A member asked:

Repeated azithromycin, doxycycline failed to cure my pid ( i am celibate). is there hope? i have read that chlamydia can form persistent infection

3 doctors weighed in across 2 answers

STD?: if you are celibate, I would doubt an STD like Chlamydia. I suggest a repeat vaginal culture and antibiotic sensitivity studies. Please consult with your GYN for further evaluation.

Answered 11/27/2017

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Dr. Hunter Handsfield answered

Specializes in Infectious Disease

PID treatment: Not all PID is due to chlamydia, gonorrhea, or other STD. Regardless of the cause, neither doxycycline nor azithromycin is adequate treatment. PID needs antibiotics that cover a wide range of bacteria, such as the combination of doxycycline and metronidazole, plus an injection of cefoxitin. Severe cases require hospitalization and a few days of IV antibiotics before oral Rx.

Answered 4/21/2016

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