Adelaide Sexual Health Centre
Adelaide Sexual Health Centre provides free, confidential, specialist sexual health services. Get advice, testing and treatment for all sexually transmitted infections.
Last updated: August 2014
Mid stream specimen urine
Nucleic Acid Amplification Test
Other laboratory tests
If systemically unwell
If discrete testicular lump
If at risk
Ultrasound of the scrotal contents.
Empiric treatment should be commenced while awaiting test results.
The following factors may be associated with the presence of a sexually transmitted pathogen
Ceftriaxone 500 mg IMI diluted in 2ml of 1% lignocaine as a single dose followed by Ceftriaxone 500 mg daily IMI for 2 more doses if confirmed gonorrhoea (B1)
Azithromycin 1 g orally as a single dose (B1)
Doxycycline 100 mg orally 12 hourly for 14 days (D)
Azithromycin 1 g orally as a single dose one week later (B1)
The following factors may be associated with the presence of an enteric pathogen
Trimethoprim 300mg orally daily for 14 days (B3)
Cephalexin 500mg orally 12 hourly for 14 days (A)
Amoxycillin + Clavulanate 500+125 mg orally 12 hourly for 14 days (B1)
Norfloxacin 400mg orally 12 hourly for 14 (B3)
Indications for hospitalisation
Epididymo-orchitis in HIV positive men
The following points should be discussed:
All partners of men with confirmed sexually acquired epididymo-orchitis should be tested and treated accordingly.
For further information on diagnosis and management of donovanosis contact Adelaide Sexual Health Centre.
These guidelines are based on review of current literature, current recommendations of the United States Centers for Disease Control and Prevention, World Health Organization, the British Association for Sexual Health and HIV and local expert opinion.
They are written primarily for use by Adelaide Sexual Health Centre staff and some flexibility is required in applying them to certain private practice situations.