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Hello Doctor, My Name Is XXXXXXX 27 Years Old, Male.

Posted on Sun, 7 Apr 2019

Question: Hello doctor,

My name is XXXXXXX 27 years old, male. Recently I was diagonized with Bacterial infection - Enterococcus Faecalis in my semen analysis. I had given with Ampicilin 1000mg, 3 times per day for one week.
The doctor has asked me to come for the bacterial test with semen sample.
Question:

1. Usually after how long after the Antibiotic course one should produce the sample for reliable test results?
2. My wife also 27 years was also tested positive for infection using vaginal swab and was identified with Enterococcus Faecalis+ E.Coli. She was prescribed with Ampicilin orally and Fluomycin as a vaginal suppository + Vagiflora for 10 days. What is the time span she had to wait before she can give the vaginal swab for testing again?

Thanks

Follow up: Dr. Manuel C See IV (0 minute later)

Hello doctor,

My name is XXXXXXX 27 years old, male. Recently I was diagonized with Bacterial infection - Enterococcus Faecalis in my semen analysis. I had given with Ampicilin 1000mg, 3 times per day for one week.
The doctor has asked me to come for the bacterial test with semen sample.
Question:

1. Usually after how long after the Antibiotic course one should produce the sample for reliable test results?
2. My wife also 27 years was also tested positive for infection using vaginal swab and was identified with Enterococcus Faecalis+ E.Coli. She was prescribed with Ampicilin orally and Fluomycin as a vaginal suppository + Vagiflora for 10 days. What is the time span she had to wait before she can give the vaginal swab for testing again?

Thanks

Answered by Dr. Manuel C See IV (25 minutes later)

Brief Answer:
5-7 days after treatment for you and your wife.

Detailed Answer:
Good day and thank you for being with healthcare magic!

It would be advisable to get another semen culture and vaginal swab 5-7 days after the treatment. There are no guidelines to follow on these but in my practice this is what I advice my patients.

There are several ways to decrease infection related to intercourse. Washing before and after and urinating before and after would decrease the bacterial load for each genital organ.

I hope I have answered your question satisfactorily.

Above answer was peer-reviewed by : Dr. Raju A.T

Answered by Dr. Manuel C See IV (0 minute later)

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Manuel C See IV (45 hours later)

Thanks for your answer Dr.
Upon infection relapse, are the same antibiotic course repeated for a longer duration?

Follow up: Dr. Manuel C See IV (0 minute later)

Thanks for your answer Dr.
Upon infection relapse, are the same antibiotic course repeated for a longer duration?

Answered by Dr. Manuel C See IV (1 hour later)

Brief Answer:
if relapse, it would be better to change the antibiotic

Detailed Answer:
Thank you for the follow-up question.

If there is relapse for infection and if the bacteria is still the same one , it would be better to change the antibiotic. But of course this would depend on the culture result initially.

If there is suspicion of prostatitis the antibiotics would be extended up to one month.

Changing an antibiotic or continuing an antibiotic would be determined by numerous of factors and would be determined by the clinician seeing you for treatment.

I Hope i have answered your question satisfactorily.

Above answer was peer-reviewed by : Dr. Prasad

Answered by Dr. Manuel C See IV (0 minute later)

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Above answer was peer-reviewed by : Dr. Prasad