sound like an std?

[nastyman85]

I've been having a little penile issue lately. I feel a slight "itching" in my urethra (I think). I feel the need to put pressure on it in my perineal area. I'm uncircumcized, and when I retract my foreskin it often has a foul smell. Sometimes I feel a little urinary urgency. Do we think this sounds more like a UTI or chlamydia?

[Brandye]

The foul smell is a tipoff that you have a bacterial infection. Beyond that, requires a check. Could be a non-specific urinary tract infection or one of the common bacterial STDs. Either way, you need a prescription, so see a doctor. And, either way, you should use condoms, or abstain, from vaginal sex until the drug regimen is completed. A good orgasm every day actually helps the drugs clear your system.

[nastyman85]

What's the normal antibiotic therapy for something like chlamydia? Doxy for 10 days BID?

[Browser]

STD Facts - Chlamydia

Says doxy twice a day.

[Brandye]

The answer depends entirely upon the antibiotics chosen by your doctor. There are many possible bacterial infections and there is now a resistant strain of chlamydia that requires the powerful stuff. In fact, there is only one antibiotic that works for that. And it is not Doxy.

Do not self-diagnose or get input from questionable sources. GO TO YOUR DOCTOR.

[nastyman85]

that's what my doctor prescribed

[Brandye]

Then you can be sure you do not have a resistant chlamydia.

[RAM MD]

Infections involving the tip of the urethra are often fungal/yeast infections in men. The should be evaluated by your primary care physician to have a culture and UA (urethral culture or GC/CHL DNA amplification) followed by a urinanalysis and physical exam. You are right, Doxycycine BID for 10 days is one of the most common treatments for Chlamydia as is 1 gram of Zithromax. Often Chlamydia is treated with gononorhea simultaneously while your cultures are pending with an injection of Rocephin. Once again your iritatation doesn't sound like a bacterial infection or STD but most likely resembles that of a yeast/fungal infection. There isn't much resistence against Chlamydia. Gonorrhea on the other hand has developed resistence against some of the earlier treatments of years past (ie quinolone antibiotics such as Cipro, Levaquin, Floxin....). Try some OTC topical antfungal/yeast medications as you wait for your physicians appointment, as this will be the only way to accurately diagnose and treat your condition.

Hope this helps,
RAM MD

[Brandye]

RAM,

We had this discussion a year and a half ago when you first joined and then disappeared. This is not a good place to post prescriptions. This Board has members from all over the world and most of the world lacks the restrictions on pharmaceuticals that you and I are accustomed to. In many countries of South Asia and Central America drugs will be dispensed to anyone who can pronounce them and with no guidelines on the regimen.

What you have posted is accurate except you are ignoring the foul smell in the original post and, with the increase of drug resistant Chlamydia, telling people what to use is not a good idea. Information, fine; specific treatments, no.