Treatment for gonorrhea?
About 15 days ago, I had unprotected sexual intercourse with a stranger, and the next day I began to exhibit noticeable symptoms of gonorrhea.
Two days later, I visited a doctor and received medication, which included amoxicillin capsules, norfloxacin, and a red capsule.
After taking the medication for five days, I no longer experienced pain during urination, but I still had significant purulent discharge.
By the tenth day after starting the medication, I no longer had pain while urinating, and the redness and swelling of the glans had subsided; however, I still had some discharge that resembled mucus, which dried to a yellow color.
Xiao Yue, 20~29 year old female. Ask Date: 2020/02/01
Dr. Du Shixi reply Urology
Hello: It is still not better, you need to continue taking medication, drink plenty of water, avoid spicy foods, abstain from alcohol, and practice safe sex.
Reply Date: 2020/02/01
More Info
Gonorrhea, a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae, can present with a range of symptoms, including painful urination, increased urinary frequency, and discharge from the genitals. In your case, it appears that you experienced symptoms shortly after engaging in unprotected sexual intercourse, which is consistent with the typical onset of gonorrhea symptoms.
The treatment regimen you received, which included amoxicillin and norfloxacin, is somewhat atypical. While these antibiotics can be effective against various bacterial infections, the Centers for Disease Control and Prevention (CDC) currently recommends a dual therapy approach for gonorrhea treatment, typically consisting of ceftriaxone (an injectable antibiotic) and azithromycin (an oral antibiotic). This combination is recommended to combat the increasing antibiotic resistance observed in gonorrhea cases.
Regarding your recovery timeline, it is encouraging that your painful urination has resolved and that the redness and swelling of the glans penis have diminished. However, the presence of a persistent discharge, particularly one that is yellow and resembles mucus, suggests that the infection may not have been fully eradicated. It is not uncommon for some symptoms to linger even after the initial treatment, but the ongoing discharge could indicate that the infection is still present or that there may be a secondary infection or another underlying issue.
In terms of recovery, the timeline can vary significantly from person to person. Generally, if treated appropriately, symptoms of gonorrhea should begin to improve within a few days. However, if symptoms persist beyond a week or worsen, it is crucial to follow up with your healthcare provider. They may recommend additional testing to confirm whether the infection has cleared or if there is a need for a different antibiotic regimen.
It is also important to abstain from sexual activity until you have completed treatment and have been cleared of the infection to prevent transmission to partners. Additionally, informing any recent sexual partners about your diagnosis is essential so they can also seek testing and treatment if necessary.
In summary, while you have seen some improvement in your symptoms, the ongoing discharge warrants further evaluation. It is advisable to return to your healthcare provider for a follow-up appointment, where they can assess your condition, possibly perform additional tests, and adjust your treatment plan if needed. Early and effective treatment is key to preventing complications associated with untreated gonorrhea, such as pelvic inflammatory disease in women and potential infertility in both men and women.
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