[Question #7956] Chlamydia tip of penis (exit point urethra)
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50 months ago
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Hello,
1) Can Chlamydia live at the tip of penis (exit point urethra) without entering the urethra ?
2) If yes would 1g azithromycine reach it at this place and resolve the infection ?
3) Would a Urin PCR test will be postivi if the Chlamydia colonise the tip of penis (exit point urethra) ?
Thank you and have a nice day
1) Can Chlamydia live at the tip of penis (exit point urethra) without entering the urethra ?
2) If yes would 1g azithromycine reach it at this place and resolve the infection ?
3) Would a Urin PCR test will be postivi if the Chlamydia colonise the tip of penis (exit point urethra) ?
Thank you and have a nice day
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Edward W. Hook M.D.
50 months ago
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Welcome to our Forum and thanks for your question. Chlamydial (and gonorrhea) infections require certain sorts of epithelium (skin) and direct contact for transmission to occur. This is the reason the frottage and mutual masturbation are no risk activities for chlamydia and gonorrhea - penetration is required. to be more specific regarding your questions:
2) If yes would 1g azithromycine reach it at this place and resolve the infection ?
3) Would a Urin PCR test will be postivi if the Chlamydia colonise the tip of penis (exit point urethra) ?
1) Can Chlamydia live at the tip of penis (exit point urethra) without entering the urethra ?
No.
2) If yes would 1g azithromycine reach it at this place and resolve the infection ?
Azithromycin is highly effective for treatment of chlamydial infections where ever they might occur. FYI however, azithromycin is no longer the preferred drug for treatment of chlamydia. While highly effective, doxycycline, taken twice a day for 7 days is even more effective and now the preferred treatment.
3) Would a Urin PCR test will be postivi if the Chlamydia colonise the tip of penis (exit point urethra) ?
If it were to occur inside the tip of the penis, a urine test would accurately detect infection
I hope this information is helpful. If there are further questions or any pat of this reply is unclear, please use your up to two follow ups for clarification. EWH
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50 months ago
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Dear Mister Hook,
Thank you for your answer. Here is my risiko story and I wolud be happy if i can get your opinion :
I got an unprotectet masturbation and I think she used vaginal secretation.
4 days after i started with pain in the testicule. I was in panik and took a rest of antibiotik that i have at home (doxy 2 times per day for 4 days).
Day 5 I was at the urologist. I got an urine test. Everthing ok and chlamydia negativ and he prescribed me cipro for 2 weeks.
Day 13 after risk situation. A burning starts at the tip of penis. This burning disappear for 1 -2 hours after urinating and then comes back.
So in panik and after Dr google i took in addition 1g azithromycin :(.
Thank you for your answer. Here is my risiko story and I wolud be happy if i can get your opinion :
I got an unprotectet masturbation and I think she used vaginal secretation.
4 days after i started with pain in the testicule. I was in panik and took a rest of antibiotik that i have at home (doxy 2 times per day for 4 days).
Day 5 I was at the urologist. I got an urine test. Everthing ok and chlamydia negativ and he prescribed me cipro for 2 weeks.
Day 13 after risk situation. A burning starts at the tip of penis. This burning disappear for 1 -2 hours after urinating and then comes back.
So in panik and after Dr google i took in addition 1g azithromycin :(.
What can this be ? What can i test.
Thank you and have a nice Weekend
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Edward W. Hook M.D.
50 months ago
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Thank you for the additional information. The exposure you described did not put you at risk for STI’s. Receipt of masturbation, even when a partner’s genital secretions get on you, is a no risk event. In addition, the four days of doxycycline you took would have cured chlamydial infection if you had acquired it.
My suspicion that the discomfort you are experiencing at the tip of your penis could be related to repeated self-examination or possibly a fungal infection related to the antibiotics you took. I am confident it is not an STI and see no need for testing related to this exposure. Please stop taking antibiotics that you do not need. They may be causing your discomfort. EWH
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