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STDs (Expert Forum)
Bacterial STD Risk
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
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.
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.
Bacterial STD Risk
by spacecowboy, Apr 18, 2007 12:00AM
I posted this question in the patient forum, and I'm pretty sure still what you'll say about this, but for peace of mind, here goes. A little over 3 weeks ago I had a one night stand with a young lady I met in a college bar in the Northeast US earlier the evening. The order of events were unprotected oral (me to her), some mutual hand to genital stimulation, with the tip of my penis coming into contact with the outside of her vagina a few times,(no real penetration I believe) and then male condom protected vaginal intercourse with a condom on the entire time. The condom did not break, tear, slip off, etc and the tip of my penis did not come into contact with the exterior of the condom after removal. I have not had any symptoms typically indicative of gonorrhea, chlamydia, trich or NGU. I have in the past day or so seemed to be urinating more than usual, (actually urinating a normal volume) but that may be just anxiety or my imagination. Am I worrying over nothing, or was there any real risk here?
Doctor's Answer
by H. Hunter Handsfield, M.D., Apr 18, 2007 12:00AM
, Apr 18, 2007 12:00AM
There might be a slight risk of viral STD (herpes, HPV) from the esposure you describe, but even that risk is low. The risk for bacterial STD (gonorrhea, chlamydia, etc) was zero for all practical purposes and I would not recommend testing based on what you describe. Increased urinary frequency is not an STD symptom (but a very common manifestation of anxiety or stress). All sexually active people should get periodic STD testing, like once a year or thereabouts. So if you have otherwise been sexually active in the past year, this might be a good time for testing, since it's on your mind. But n ot because of this particular exposure.
Good luck-- HHH, MD
Good luck-- HHH, MD
1. Is it normal to have a slight amount of clear (not watery, more viscous like pre-ejacualte) fluid occasionally release from and appear in the uretha at the opening?
2. How come antibiotics like amoxicillin, augmentin, etc. are not mentioned as being treatments for bacterial STD infections? If someone was taking one of those at a high dose (500mg plus)for something else, like a strep infection, and contracted a bacterial STD, would they not be effective in curing that as well?
That will be all. Thank you again.
Almost all antibiotics are effective against some bacteria but not others. The drugs you mention are not active against chlamydia and have variable activity against gonorrhea. No oral antibiotics are recommended against syphilis--almost the only infection remaining for which old fashioned, garden-variety penicillin is always the drug of choice, either IV or by injection.
HHH, MD