Aa
Chlamydia from **
HI Dr.
On June 9, A female massage therapist preformed unprotected oral sex on me. I am a male. About 7 days later I started to feel some tingling/ hot sensations on the tip of my penis. It did not go way after two days so on June 18 I went to the local STD clinic and got the 8 panel test. All negative except for chlamydia. I was positive for chlamydia. I was prescribed Azitromicin Z pzck. 500gm first dose followed by 4 days @ 250.
On June 16 I had unprotected sex with my wife. Maybe 5 min I did not ejaculate inside.
Lucky for me I have a very understanding wife...She is not happy but understands my sexual addiction issues.We are working thru my problems. We are both on the above medicine.
Do I need to be concerned for anything else.....Does my wife need to be concerned for anything else? I am very worried about HIV...I know chlamydia is rarely passed by oral but I have only received oral sex outside my relationship, twice in the last 6 months One in January and once on June 9th.
Could it have been a false positive NAAT test? Should I get an early detection test for HIV? I have no other symptoms neither does my wife.
Thanks
Barnito
On June 9, A female massage therapist preformed unprotected oral sex on me. I am a male. About 7 days later I started to feel some tingling/ hot sensations on the tip of my penis. It did not go way after two days so on June 18 I went to the local STD clinic and got the 8 panel test. All negative except for chlamydia. I was positive for chlamydia. I was prescribed Azitromicin Z pzck. 500gm first dose followed by 4 days @ 250.
On June 16 I had unprotected sex with my wife. Maybe 5 min I did not ejaculate inside.
Lucky for me I have a very understanding wife...She is not happy but understands my sexual addiction issues.We are working thru my problems. We are both on the above medicine.
Do I need to be concerned for anything else.....Does my wife need to be concerned for anything else? I am very worried about HIV...I know chlamydia is rarely passed by oral but I have only received oral sex outside my relationship, twice in the last 6 months One in January and once on June 9th.
Could it have been a false positive NAAT test? Should I get an early detection test for HIV? I have no other symptoms neither does my wife.
Thanks
Barnito
MEDICAL PROFESSIONAL
Since you both have been treated, I see no reason you and your wife cannot safely resume your normal sexual practices. The chance either of you failed treatment is very low. Still, I would recommend you both be retested in 3-4 weeks. Don't do it sooner than that; chlamydia DNA can persist for up to 3 weeks even when treatment is effective.
Wife did NOT stray
Hi Dr.
I think You put my mind at ease about HIV. If it is fact that my only encounter was oral with another women and my wife did stray I should have no worry about HIV.
Last two questions I promise.
With June 9th being the last exposure and tomorrow last day of treatment for chlamydia when should I repeat the std tests to make sure chlamydia was cured and I have nothing new.
Also at when is it safe for my wife and I to resume sexual relations.
Thanks
Matt
I think You put my mind at ease about HIV. If it is fact that my only encounter was oral with another women and my wife did stray I should have no worry about HIV.
Last two questions I promise.
With June 9th being the last exposure and tomorrow last day of treatment for chlamydia when should I repeat the std tests to make sure chlamydia was cured and I have nothing new.
Also at when is it safe for my wife and I to resume sexual relations.
Thanks
Matt
MEDICAL PROFESSIONAL
I don't recommend an HIV PCR ("rapid detection") test. There is simply no realistic chance you have HIV. If you simply can't live without another test in the near future, you could have a 4th generation antibody-antigen test in the next day or two, i.e. 2 weeks after the last exposure. It would be almost as reliable as the PCR test (around 80-90% versus 90-95%) at much lower cost.
It was a urine naat.That was positive.
I am a very worried about HIV...it was small risk for chlamydia and I still got it ...I was negative at 11 days for the HIV-1 antibody....too early to be accurate for June 9 right...but accurate for January... is it worth doing early detection test....or just wait..
Looking for peace of mind...I know my wife does not stray...I am the Jerk that falls off the wagon.
Thanks
I am a very worried about HIV...it was small risk for chlamydia and I still got it ...I was negative at 11 days for the HIV-1 antibody....too early to be accurate for June 9 right...but accurate for January... is it worth doing early detection test....or just wait..
Looking for peace of mind...I know my wife does not stray...I am the Jerk that falls off the wagon.
Thanks
MEDICAL PROFESSIONAL
Welcome back to the forum.
As you already know, oral sex is very low risk for chlamydia, partly because chlamydia does not readily infect the oral cavity; it can happen but is uncommon. OTOH, your symptoms were consistent with urethritis that could have been due to chlamydia, and NAATs rarely if ever give false positive results. (You mention NAAT toward the end of your question, so I'm assuming that's indeed the test that was done. However, "8 panel test" is a term mostly used with blood tests. Are you sure your positive chlamydia result was by NAAT and not a blood test? The chlamydia blood tests are useless.
Assuming you did indeed have a chlamydial infection, I need to raise the possibility that your wife was the source. When one member of a couple finds a need for sex outside the relationship, often the other has done the same. You know your relationship with your wife, and I do not -- so you're the better judge of this possibility. But we do see this frequently in STD clinics.
In any case, congratulations on doing the responsible thing and telling your wife of your infection and her exposure. I'm glad she also has been treated. However, the standard azithromycin treatment for chlamydia is a single dose of 1 gram. The Z-pak regimen you have had probably is effective, but it has not been studied, so it isn't possible to be certain. You and your wife might consider taking an additional single 1 gram dose. Alternatively, you both could be retested in about a month.
Despite the positive chlamydia test, you really needn't worry about HIV. As you already know, oral sex is zero risk for HIV for all practical purposes. OTOH, it is standard to test for HIV whenever any STD is diagnosed. On that basis, I recommend you and your wife be tested for HIV in a few weeks. I'm confident the results will be negative, but it's still recommended in this situation.
Best wishes-- HHH, MD
As you already know, oral sex is very low risk for chlamydia, partly because chlamydia does not readily infect the oral cavity; it can happen but is uncommon. OTOH, your symptoms were consistent with urethritis that could have been due to chlamydia, and NAATs rarely if ever give false positive results. (You mention NAAT toward the end of your question, so I'm assuming that's indeed the test that was done. However, "8 panel test" is a term mostly used with blood tests. Are you sure your positive chlamydia result was by NAAT and not a blood test? The chlamydia blood tests are useless.
Assuming you did indeed have a chlamydial infection, I need to raise the possibility that your wife was the source. When one member of a couple finds a need for sex outside the relationship, often the other has done the same. You know your relationship with your wife, and I do not -- so you're the better judge of this possibility. But we do see this frequently in STD clinics.
In any case, congratulations on doing the responsible thing and telling your wife of your infection and her exposure. I'm glad she also has been treated. However, the standard azithromycin treatment for chlamydia is a single dose of 1 gram. The Z-pak regimen you have had probably is effective, but it has not been studied, so it isn't possible to be certain. You and your wife might consider taking an additional single 1 gram dose. Alternatively, you both could be retested in about a month.
Despite the positive chlamydia test, you really needn't worry about HIV. As you already know, oral sex is zero risk for HIV for all practical purposes. OTOH, it is standard to test for HIV whenever any STD is diagnosed. On that basis, I recommend you and your wife be tested for HIV in a few weeks. I'm confident the results will be negative, but it's still recommended in this situation.
Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
