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General Concern...

Doc,

First, thanks for providing information on the site, it is very helpful.  

Okay...  On Saturday 11/6 I had unprotected vaginal sex with a girl I met at a college campus (she is 25).  I performed oral on her as well.  Afterwards she bled a little but nothing major.  I freaked out and went to a doctor on Monday 11/8 to get tested for chlamydia/ghonnorreah (they also tested me for HIV for some wierd reason).  Because of her bleeding the doctor also gave me 1 gram of Azithromycin that I took the same day 11/8.  I spoke with her the next day and she told me I was the first person she had been with since she had her baby (two months ago I believe).    

1)  Waitng on the results form the doctor, but is a two day test for chlamydia/ghonnorreah to soon?  Or would a negative result be conclusive?

2)  If I am with my girlfriend this weekend, will she be safe from those two STD's?

3)  Do you think she have been tested for STD's when she was pregnant?

4)  Is the fact that she bled a pretty conclusive sign that she had chlamydia or something?  

5)  I have oral HSV- 1 and would that increase my chance of getting HSV-2?  

6)  Does the bleeding increase my chances for catching herpes?  And if I do not develop symptoms for HSV-2, when would I get them and if I do not develop symptoms would that most likely mean I did not catch HSV-2 from her?

Sorry for so many questions.

I appreciate all your help.  I am just freeaking out.

Knucklehead


  
3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
The large majority of bacterial infections, and most viral ones, clear up on their own without treatment; chlamydia and gonorrhea are no exception.  Antibiotics speed it up and prevent complications that could otherwise occur.  In the pre-antibiotic era, "only" 10% of people with pneumonia died; the rest recovered completely.

Definitely you should just move on, with no further testing.
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Avatar universal
Well, the Chlamydia/Ghonorrea tests came back negative...  I never knew those two infections can clear up on their own.

Have no signs of any genital sores or anything after almost 7 days (still knocking on wood).  

When would you recommend a follow up for herpes/HIV or would you?

Thanks again,

Knucklhead
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.  These are straightforward questions.  As for testing you for HIV, that isn't at all weird.  Automatic HIV testing is recommended whenever anyone is tested for STDs.  In any case, "freaking out" is an overreaction.  The chance you caught anything is very low.

Have you spoken with your partner about all this?  She probably knows whether or not she was tested for STDs during her pregnancy.  But even if not, probably there is a low chance she has one.  Gonorrhea and chlamydia both usually clear up on their own in a few weeks or months, even without treatment.  So even without testing, it is unlikely she is still infected from an exposure during or before her pregnancy.  And if she had genital herpes, there is a good chance she would know it.

To your questions:

1) Two days is fine for gonorrhea and chlamydia testing.  Some experts recommend waiting for 5-7 days, but it probably isn't necessary.

2) I can't guarantee you weren't infected, but the chance is low.  And if you were, the azithromycin would have cleared it up.  If I were in your situation, I would not hesitate to have unprotected sex with my wife.

3) It's a very good bet she was tested for HIV and syphilis, but not all doctors automatically test for gonorrhea and chlamydia.  But it doesn't matter, since if were exposed, the azithromycin has already prevented or cured it.

4) Bleeding after sex can be a sign of chlamydia or gonorrhea, but they are not the most common causes.  This soon after delivering a baby, the best bet is that her cervix simply is still healing and fragile.  However, she should see her obstetrician about it.

5) If anything, having HSV-1 somewhat reduces the chance of catching HSV-2 if exposed.

6) Bleeding is not a common herpes symptom.  If you were to have caught herpes, you could expect symptoms (penile blisters or open sores) within 3-5 days.  And yes, absence of such symptoms will be additional evidence you didn't catch herpes.

All things considered, this sounds like a low risk exposure; in any case, the antibiotic has protected you from chlamydia, gonorrhea ans syphilis; and the chance of herpes from any single exposure like this is very low, under one chance in many thousand.

I hope this helps.  Best wishes--  HHH, MD

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