Follow up
Just a followup, almost a month after my symptoms showed up. It's been a bumpy ride.
As described in my initial post, three days after my initial (and tentative) diagnosis with G, I was prescribed a single large dose (2 g) of the antibiotic azithromycin, which was supposed to clear up all symptoms in 48 hours. Two weeks later, I still had some pain and discharge so I went back to the clinic.
I was rather shocked when I was told that all my tests had come back negative! I had been tested for gonorrhoea, chlamydia, herpes, and syphilis - all negative (
BUT see below). This was pretty confusing, as I had very painful, messy symptoms that the first doc thought were pretty definitely G.
On this second visit, I was seen by a different doctor. He repeated the swab test and went much deeper (ouch!) This time, he said he'd have them look under a microscope in the in-house lab at the clinic. The lab confirmed that they definitely DID see gonorrhoea in the sample, so the first test was a
false negative. I did notice that the first time, the doc didn't stick the swab in very far. However I had so much discharge at the time that it was possible to get lots of material just from the opening. Apparently this can give a false negative result as they really have to get the swab in there (if done correctly, it should hurt).
Since I was now apparently confirmed as having G, and since it didn't seem to be responding to the first antibiotic (there was improvement, but nowhere near complete recovery) he prescribed another single-dose treatment of a different antibiotic - ciprofloxacin (500 mg).
It's now been almost a week after taking the cipro (and almost a month after getting infected), and I
still have some discharge and pain, after two courses of antibiotics. In my reading on G, I've frequently come across the statement that, in the US, the only treatment currently recommended by the CDC is treatment using a third generation cephalosporin antibiotic such as Suprax or other injectable equivalents. Some doctors may be reluctant to prescribe the 3rd gen cephalosporin if you are allergic to penicillin, but apparently it is
now considered safe (obviously you should tell your doc about any allergies, and discuss this option with him or her - health info on the web to be taken with big grain of salt).
This is apparently due to the fact that cipro and azithromycin are now ineffective against strains of G found in many parts of the world, including parts of North America. My second swab sample is supposed to get cultured, so they can see what antibiotics might be effective. The thing is, they schedule followup appointments in a month, so I won't find out fast.
Anyhow, I just wanted to post a followup with these really painful lessons:
- A test for gonorrhoea can give a false negative result (apparently the pee test is best)
- Everyone says that G can be easily treated with antibiotics, but it might not always be so easy.
Stay safe,
e