The medication’s recommended to you by the physician you saw are no more reliable or effective than the therapy you have already taken. In fact, they may be slightly less effective. If you had gonorrhea, chlamydia, or had been exposed to syphilis these infections would have been cured. I am confident that your testing will prove this.  The fluconazole that he recommended, however, may be helpful for the minor symptoms and meatitis that were diagnosed. The antibiotics you have already taken would, if anything, make the symptoms related to a fungal infection arising from the antibiotics that you had already taken worse.

In response to your continuing questions:

1.  Both Dr. Handsfield that I have tried to dissuade you of the possibility that this is an STI. Given your difficulty in excepting our advice, I would strongly suggest you wait until you can obtain accurate tests to make further decisions about treatment.

2.  Other than the treatment for candida which I have mentioned above, the treatment, he recommended basically duplicates the treatment you have already received. You are correct that this treatment would not cover coliform bacteria, which could well be related to your problem if it is a prostate infection.

3.  See my comments above.

The results of the prostate massage that you described suggests the possibility of prostatitis, which is almost never an STI, and can be caused by gram-negative bacteria. Appropriate diagnosis of prostatitis would involve not only the prostate massage what you have already received, but also testing the urine both before the massage and after to determine whether the process of prostate massage leads to bacteria appearing in your urine. Should that happen, Non-STI prostatitis becomes a likely diagnosis. Non-STI prostatitis is treated with antibiotics other than the antibiotics you have received. 

Once again, I urge you to wait for further testing before you make further Anwar to decisions regarding antibiotic treatments for an STI, that you almost certainly do not have. EWH. 

I understand your view that i either haven't had an STI or had it and cleared it. 

I will wait for more testing before taking antibiotics.

For clarification, i want to ask and summarize to see if i understand your advice:

1. What could be the reason for the white blood cells right now? Is this considered an infection, or might it be still recovering from infection?

2. So do you recommend i try fluconazole anyway, and see if that helps with the meatitis?

3. The top priority for me right now is prostatitis diagnosis?

Thank you

1. What could be the reason for the white blood cells right now? Is this considered an infection, or might it be still recovering from infection?

Small amounts of WBCs can be normal.  The number you report however appears to be a bit higher than normal.  As I mentioned, this cold well reflect prostatitis which is NOT typically an STI.

2. So do you recommend i try fluconazole anyway, and see if that helps with the meatitis?

Yes

3. The top priority for me right now is prostatitis diagnosis?

Yes.  A urologist would be the person best prepared to help sort this out.  Another possibility is an ill-defined, non-STI syndrome called the chronic pelvic pain syndrome which is  well defined on Wikipedia. This process in not an STI but does follow sexual contact on some occasions.  Again, a urologist would be the one to start with here.

I'm glad you've decided to hold off on treatment until you take your test results.  I really think that is the right decision.  EWH

Had another prostate fluid test and this time the doctor claims he managed to get prostate fluid out after the massage:

1. Found bacteria in the fluid (don't know yet what concentration), i think he said gram negative like in the urine last time

2. The urine culture from the previous test returned with >100000 CFU by the way 

3. Prostate does seem inflamed, symptoms seem to align with that as well

4. No WBC in semen 

My questions are:

1. Would a partner be in danger if she gives me oral sex now (assuming ejaculation and swallowing)?

2. Still, is it possible i have a co infection of e coli and mycoplasma/ureaplasma, (which are harder to detect as i understand, especially due to recent doxycycline round) in the prostate? I'm waiting for results of semen PCR for the plasmas taken yesterday, would that be conclusive? (3 weeks after finishing doxy) or is PCR of post-massage urine taken today be more accurate? 

3. What treatment would you recommend? I was prescribed 2 weeks of levofloxacin but read it can be quite dangerous, what is your view? 

Thanks and sorry if I'm repeating myself.. 

In response to your follow-up questions:

1.  No, there is no danger to your partner from any sort of unprotected sex from this infection. The bacteria causing your prostatitis are normal bacteria found in the genitourinary tract, which have, unfortunately, gotten himself into a place where bacteria are not normally found the cause your prostatitis.