Brucellosis genital discharge urine problems - #15523
The patient's complaints began as follows: vaginal discharge, initially resembling semen, and weakening of sexual function, decreased desire, and later urinary symptoms began. then sick brusleyoza was positive gentamicin streptomisin doxycycline I received treatment and tested negative, but the symptoms persist.I am the patient.He was 17 years old at the time.22 years old continues signs
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Hello,
Your symptoms are real, but they are not from brucellosis anymore. They likely come from prostate, hormonal, pelvic floor, or non-standard infection causes, all treatable once properly identified.
Please do : Prostate exam ± EPS (prostatic fluid test) Semen analysis Hormone tests (testosterone, LH/FSH, prolactin, thyroid) PCR tests for Mycoplasma & Ureaplasma Pelvic ultrasound
Please consult a urologist in person . Please dont medicate yourself anymore👍
I trust this helps Thank you
Brucellosis is a zoonotic infection and can indeed cause systemic symptoms, but it’s unusual for it to directly result in genital discharge or persistent urinary symptoms, especially if you’ve tested negative post-treatment. However, complications or co-infections cannot be entirely ruled out. It’s possible that the symptoms you’re experiencing might be unrelated to Brucellosis or perhaps due to a different underlying condition. Given the persistence of your symptoms over several years and the potential overlap with other conditions like urinary tract infections, sexually transmitted infections, hormonal imbalances or chronic pelvic pain syndrome, it’s critical to have a comprehensive evaluation done. Here’s what you might consider: First, ensure you consult with a healthcare professional who can take a thorough history and perform a physical examination. Routine tests like urine culture, swabs for possible STIs, and a pelvic ultrasound can help identify any anatomical anomalies or ongoing infections. If the symptoms align with hormonal issues, like decreased sexual desire, checking hormone levels might provide insights. Depending on findings, referral to specialists like a urologist or a gynecologist could be necessary. Meanwhile, maintaining a healthy lifestyle is key. Make sure you’re hydrated, eat a balanced diet, and pay attention to any environmental or lifestyle factors that might exacerbate your symptoms. Stress management and regular follow-up with your doctor remain essential parts of maintaining your health. Always report any new or worsening symptoms promptly to your healthcare provider, especially if there are signs of a systemic illness or severe discomfort.
Aapki symptoms 3 saal se Montair LC se hi control ho rahe hain, jo allergic asthma ya allergic rhinitis ka strong sign hota hai. Har 3 din me problem wapas aana aur khuski badhna batata hai ki ye chronic allergy hai jise proper inhaler-based treatment ki zaroorat ho sakti hai. Kripya ek pulmonologist ya ENT specialist se milkar spirometry aur allergy evaluation karvaayein taaki long-term safe treatment mil sake.
Hello dear See as per clinical history it seems infection. However it can be additional fungal infection also since it has the probability to invade vagina and other internal organs Also there is history of medication too so I think probably the patient has become resistant too So I suggest you to please get following tests done for confirmation Bacterial culture Fungal culture Antibiotic sensibility PCR must Vaginal swab Rose bengal test Coombs test CBC Pas sensitivity I suggest you to please share the result with general physician ( medicine) for better clarity Please don’t take any medication without consulting the concerned physician since it is chronic and is not getting easily erad ated Hopefully you recover soon Regards
Hi dear
Your symptoms may have causes other than brucellosis and need specialist assessment.
Persistent symptoms after repeated antibiotics require urine tests, cultures, and a detailed urological evaluation.
Please do not take any more medicine without a prescription from a qualified doctor.
Consult a urologist for proper diagnosis and treatment.
Dr Nikhil Chauhan Urologist
Hello Roman
By going through your history and evaluation of your health status I must say that it’s better to visit a urologist or medicine doctor in personal with all your report as it seems a long treatment and still not getting benefitted…
It basically require more evaluation and more test to confirm the following diagnosis .
Because your symptoms are focusing on fungal infection too so it’s require multiple drugs with proper guidance and evaluation which is not possible without personal .
You will get fine soon
Thank you
Your symptoms (abnormal discharge, reduced sexual function, urinary issues) lasting for 5 years after brucellosis are most likely due to:
Chronic prostatitis / chronic pelvic pain syndrome,
Hormonal imbalance, or
Persistent hidden infection (Mycoplasma/Ureaplasma).
First priority: Do tests — hormone profile, urine culture, STI PCR tests, semen analysis, prostate ultrasound, and inflammation markers.
Hello Roman, I understand how frustrating it might be for you. According to what tou explained, it looks like you have something else other than Brucellosis. You need further evaluation.
1. Kindly get these tests done - Urine routine+culture, PCR for STIs, CBC, CRP, HbA1C, Total Testosterone, Free Testosterone, LH, FSH, Prolactin, Ultrasound KUB+Prostate (post void residual). Review with the reports.
2. This is not brucellosis returning. These are common post-infection pelvic issues, especially in males who had severe infection at a young age. Most patients improve significantly with proper evaluation and treatment.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
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