When is a repeat STD treatment necessary?

When is a repeat STD treatment necessary?

If you have a positive result for an STI, you will (in most cases) need to be treated
have to be treated. Only in the case of mycoplasma, according to Dutch guidelines, no treatment is required
be treated if there are no symptoms. Of course, this is allowed!
Other STIs, such as chlamydia, gonorrhea and syphilis, do require treatment. Often, one
treatment, but there are a few exceptions where you need to be treated more often.
Gonorrhea
Gonorrhea can occur in three different places; the penis/vagina, the throat and/or the anus. The
is a bacterial infection, which means it occurs in specific places. One misconception is that
people think that if they have gonorrhea in the penis/vagina, they must also have it in the throat
have it. This does not have to be the case. Therefore, during a consultation, we always discuss with our clients
through which spots they have had sexual contact, so that no spots and possible
infections are skipped. In case of a gonorrhea infection you will be treated with an
Ceftriaxone injection. This injection is placed in the buttock muscle. Ceftriaxone is in most cases
effective. Sometimes people are resistant to a particular antibiotic. The treatment will not
work. The next steps are then discussed with the medical microbiologist.
If people have a gonorrhea infection in the throat, there is a 10% chance that the antibiotic will not resolve the
throat infection will not clear up. Therefore, we always recommend that if you have a gonorrhea infection in the
throat, to do a test-of-cure. This involves having the throat tested again to see if the
infection is completely gone. The test-of-cure is best done six weeks after the treatment.
done. If you test earlier, there is a chance that you will still test positive because there are still residues present
are present.

Syphilis
Syphilis is also a bacterial infection, which can be tested in two different ways. After three
months, syphilis is detectable in the blood with 99.5% reliability. A tube of
blood drawn and sent to the lab, after which it is determined whether a syphilis infection is
is present. If people have symptoms in the form of an ulcer, we can take a little fluid
sample using a swab and also test this way to determine if a syphilis infection is
is present. If the result is positive, there are a number of things the doctor or nurse should
you to discuss. For example, it is important to find out whether you are in the primary phase (the first
stage of infection), and if not, how long you may have been walking around with the infection. Is this
unknown, or there is a possibility that you have been walking around with the infection for more than a year, then you will
need to be treated more frequently. With a primary infection, one treatment is sufficient, where with
an infection of >1 year consists of three treatments. The treatment consists of two injections
in the glutes, both sides, with Benzylpenicillin.
If you doubt whether you have an STI get tested and treated, this can be done by your own doctor but
also at Onedayclinic. Better safe than sorry!