks into the office and isn't diagnosed with prostatitis and leaves the MD office without antibiotics? They will be left to wonder if their physician made the proper diagnosis of if the online MD did. There is never a substitute for seeing your physician in their office just as you recommended and just as I did. You listed the need for antibiotics for their condition, I listed the types of antibiotics used to treat a UTI. Perhaps both of us are at fault for giving out too much information!
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