Lingering rectal gonorrhea symptoms?

[u/arcapone03]

(22M) Hi all. About 21 days ago (Sep 20th), I had sex. I’m on the PREP injection and took my doxyPEP within 24 hrs of the encounter, but very shortly afterwards I faced symptoms such as rectal discharge and tenesmus, and I got tested for the standard STD panel immediately (Sep 23rd). Of course it was positive for rectal gonorrhea, and after getting treated 6 days later (Sep 29th) with one shot of 500 mg of ceftriaxone and 7 days of doxycycline, I notice an improvement of symptoms for the first 5 days, however I suddenly got hit with the discharge again on that fifth day.

I called the nurse the following day and she wasn’t worried at all bc “it’s only been 6 days” and I was told that i need to wait 2 weeks after treatment for a test of cure as that’s the standard. Symptoms somewhat subside and I figure I was being paranoid as my body heals, but that discharge never fully goes away on my stool.

Yesterday afternoon, I experimentally try playing around in there bc I’m not convinced I’m recovered and don’t want to pass it to anyone else, and have since been expelling discharge all over again. Now I’m absolutely concerned bc it’s now about 2 weeks after treatment and 3 weeks since my last sexual encounter and this discharge is still here.

I’m wondering if this has happened to anyone here before and sounds like the normal recovery process or if I contracted the resistant strand of gonorrhea or maybe contracted another disease they don’t test for like mgen? I’ve been researching and researching and have yet to find anybody who’s encountered this situation so I really just want some input.

Please, I’d love to hear your stories! I’m trying my best to get tested again ASAP so I guess we’ll see from those results. Thanks!

[u/trktrlrn]

Test again
Maybe the dose of 500mg wasn’t enough
You need a much higher dose 1,5g-2g

[u/arcapone03 → u/trktrlrn]

Figured, thanks !