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What Causes Pain In Left Testicle When Diagnosed With Gonorrhea?
Question: hii
i am suffering from pain in left testicle for the past 1 year. i had sexual encounter last year and after a week i was experiencing some pain in my left testicle. i had antibiotics for epiditymis orchitis. i had been positive for gonorrhea and had antibiotics also but the pain didn't deteriorate. i have done usg and mri for both testicles but did not show any problems. i feel i have some stds which my doctors have not been able to identity. please tell how to go forward. i am experiencing pain every day every time and the pain has not subsided.
thanx XXXXXXX
i am suffering from pain in left testicle for the past 1 year. i had sexual encounter last year and after a week i was experiencing some pain in my left testicle. i had antibiotics for epiditymis orchitis. i had been positive for gonorrhea and had antibiotics also but the pain didn't deteriorate. i have done usg and mri for both testicles but did not show any problems. i feel i have some stds which my doctors have not been able to identity. please tell how to go forward. i am experiencing pain every day every time and the pain has not subsided.
thanx XXXXXXX
Brief Answer:
Had chlamydia, TB, Filariasis been ruled out?
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Pain in scrotum persisting for more than an year could possibly due to Epididymitis. Sometimes Epidydimitis is difficult to manage as the response to treatment is not up to the extent of a complete cure.
As you mentioned it followed an exposure, there is a high possibility that it could be due to a STD cause.
You had mentioned that you were positive for Gonorrhea. Through what means it was confirmed to you?
What were the Antibiotics used to treat the epididymitis in your case?
Have they ruled out Chlamydia and any tests had been done for to rule out Tuberculosis and filariasis, other common causes for Epididymitis?
Had it been done a culture and sensitivity test in your urine or semen, if so what were the findings?
Furnish the above details, it would be of value to discuss further.
Dr S.Murugan
Had chlamydia, TB, Filariasis been ruled out?
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Pain in scrotum persisting for more than an year could possibly due to Epididymitis. Sometimes Epidydimitis is difficult to manage as the response to treatment is not up to the extent of a complete cure.
As you mentioned it followed an exposure, there is a high possibility that it could be due to a STD cause.
You had mentioned that you were positive for Gonorrhea. Through what means it was confirmed to you?
What were the Antibiotics used to treat the epididymitis in your case?
Have they ruled out Chlamydia and any tests had been done for to rule out Tuberculosis and filariasis, other common causes for Epididymitis?
Had it been done a culture and sensitivity test in your urine or semen, if so what were the findings?
Furnish the above details, it would be of value to discuss further.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Prasad
hii
thank u for ur reply
regarding chlamydia - have not tested for it.
filariasis - i have not taken any test. any of doctors have not considered filariasis.
for urine culture - there was nothing in urine culture .
for epididymitis i had taken banocide forte - 3 times daily for more than 1 month and later on hetrazen 3 times a day also for a month.
for gonnerahea - i had taken prostatic massage smear test which showed
1) gram negative diplococci (both intra & extra cellular)+
2) gram positivee cocci mostly in clusters
3) pus cells +
4) epithelial cells ++
i had taken cifran 500 mg 2 times daily for 14 days and doxt s 2 times for 14 days. after taking the antibiotics the next test result showed no gram negative diplococci observed. still the pain in testicles remained.
i had under gone mantoux test 10 months back which showed 15 mm induration. after this i was prescribed akt 3 which i took daily for 5 months. after which i under gone another mantoux test which showed 8 mm. still no relieve in pain.
then i visited another doctor which suggested me to go for mri of my scrotum to revel if i have tb or any problem in my testicles. i have attached my mri report also.
i would like to inform you also that when i last had sexual contact with sex worker last year. after 1 week i had some spots on my penis head which later with test of hsv 1 2 igg igm i got to know that i have herpes. i am also experience skin allergy after that incident with sex worker which stil have not subsided. i have also taken a lot of medicine for my allergy like montek lc, dazit, teczine, xevor etc. still i experiences skin rashes hcih specially happens to me at night.
for pain in testicles i have been presicbed antibotics ciplox 2 times daily for 14 days.
i have also taken hiv and vdrl test thrice in the past year which has shown negative result all the three times.
i still very confused and in very much pain. i have no idea how to move forward and to which doctor to consult. i have shown myself to urologist and skin specialist still i have got no result.
the problem i am facing for the past year
1) pain in testicles 2) spot in penis 3) skin allergy
please tell me how to deal with it. i have attached some report for your reference which i have undergone.
thanx
XXXXXXX
thank u for ur reply
regarding chlamydia - have not tested for it.
filariasis - i have not taken any test. any of doctors have not considered filariasis.
for urine culture - there was nothing in urine culture .
for epididymitis i had taken banocide forte - 3 times daily for more than 1 month and later on hetrazen 3 times a day also for a month.
for gonnerahea - i had taken prostatic massage smear test which showed
1) gram negative diplococci (both intra & extra cellular)+
2) gram positivee cocci mostly in clusters
3) pus cells +
4) epithelial cells ++
i had taken cifran 500 mg 2 times daily for 14 days and doxt s 2 times for 14 days. after taking the antibiotics the next test result showed no gram negative diplococci observed. still the pain in testicles remained.
i had under gone mantoux test 10 months back which showed 15 mm induration. after this i was prescribed akt 3 which i took daily for 5 months. after which i under gone another mantoux test which showed 8 mm. still no relieve in pain.
then i visited another doctor which suggested me to go for mri of my scrotum to revel if i have tb or any problem in my testicles. i have attached my mri report also.
i would like to inform you also that when i last had sexual contact with sex worker last year. after 1 week i had some spots on my penis head which later with test of hsv 1 2 igg igm i got to know that i have herpes. i am also experience skin allergy after that incident with sex worker which stil have not subsided. i have also taken a lot of medicine for my allergy like montek lc, dazit, teczine, xevor etc. still i experiences skin rashes hcih specially happens to me at night.
for pain in testicles i have been presicbed antibotics ciplox 2 times daily for 14 days.
i have also taken hiv and vdrl test thrice in the past year which has shown negative result all the three times.
i still very confused and in very much pain. i have no idea how to move forward and to which doctor to consult. i have shown myself to urologist and skin specialist still i have got no result.
the problem i am facing for the past year
1) pain in testicles 2) spot in penis 3) skin allergy
please tell me how to deal with it. i have attached some report for your reference which i have undergone.
thanx
XXXXXXX
Brief Answer:
Better antibiotics for Gonorrhea may be tried.
Detailed Answer:
Hi,
Welcome back.
HSV 2 infection has no effect on Epididymitis.
Benocid and Hetrazan were given to treat the possibility of Filariasis. You had treatment for Tuberculosis also, but not completed.
Chlamydia has to be ruled out in your case with laboratory tests.
Regarding Gonorrhea the treatment given to you are not recommended in the recent guidelines as most of the strains of Gonococci are already resistant to both Ciprofloxacin or Doxycyclin. But Doxycyclin could be given to tackle Non-gonococal urethritis possibly by Chlamydia.
Cefixime or Injection Ceftrixone are best to treat Gonorrhea.
Tablet Azithromycin has also effect on both Gonorrhea and Chlamydia. Consult a Dermatovenereologist who had well experience in the management of STDs .
Get well soon.
Dr S.Murugan
Better antibiotics for Gonorrhea may be tried.
Detailed Answer:
Hi,
Welcome back.
HSV 2 infection has no effect on Epididymitis.
Benocid and Hetrazan were given to treat the possibility of Filariasis. You had treatment for Tuberculosis also, but not completed.
Chlamydia has to be ruled out in your case with laboratory tests.
Regarding Gonorrhea the treatment given to you are not recommended in the recent guidelines as most of the strains of Gonococci are already resistant to both Ciprofloxacin or Doxycyclin. But Doxycyclin could be given to tackle Non-gonococal urethritis possibly by Chlamydia.
Cefixime or Injection Ceftrixone are best to treat Gonorrhea.
Tablet Azithromycin has also effect on both Gonorrhea and Chlamydia. Consult a Dermatovenereologist who had well experience in the management of STDs .
Get well soon.
Dr S.Murugan
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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