> I did not know that the treatment plan changed. I guess it makes sense, it sounded like at the time the pill was almost a "just in case" but it really was the

> I did not know that the treatment plan changed. I guess it makes sense, it sounded like at the time the pill was almost a "just in case" but it really was the shot. That's correct - the injection was paired with an oral macrolide as a sort of backup. However, macrolides were already not very effective against gonorrhea, and that's gotten worse. Meanwhile, the primary treatment for chlamydia used to be a macrolide, but now resistance is high enough that it's been dropped entirely from chlamydia treatment and replaced with a week-long course of doxycycline. It's a tough balance, because overuse of antibiotics causes resistance, but so does ineffective treatment, and in this case there are two different bacteria that often present as coinfections, both of which are frequently asymptomatic, and both of which are impossible to distinguish from each other from symptomatic presentation (when symptomatic).