One moment of weakness

[danisor]

Dear Doctor,

25 days ago while on a business trip to Dubai I met a girl– sex worker in a bar. After several drinks we went to my hotel room. The intercourse last for approximately 1 hour and can be described as a French – deep kissing, fingering which involved vaginal secretion, mutual masturbation, unprotected oral and condom protected vaginal sex. I am not aware / didn’t develop of any symptoms so far but as anxiety and guilty is killing me and I’ve decided to  go for a tests:

NGU (Urine)
Chlamydia (Urine)
Gonorrhoea (Urine)
Syphilis (VDRL)
HIV1 & 2 (ELISA)

How would you describe a possibility of contracting STDs listed above (with no any visible symptoms so far) and how reliable negative test results would be at 25th day after the exposure.

Thank you for your time.

[veryworriedsick82]

Dear Doctor,

You mentioned that in danisor's case above, "there would have been only a risk of Chlamydia, Gonorrhoea, NGU ". How high is the risk for these diseases, as you mentioned that the risk of syphilis is very rare in heterosexuals? Thank you.

[Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD]

Hello again.
The only test that you need are the ones for Chlamydia, Gonorrheoa and NGU/NSU, whcih you can have now.  Even though I do not think that you need to be tested for HIV and Syphilis, if you still want to be tested for peace of mind, you could either have a HIV Duo and a syphilis serology (IgG/IgM) now, which both would be fully conclusive at 26 days.  However for a HIV 1 and 2 Elisa test and a VDRL, to be conclusive, you would need to wait at least 8 weeks.  Doing them now would be a waste of time.
Best wishes,
Dr José

[danisor]

Dear Doctor,

Thank you very much for your feedback. Which one of the following 2 you’d advise in my case:

1. To do the tests for Chlamydia, Gonorrhoea or NGU/NSU and if negative not to be worried / tested for Syphilis and HIV
2. To do all tests now (26th Day after the exposure) and follow it up at 8 weeks for Syphilis and HIV. Any encouraging percentage for  Syphilis and HIV negative test results at 26th day would be highly appreciated.

Thank you.

[Dr. Jose Gonzalez-Garcia, MD, MRCGP, PhD]

Hello,
Thank you very much for your post and welcome to our STD forum.
From all the different sexual practices involved in this encounter, the only one that posed a real risk of contracting a sexually transmitted infection was the unprotected oral; and of all the different infections tested, there would have been only a risk of Chlamydia, Gonorrhoea, NGU and possibly syphilis (even though very rare among heterosexuals); no real risk at all of HIV infection.  Bearing all this in mind, all the tests are fully conclusive except the VDRL and the ELISA HIV 1 & 2, as you would need to wait at least 8 to 12 weeks for them to be conclusive.  However, as mentioned before, they are probably irrelevant as you did not put yourself at risk of these.  If you have not contracted Chlamydia, Gonorrhoea or NGU/NSU, which are common and very easy to transmit, it is even less likely that you contracted anything else.
Best wishes,
Dr José