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STDs (Expert Forum)
Chlamydia test accuracy
Answered by
University of Washington
Seattle - WA
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This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
Chlamydia test accuracy
by JoeSuzuki_60, Oct 15, 2005 12:00AM
I met A 10 and 3 days before I fell sick. Each time, she gave me an unprotected blowjob, sex was with condom. I had fever for 2 days, sore throat, and some redness on my penis. A visit to the doctor diagnosed it as NGU from a swab test and microscopic exam (no culture results yet). Incidentally I also had unilateral pink eye, which seems to implicate Chlamydia. Im on 1g Azithro and my pink eye is clearing up.
A told me that she had clear STD results before she met me. My question is, is it possible that she has a throat infection with chlamydia that was undetected by a vaginal swab test? Also what are the risks if her throat infection goes untreated? Thanks for your time.
A told me that she had clear STD results before she met me. My question is, is it possible that she has a throat infection with chlamydia that was undetected by a vaginal swab test? Also what are the risks if her throat infection goes untreated? Thanks for your time.
Doctor's Answer
by H. Hunter Handsfield, M.D., Oct 16, 2005 12:00AM
, Oct 16, 2005 12:00AM
Actually, the simultaneous occurrence of NGU and conjunctivitis (pink-eye) is more suggestive of an adenovirus infection than chlamydia. Adenovirus is a common respiratory virus that can simultaneously infect the urethra; causes around 5% of NGU cases; is typically assoicated with conjunctivitis; and often causes fever, which neither regular NGU nor chlamydia ever does. Chlamydia rarely infects the throat, and transmission to a partner's urethra by oral sex has never been shown to occur.
I can't say for sure that you and/or your partner had adenovirus, but it is a better bet than chlamydia. Alternativelu, you may have had two separate problems, NGU and an unrelated respiratory infection causing your fever and sore throat. NGU can be caused by normal oral bacteria transmitted during oral sex; and of course garden-variety respiratory viruses are often transmitted between sex partners.
Bottom line: If your symptoms clear up, all will be well. You probably will never know for sure what the exact cause(s) were, but you can be pretty confident it wasn't chlamydia.
Good luck-- HHH, MD
I can't say for sure that you and/or your partner had adenovirus, but it is a better bet than chlamydia. Alternativelu, you may have had two separate problems, NGU and an unrelated respiratory infection causing your fever and sore throat. NGU can be caused by normal oral bacteria transmitted during oral sex; and of course garden-variety respiratory viruses are often transmitted between sex partners.
Bottom line: If your symptoms clear up, all will be well. You probably will never know for sure what the exact cause(s) were, but you can be pretty confident it wasn't chlamydia.
Good luck-- HHH, MD
Tks in advance.
HHH, MD
Bottom line: If you have had sex with your girlfriend since the event, she should be told. If not, and your symptoms clear up, it may not be necessary.
HHH, MD
As I mentioned, I met A 10 & 3 days before I got sick with fever, sore throat (Sat to Sun, 2dys), fever subsided on erythro treatment then redness on my meatus, pink eye cos I touched myself on Sun.
On both times, I did some deep kissing with A, protected sex, a little cunnilingus, and mainly bj from her. I also shared a drink with her.
On Tue I did my Chlamydia test which they told me I had wbc in my swab exam.
My question is: could I have caught it (Chlamydia) from A? You mentioned that sorethroat & fever is rare with Chamydia infection. Im puzzled as hell, cos of this. 4 wks earlier I met B for juz a uncovered bj, so Im wondering who I got it from.
Also does washing with betadine after bj help in any way?
Tks for your time. Im v grateful.