Q. I believe I have chlamydia prostatitis. Please suggest a treatment.

Hello doctor,

I believe I have chlamydia prostatitis. Six months ago, I started showing signs of prostatitis. I had a hard time urinating fully, I had pain and burning, fever, clear discharge. I was put on eight weeks Cipro. My body did not respond well to the Cipro. I stopped and had a chance to see another urologist. He did prostate check and urine and semen sample. Found nothing. No bacteria. He stuck a camera in my bladder and found no bacteria. I was given Flomax for two months and my symptoms went away. Recently, six weeks ago, I got chlamydia. I was given 1.5 grams Azithromycin taken over two days. Seven days after, I was re-tested and no more chlamydia. Then four weeks ago, I started to feel prostatitis symptoms show up again. Inflamed urethra and frequent urination with tenderness. I was given Pirinum by a doctor at my work to try to flush out any bacteria. The pain and inflammation went down but it is still constant. I believe after research I have chlamydia prostatitis and cannot go to a urologist at this time because of being in a remote country working.

Thank you doctor,

I only had fever with chlamydia. Not recently with prostatitis. Pain in the urethra. Tip of penis tender. Cirpro made my joints and tenants extremely bad. I believe the chlamydia is part of this and the research I have done suggests Azithromycin 4.5 g over three weeks.