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Bacterial STD's

Hello,

I received unprotected oral sex with a Asia prostitute back in July 2008.  I do not remember any symptoms although one time I recall sitting on the toilet and I was concerned about STD's so I recall squeezing my penis as I was on the toilet and a bit of what looked liked sperm came out.  This is the only thing I can recall.  I had no other symptoms.  I got tested in July 2009 for gonnerhea and clymidia through a urine test, both negative.  I also was put on an atibiotic in Feb 2009 in Canda where I live it is called Biaxin (2X500mg) a day for 10 days. Now to my questions....

1) I have read from Dr HHH about these infections going away on there own within 3 months.  I have also read Dr HOOK say he has seen it last for 3 years?...what is the chance either of these could last 1 year?

2)  Although I did a urine test for both infections I have one concern.  I am on a blood pressure medicine called Diovan which is combined with a water pill so I urinate probably more than the normal 31 year old.  Also when I get nervous I seem to urinate a lot.  I did not urinate for 1 hour prior to the test as this is what the clinic told me to do.  Would peeing more through the day affect the reliability of the test?...keep in mind I did hold it for 1 hour befoe peeing in the bottle.

3) would a urinalysis pick anything up?..I have had 2 since this happend and they were normal.

4) Would Biaxin cure these.  Again I find reflecting info on this site regarding this. Can you clarify?

Thank you
3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
You are splitting hairs and re-asking pretty much the same questions. Re-read my reply above and concentrate on it.  The test you had is 100% reliable.  It is not possible that you have any bacterial STD from your oral exposure in 2008.  End of story.  You came here for reassurance and I gave it.  Accept it or not, I don't care, but I'm not going to argue about it.

That's all for this thread.
Helpful - 0
Avatar universal
Thank you for your answer.  I just had a couple of additional questions then I will be done asking!, thanks.

1) I am not sure in Canada which is where I live about what test they do for Gonnerhea and clymida.  As it was urine how accurate is this test copared to the swab.  The clinic I went to (hassle free clinic in toronto) I am not sure if you have heard of them but they only do urine test now.  Is this accurate?..if yes, does the sample need tons of bacteria in order to be detected?.

2) In your practice when one presents with gonnerhea symptoms is the discharge very pus like of can it look like sperm?...I have googled this and the pics I come up with look like it is something that not too many people could miss.  

3) WHen you comment on Biaxin...you say the normal dose for most infections would clear these infections...is 1g a day for 10 days a good dose or is a low dose?..I have only had it once so I am not sure what is considered a high or low dose.

4) as I have read 10% of men may have no symptoms...is it beleived that they do but maybe ignored?...IN your practice do you see pretty typical symptoms for gonnerhea?

Thanks again..
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Thanks for reading the forum for similar questions before asking your own.

First, your symptom of penile discharge during a bowel movement:  this is a common symptom in many men, usually not a sign of anything abnormal unless it occurs frequently.  It is due to the pressure of defecation squeezing the prostate gland, expressing normal fluids.  Here is a thread from just a couple days ago that discusses it, which also has links to other treads:  http://www.medhelp.org/posts/STDs/1124068

Also, your negative tests after your exposure a year and a half ago show you were not infected; if you were, the antibiotic therapy should have cleared it up; and it is very unlikely any infection would persist for 18 months.  To your specific questions:

1) You might have read Dr. Hook's and/or my previous comments out of context.  Gonorrhea rarely persists more than several months.  The longest chlamydia has ever been documented to persist was 4 years, in a single woman among several hundred studied.  In 90%, the infection was gone within a year, without treatment.  Persistent infection is believed to be even less common in males.

2) Frequent urination would not affect test reliability.

3) Urinalysis misses most STD. But as discussed above, all evidence proves you don't have a current STD (and probably you never did).

4) In the doses used for most infections, clarithromycin (Biaxin) would cure either chlamydia or gonorrhea.

See your primary health care provider if you remain concerned about any symptoms.  But there is no basis for concern about any STD.

Regards--  HHH, MD
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