HomeAnswersUrologygonorrheaI have low sperm count after taking Z-pack for gonorrhea. Please help.

What are the side-effects of gonorrhea infection?


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Published At January 17, 2024
Reviewed AtJanuary 17, 2024

Patient's Query

Hello doctor,

I was diagnosed with gonorrhea and was given a Z-pack and butt shot. Also, I have noticed a significant weight loss after treatment. Other conditions such as reflux and gingivitis were relieved from treatment. I have a low sperm count after antibiotic treatment for STD. The doctor has put me on a zinc supplement for three months, is this the right treatment? Kindly suggest.

Answered by Dr. Madhav Tiwari


Welcome to icliniq.com.

I have read your query and understand your concern. Please help me with a few details, so that I can understand the issue better :

Are you diabetic or hypertensive?

Have you had any surgeries in the past?

When were you diagnosed with gonorrhea?

By Z Shot and butt shot do you mean Azithromycin and injection Ceftriaxone?

What symptoms are you having at the moment?

Do you have any trouble passing urine such as urgency, increased frequency, straining to pass urine, feeling of incomplete bladder emptying, burning sensation when you pee?

I can understand the culture but why was the semen analysis done?

Are you desirous of having children in the future?

Zinc amongst other essential minerals is good for semen health however there is no concrete evidence that this really does work. All I can say is - it does not hurt. I hope this helps you. Thank you.

Patient's Query

Hello doctor,

The doctors said that I am pre-diabetic with a fasting sugar of 106, but I had a fasting BS of 107 three months ago. So that's gotten better.

Yes. This was the treatment. Azithromycin and injection Ceftriaxone. Two weeks after the treatment, I noticed that my semen was very watery, and there was no sperm in it. I went to the doctor and they did the analysis and culture of semen or sperm. They told me that sperm count was low and white blood cells were high in sperm or semen. They put me on 100mg of Doxycycline for seven days. Just to make sure I guess that all the bacteria from the gonorrhea was eradicated.

I am now around two months out from being diagnosed with gonorrhea and my semen is still watery. Been taking the zinc, but I do not think it's having any effect. This all happened after I was diagnosed and treated. Never happened to me before. Now it should be stated that the doctor in the emergency room did not wait to give me a test because it was at night. I told him my ejaculate was dark green and he gave me Azithromycin and injection Ceftriaxone. When I returned to get all my STD tests done two days later, I was negative about everything. At the moment, I have no problems urinating. No sensations or burning. I do not think I go too frequently and although I am nearing fifty, I still would like to be able to have children if I choose to.

Answered by Dr. Madhav Tiwari


Welcome back to icliniq.com.

Thank you for providing more details. As I see it, this is difficult for us to say whether the gonorrhea had an effect on your semen parameters or whether this is age-related. As I have said before, there is no concrete evidence that Zinc improves semen parameters. However, it is a healthy supplement to take, and I hope for the best that it works. So in my opinion you can continue taking it for a few months. In addition, you can try another drug called Ubiquinone Coenzyme Q10 (CoQ 10). This is regularly prescribed for men who have low semen parameters and are trying for a child with their partner. This seems to improve semen parameters after three to six months of treatment at 100 mg twice a day. It may be worth talking with your doctor about the availability of this medicine in your country. Lastly, in my practice, any gonorrhea gets Doxycycline twice a day for at least two weeks. Having another semen culture may be worthwhile to look for any residual infection. I hope this helps you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Madhav Tiwari
Dr. Madhav Tiwari

General Surgery

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