Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Urethritis with STD(With Chlamydia with ?
Gonorrhea)?with ?
Prostatitis.
AS you and your gay partner got tested positive for Chlamydia and got treated with your doctor with single shot of
Azithromycin.
LCR (Ligase Chain Reaaction test)testing of urine or Blood would indicate exactly the cause(?Chlamydia or ?Gonorrhea) of this urinary burning in your case, which is persistent after 2 mths of your illness treatment.
AS submitted by you, had awful sever urethral burning 2 days after starting treatment,this has lead to the incomplete treatment of your Extended chalmydial infection to prostatitis and Vesiculitis.
Still after 2 mths you have urinary burning, though infrequent.
Suggested Treatment-
In such a scenarios-You need to be treated long for Prostatitis and Seminal Vesiculitis,which are very resistant to treatments later on.
Chances of recurrence are very high if not treated on the lines below-
Intra-Prostatic Inj Rocephin-
Ceftriaxone with Inj Hyaluronic acid-
Tab Cymoral forte -1 x 3 times a day x 3-6 weeks
Tab Dicloran A- 1 x 3 times a day
Tab PIP-Veloz D- 1 x 2 times a day x 10 days
Tab Zincovit 1 x 2 weeks.
plenty of fluids x 3-4 liters a day.
Risk of HIV is very high in those with Gay oro-anal and anal sex- as this gives
balanitis and
stomatitis with multiple abrasions(increasing risks of HIV through it) post oro-anal and anal sex in either of the partners.
AS the prostatitis and urethritis with seminal vesiculitis is very resistant type of disease, chances of recurrence are very high and needs to be treated very aggressively in initial period on the lines suggested above.
Hope this reply would help you to plan further treatment with your doctors there.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS