STD Risks

[brettq]

I had sex with a t girl on 10/10 in the evening. It consisted of me entering her with a condon for about 2 minutes and then both giving each other uncovered oral sex that lasted 5-10 minutes each. there was a small exchange of semem

I suffer from MRSA and get reoccuring red splotches on my lower legs and once on the shaft of my penis

10/12 i began experiencing a sore throat that was a 6 out of a scale of 10 in pain,

10/15 i developed a round deep red small circle on the side of the head of my penis

10/16 I went and had a full panel STD test with blood and Urine but it did not include a throat swab. I am still waiting for thos results

Although the spot is sensitive and i see the smallest white dot in the center there is no puss or discharge. I have no pain or discharge urinating.

My eyes have felt a little sore and someone made a comment that one looked a little blood shot

l did visit my MD whose nurse practitioner looked at my penis and said it did not look like herpes or syhiliss. But they did put me back on Sulfamethoxazole/TMP 800/160 to treat what they think is MRSA, although he did say they did not see many std's . My doctor did swab my throat for strep and it came back negative,
Questions are:

If I am on the above drug can I still take 1.750 or 2.0 G or Zithromax if I believe there is a possibility of NGU. (Sore Throat).

The CDC recommends Ceftriaxone 125MG IM to treat Gonorrehea of the throat. Will the above dosage of Zithromax along with the two doses I am taking today of Batrium/Supra have the same effect

I know that the test I took would not pick up HIV as it was too soon but I have found conflicting statements on the board about Gonorreah and Syphillis

Last question, it is now 10/12 and I am on my way into San Francisco to get a throat swab for NGU, is this enough time for incubation

[brettq]

All,

Sorry, my dates were off one week. I was typing this early this moring and rushing before I went to work. So the sex act was on 10/4, sore throat 10/6, spot on penis 10/9 the same day I went for blood tests. Those tests came back negative. I also went to city clinic in SFO today. They were concern the spot could be Syphillis so they did the "quick test" and it came back negative.

The partner was a gay man (T Girl) so I wan concerned about Syhillis. Even through I know it not likely to get HIV through oral I will have myself check again in 8 weeks

And yes the Swab question was related to Gonnoreah. They did take a swab of my throat at city clinc and a swab of the red spot just as a precaution

Thanks for this site, it is incredibly helpful

[manton]

I responded to brettq question yesterday on the user forum.  I told him that oral sex was a low risk activity.  I told him that his primary risk from receptive unprotected oral sex was from gonorrhea, NGU, and oral herpes and gonorrhea symptoms can show up as early as 2 to 3 days from exposure.  I didn't comment any further since know follow-up question was asked.  I hope I didn't cause too much confusion since I thought my answer satisfied his question.

This is the best website to research any medical issue's including STD related questions to help educate people.  I found your forum to be very educational..  Thanks...  

[H. Hunter Handsfield, M.D.]

The last sentence is supposed to say "if you remain concerned...."

[H. Hunter Handsfield, M.D.]

Your dates don't make sense--maybe you mean September, not October?  (We're still 4 days away from 10/16.)  If the sexual exposure was actually October 10, you definitely don't have herpes or any other STD; the symptoms cannot start so quickly.

Otherwise, I have nothing to add to what you already have been advised by your own provider.  The chance of catching herpes or any other STD was low, because of condom use and the infrequency of STD transmission by oral sex.  And from your description, I see no reason to question the NP's diagnosis of a recurrence of your staph problem.  However, if the penile lesion started 2-10 days after the sexual event, there is a slight chance it could be herpes. Syphilis is not a concern for a heterosexual exposure of the sort you mention, unless your partner was an ethnic minority and the exposure occurred in a high risk area, like the southeastern part of the US.  (Syphilis is nonexistant in over 90% of counties in the US, and is rare in California except in gay men.)

There is no "throat swab" test for NGU.  Maybe you mean gonorrhea?  Anyway, SMX-TMP is active against chlamydia, gonorrhea, and the other organisms that cause NGU.  You don't need azithromycin (Zithromax), ceftriaxone, or any other treatment, and at this point testing for gonorrhea makes no sense.  (I don't know what "conflicting statements" you found on this board about gonorrhea or syphilis.  If they were by me, please point them out.  If they were by forum users, of course you should ignore them.)

Bottom line:  It sounds like you can forget all STDs. But if your remain, follow up with your provider's office or your local health department STD clinic.

Good luck--  HHH< MD