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Question:
Hi how are you? I am a male 28 year old and I have had an achy left testicle for awhile now. My urologist gave me antibiotics (Cipro - ciprofloxacin) for a suspected infection because I had urination retension and slow flow. It has helped somewhat but I am concerned about whether or not my problem could have been Chlamydia or some other STD that can go undetected until complications occur. I have had a lot of cramping, constipation, burning/aching in testicle area, sexual dysfunction (sometimes impotent)and Cipro has relieved those symptoms a little. My family doctor had already tested me for STD's and all came back negative. Is it possible for some STD's to go undetected such as Chlamydia? Also let's say I do have Chlamydia ... will Cirpro help cure it or is there a better antibiotic for curing Chlamydia? Can you tell me why I get this burning/achy feeling in my left testicle area often?
I am pretty sure it is the epididymus that is causing me discomfort. I do get abdominal cramping as well. Can this be Chlamydia or Gonorrhea or prostatitis? I do not have any discharge from my penis. This burning gets really uncomfortable. Any help would be great!
Another concern is. I am not sexually active but my sex drive seems to be low. I'm interested in woman and would like to increase my drive a little more. Any suggestions?
Thankyou in advance!
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Answer: by Georgan Gregg: (06/07/2004)
This question was answered by one of our men's health experts, Dr. Tarek Anis: Your guess is right, it looks like you have chronic epididymitis, which usually requires a relatively long (up to 4 weeks) antibiotic treatment. All quinolones including cipro, prescribed by your doctor, are good choices. Scrotal support to give local rest is beneficial, and you have to stop alcohol and moderate you sexual activity during the treatment period.
The source of infection is probably the prostate due to your recurrent urinary tract infection. Gonorrhea does not produce this chronic condition, chlamydia is less likely to produce it either. Chlamydia needs a special lab work and is not diagnosed by normal culture. Tetracycline and macrolieds are better choices for chlamydia treatment.
Sincerely, Tarek Anis, MDReviewed by Sexual Health Editorial Team
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