How does this make any sense Doctor?

[kenzoni]

Ok here I go.. 30 days a go received oral and performed oral on a stripper, protected penetration. 2 weeks later received/insertive oral from a man in a glory hole. The next day my wife is diagnosed with Clamydia. Her MD states I gave it to her, yet my only possible exposure is unprotected oral with the stripper.

My insertive oral was only 1 day prior her diagnoses.
Then the next day me and my wife take the 4 pills of antibiotics.
I then go to the hospital the next day for a clamydia test. I pee in a cup and it comes back Negative 16 hours after I had just taken the azrithromycin.. Did the medication make me neg on the clamydia results?

So how could my wife have gotten clamydia unless my lips or throat had it and I gave it to her when I performed oral on her? Right? Yet I am told Clamydia cannot be given to me via cunnulingus by the doctors here? Secondly am I at any risk for HIV. This was the only time I ever had oral with a man in my life unprotected EVER... I am very confused especially when the medhelp MD's say clamydia can't be spread via oral from a woman....

1. Do I have an increased risk of HIV from the stripper performing oral and I on her?
2. How did I receive Clamydia if oral is non existent as you may say?
3. Did the azrythromycin 16.5 hours previous my urine clamydia test effect the negative result?
4. I currently have Chrons disease - will this affect my possibility of an infection such as hiv, clamydia etc?
5. Is testing for hiv necessary?


Thank you

[Edward W Hook, MD]

Welcome to the Forum.  I cannot tell you where your wife got chlamydia.  There are rare oral infections due to chlamydia and these can be transmitted to others through oral sex but this is quite a rare event.  it could happen however.

It would be most unusual for your urine test to have already become negative for chlamydia just 18 hours after taking azithromycin. The positive tests typically persists longer and in some people there can still be positive tests as far out as 3 weeks are successful treatment as the test detects dead organisms.

As for HIV, no risk.  I will not go on and repeat what has already been told to you about HIV and oral sex on the HIV Prevention Community site- both Dr. Handsfield and I are quoted accurately there. There are no scientifically proven cases in which HIV has been transmitted by oral sex.  If you have found such reports on the internet, they are not scientifically credible.

As for your specific questions:
1.  See above. Receipt of oral sex does not put you at risk for HIV.
2.  Oral chlamydia is not non-existent, it is very rare however.  You may have been unlucky.
3.  See above.  I suppose it could have but this would not be likely.
4.  Crohn's disease should not affect your risk for HIV or chlamydia.   The therapy however has many effects. What sort of therapy are you on?
5.  No, you do not need testing for HIV.

I hope these comments are helpful. EWH

[Edward W Hook, MD]

This thread is over.  EWH

[kenzoni]

Today Feb 2 swollen left tonsil inflamed not lesion, whitish, temp at 100.5 no swollen groin or arm pit. Litttle dizzy and slight headaches? Why should I not be concerned?

[Edward W Hook, MD]

Question answered above. Asking again does not change the answer. EWH

[kenzoni]

Doctor,
Thank you although one question. Thee risk of me performing oral on the stripper considering I may have most likely caught chlamydia from her vagina. I read acquiring chlamydia increases my risk for hiv considering the likelyhood of her infection?

Is this true and have you everwitnessed any reports of men contracting hiv via performing oral sex on a female.

Kenzoni

[Edward W Hook, MD]

This is not a debate.  Your beliefs are not supported by scientific data or experience.  The CDC's advice is written from a governmental agency whose philosphy is that they cannot "afford" to be wrong espite the fact that there are no credible reports of HIV being acquired through oral sex.   You are certainly free to believe what you wish to.

This will end this thread.  I can only wish you luck.  EWH.

[kenzoni]

Thank you Doctor! Although the meteor is funny I believe placing vaginal fluids that possibly contain hiv into my immune sytem through my mouth is far more risky that being hit by a meteor... I can only imagine the thousands of people you see in your career and I assume noone has ever made a claim to you that they caught hiv from fluids in the mouth although the CDC explicitly states they have "documented cases" of hiv transission via unproteced cunnulingus and fellatio. Why would the CDC say this? I understand they can take a mans word when a man says he sleeps with only females yet has anal clamydia or gonnorhea. I was unlucky as you mention unless by divine intervention my wife contracted chlamydia. I must have had it in my mouth from 2 minutes of cunnulingus hence why would it not be possible considering my already ridiculously very low as you state to aquire hiv orally. I understand my odds are 1/10 - 20000 yet what were my odds of contracting oral chlamydia?

[Edward W Hook, MD]

Sorry, there are scientific proof that chalmydia can be transmitted by oral sex.   On there other hand there is NO SUCH DATA for HIV.  Anything can happen so I suppose some day, some how someone will get HIV from oral sex but your likelyhood of being the first is about as high as your risk of getting struck by a meteor while reading my reply.  

Your therapy is more likely to cause symptoms resembing ARS than to prevent them.  EWH

[kenzoni]

Doctor,

I respect your study and your history, I have overlooked your qualifications and are very impressed. Although if I may, you state many times that oral clamydia is not a risk, you do not say very rare. Assuming this theory as you and many others state wouldn't is be also plausible for oral HIV to be very rare as opposed to non existent..?

My therapy is Remicade/Infliximab. I was the first patient at Brigham and Womens hospital in 1998 to begin the therapy for Remicade. Having a TNF blocker would concern me in masking any symptoms of ARS. Could this be possible and would Remicade increase my suseptibility for HIV or other infections....?