Post-Gonorrhea Treatment: Symptoms and Recovery

Q: Post-Gonorrhea Treatment: Symptoms and Recovery

Hello： 1) If the urine test is normal, it should be considered normal; however, if the sexual partner has not been treated, the infection can be transmitted back and forth and may not fully resolve. <br>2) If the washing machine is functioning properly and the clothes are dried i

Post-treatment for gonorrhea?

Hello, Doctor: Thank you very much for your assistance in answering my questions.
My situation is as follows: about 16 days ago, I experienced some pain while urinating, which was tolerable, just a slight discomfort.
This condition had persisted for nearly one to two weeks, and there was one instance of urgency.
Initially, I thought it was temporary due to excessive friction from ejaculation, but as it continued, I decided to see a doctor.
After a urine test, the doctor diagnosed me with gonococcal urethritis and prescribed medication for three days.
On the first day after seeing the doctor, I observed that I had a drop-sized amount of thick white discharge in the morning.
I continued to follow up and took medication for nine days.
Later, after another urine test, the doctor said everything was normal, but I still had discharge.
I then returned to my hometown to see another clinic.
After a physical and visual examination, the doctor also diagnosed me with gonococcal urethritis (the previous doctor only asked questions).
I received an injection, took medication for seven days, and had another urine test.
When I returned for a follow-up seven days later, the doctor said I was normal after another urine test, although I still had white discharge every morning or when I squeezed, sometimes clear discharge as well.
During this process, the discharge became lighter but then gradually thickened again.
My questions are as follows: 1.
Today is the first day after completing my treatment, and I still have thick white discharge in the morning.
Does this mean I am truly healed? 2.
I know I don't need to throw away my underwear, but if I share a washing machine with others, should I wash my underwear with bleach? What ratio should I use? 3.
The doctors did not test the discharge, and since I had one instance of sexual activity outdoors without anything to wipe with, I used a used mask to clean myself.
Is it possible that it could be another type of bacteria? I don't mean to question the doctors' expertise, but since the discharge was not tested and both doctors said I was healed, why do I still have discharge? This has caused me significant psychological stress.
Are there any other tests you would recommend or explanations for what might be happening? Lastly, thank you to all the doctors for your dedication and patience; your responses have been very helpful to me.

Niming, 30~39 year old female. Ask Date: 2020/03/31

Dr. Du Shixi reply Urology

Hello: 1) If the urine test is normal, it should be considered normal; however, if the sexual partner has not been treated, the infection can be transmitted back and forth and may not fully resolve.
2) If the washing machine is functioning properly and the clothes are dried in the sun, that should be sufficient, and there is no need for bleach.
3) The presence of discharge is often associated with gonorrhea.
If diagnosed, gonorrhea can be difficult to detect, and it must be reported if confirmed.
If you are concerned, consult an infectious disease specialist to confirm whether it is gonorrhea.
It is important to stay hydrated, and always use condoms during sexual activity; otherwise, the partner may become infected.

Reply Date: 2020/03/31

More Info

Post-gonorrhea treatment can be a complex process, especially when symptoms persist despite medical intervention. Your situation, characterized by ongoing white discharge after treatment for gonococcal urethritis, raises several important points that need to be addressed.

1. Understanding Symptoms and Recovery: It is not uncommon for patients to experience lingering symptoms, such as discharge, even after completing a course of antibiotics for gonorrhea. The presence of a white discharge can be due to several reasons. It could be residual inflammation from the infection, a reaction to the antibiotics, or even a sign of another infection. In some cases, the urethra may remain sensitive for a period following treatment, leading to continued discharge. However, if the discharge is persistent and changing in character (e.g., becoming thicker or more opaque), it is essential to follow up with your healthcare provider for further evaluation. A repeat examination and possibly a culture of the discharge may be warranted to rule out other infections, such as chlamydia or a non-gonococcal urethritis (NGU) caused by other pathogens.

2. Hygiene and Laundry Practices: Regarding your question about laundry, it is generally not necessary to discard underwear after a gonorrhea infection. However, if you are concerned about transmission or contamination, washing your underwear in hot water with detergent is usually sufficient. Adding bleach can be an option, but it is essential to follow the manufacturer's instructions for dilution. A common recommendation is to use a ratio of 1 cup of bleach to a gallon of water for disinfecting laundry. Ensure that the fabric can withstand bleach, as some materials may be damaged.

3. Concerns About Other Infections: Your concern about the possibility of another infection is valid. If you engaged in sexual activity without proper hygiene, there is a chance that you could have been exposed to other pathogens. It is crucial to communicate this concern with your healthcare provider. They may recommend additional tests, such as a urethral swab or urine test, to check for other sexually transmitted infections (STIs) or bacterial infections. Testing for common STIs, including chlamydia and trichomoniasis, may also be beneficial, especially if symptoms persist.

4. Psychological Impact: The psychological toll of persistent symptoms can be significant. It is essential to address any anxiety or stress you may be experiencing due to your symptoms. Consider discussing your concerns with a healthcare professional who can provide reassurance and support. Sometimes, talking to a counselor or therapist can help manage the emotional aspects of dealing with a health issue.

In summary, while it is possible that you are recovering from gonorrhea, the persistence of symptoms warrants further investigation. Follow up with your healthcare provider to discuss your ongoing discharge and any additional tests that may be necessary. Maintaining good hygiene practices and addressing any psychological stressors will also contribute to your overall well-being during this recovery process. Remember, open communication with your healthcare team is vital for effective management and peace of mind.

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