instruction: hello doctor I had a condom tear while having sex two weeks later I developed symptoms of pain and slight swelling in my right testicle lower abdominal pain and foreskin inflammation thinking it to be chlamydia I took og single dose of azithromycin it provided me some relief but two weeks later the same symptoms arose further my foreskin and penile glans have now become sticky to touch like a stick note although it is not moist I had also developed rashes on my inner thigh I consulted a doctor who prescribed me back for my sticky and slightly swollen foreskin betnovate for my rashes in my inner thighs and put me on a seven day course of amoxicillin 500 my for three days I am on day of this course and my symptoms seem to have eased up significantly but I fear a relapse could occur like last time I have minimal abdominal pain now and my testicles only feel a little uncomfortable from time to time further the stickiness of my penile glans and foreskin has not subsided much which worries me a lot I would like to know what is causing this stickiness of foreskin and penis the swelling of foreskin seems to have reduced somewhat I am sending you the latest photos as well please advise me on what should be my next step
output: hi I understand your worry about the swelling of the foreskin you covered with antibiotics with a single dose of azithromycin and later with one week of amoxicillin if there is sexually transmitted disease it might come back for mainly two reasons firstly incomplete treatment and insensitive antibiotics as you did not have a culture result and secondly not treating the sexual partner therefore after completing the amoxicillin no need for more antibiotics hopefully the foreskin swelling resolves you will need sad sexually transmitted disease screening for you and your partner needs a vaginal swab if you got pain like burning sensation while passing urine or swelling or urethral discharge then you will need to do urethral swab culture as well the swelling of the foreskin and sticky discharge might have been caused by sexually transmitted disease as the condom was torn we do not have culture results as you started antibiotics before a culture of your urethra was sent it is great that with amoxicillin you are getting better my suggestion is to complete the amoxicillin course then to do the sexually transmitted diseases tests sad screening which is chlamydia testing by swab taken from urethra gonorrhea testing syphilis tests trichomonas tests human papillomavirus hav herpes test hepatitis surface antigen test hepatitis test hiv antibody and hiv antigen blood test for you and your partner those investigations will help diagnose and prevent future recurrence no need for any more medications for now apart from the amoxicillin you are currently on I would be pleased to follow you after tests result to inform for further treatment if required urethral swab for partner and sad screen for both and urethral swab of the patient in case symptomatic sad sexually transmitted disease