At this point it is difficult to say what is going on. Persons can get gonorrhea or nongonococal urethritis (NGU) from receipt of oral sex (not chlamydia) but it is pretty uncommon. The therapies you received would be likely to cure NGU but gonorrhea is not a sure thing. A fair amount of the gonorrhea seen in Asia can be resistant to the drugs you received while over there. On the other hand, the treatment received here in the U.S. (Ceftriaxone and Azithromycin) is the best treatment available with cure rates approaching 100%. If you were infected at that time however, the tests taken will tell the story. Thus, if your most recent tests are negative, it is my guess that you did not ever have gonorrhea or, in the unlikely situation that you did, it was cured before you got home. Having said that, you may never really know. If you remain concerned, the safest thing to do would be to tell your partner and suggest she seek preventative treatment with ceftriaxone and azithromycin as well. Hope this helps. EWH
Thank you Dr. But can you clarify what if any are the different symptoms between gonorrhea and nongonococal urethritis? Is the treatment the same?
And also, I am confused by the likelihood of transmission of gonorrhea from oral sex. On Medhelp there seems to be some consensus that it is uncommon. But in the general world it is always listed as a viable transmission method. Is this just aggressive sex education?