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Gonorrhea from prostitute fellatio
Doctor, about 2 weeks ago a prostitute gave me fellatio. I had a condom on at first and then she took it off after about 10 mins to make me *** faster which lasted 5 more mins. Before she took the condom off, me and my buddy examined her mouth to make sure there were no sores or legions, of which there were none, but she did have her bottom-lip pierced. While she was giving fellatio, with the condom on and off she kept adjusting her lip-piercing saying it kept bothering her. With no other sexual activities 2 weeks prior and after this encounter, 2 days later I had gonorrhea symptoms(burning while urinating and a white puss discharge from my penis). I went to the clinic immediately and after testing the doctor said I had urethritis, and he thought it was probably chlamydia. (I did my research later and found the symptoms to be more gonorrhea because of the 2 days it took for symptoms). Anyways, I immediately got treatment for it, which was dioxcycline 14 pills (7 days worth). I have since finished taking the pills 2 days ago and all symptoms have gone away. My two questions are as follows: Was Dioxcycline enough to treat what i had? ie do i need the pink pills(Cephor??) How likely is it that I contracted HIV from this encounter? While her mouth looked fine after inspection could that bottom lip piercing have infected me? I am scared to death and any answers you could provide would be extremely helpful!Thank you.
A related discussion, Chances of no symptoms was started.
Don't worry about HIV.
MEDICAL PROFESSIONAL
HIV is extremely low risk, zero for practical purposes; so don't worry about "the big one". (See many other threads on "HIV transmission risk", "oral sex", and "fellatio".) Lip piercing makes no difference.
Chlamydia is rarely if ever transmitted by fellatio; chlamydia of the throat/mouth is rare, and in any case the symptoms came on too soon for chlamydia (usually 5-10 days). Gonorrhea can be acquired by fellatio and symptoms start in a couple days, but the clinic probably would have picked it up; it's easy to diagnose gonorrhea at the initial exam (by looking at discharge with a microscope).
That leave nongonococcal urethritis (NGU) as the best bet, but it generally comes on later (5-10 days, like chlamydia). Another possibility is chemical irritation, e.g. to lubricant/spermicide in the condom, but that's less likely. NGU can be acquired by oral sex. Cases not due to chlamydia, however, are never serious (and may not even mean you have an infection that will harm other sex partners).
Bottom line: close call between gonorrhea and nonchlamydial NGU. Doxycycline is effective against NGU and iffy for gonorrhea. However, the proof is in the response; since your symptoms have cleared up, you can be sure that whatever it is has been taken care of. However, if the clinic prescribed a second medication, you should follow their advice, not mine, and take the drug. In any case, the likelihood of any long term or serious health consequence is about zero at this point, for either you or any future sex partners.
Good luck-- HHH, MD
Chlamydia is rarely if ever transmitted by fellatio; chlamydia of the throat/mouth is rare, and in any case the symptoms came on too soon for chlamydia (usually 5-10 days). Gonorrhea can be acquired by fellatio and symptoms start in a couple days, but the clinic probably would have picked it up; it's easy to diagnose gonorrhea at the initial exam (by looking at discharge with a microscope).
That leave nongonococcal urethritis (NGU) as the best bet, but it generally comes on later (5-10 days, like chlamydia). Another possibility is chemical irritation, e.g. to lubricant/spermicide in the condom, but that's less likely. NGU can be acquired by oral sex. Cases not due to chlamydia, however, are never serious (and may not even mean you have an infection that will harm other sex partners).
Bottom line: close call between gonorrhea and nonchlamydial NGU. Doxycycline is effective against NGU and iffy for gonorrhea. However, the proof is in the response; since your symptoms have cleared up, you can be sure that whatever it is has been taken care of. However, if the clinic prescribed a second medication, you should follow their advice, not mine, and take the drug. In any case, the likelihood of any long term or serious health consequence is about zero at this point, for either you or any future sex partners.
Good luck-- HHH, MD
You are reading content posted in the STDs Forum
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