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619690 tn?1221832941

STDs' symptoms and its effects later

Hello!
Straight to my question about STDs' symptoms and its effects later regarding an insertive one of oral sex.
If someone had one of STDs' symptoms and in particular such as one of (NGU or gonorrhea)'s symptoms and at the same time he didn't know about that and also he didn't test for that , then should these symptoms leave a noticed effect on his body or his penis later {ex. 3 months later from the same exposure "I meant after finishing the known period of appearing (NGU or gonorrhea)'s symptoms"} which make him feels clearly that he has one of NGU or gonorrhea?


Thanks.
30 Responses
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207091 tn?1337709493
COMMUNITY LEADER
OK you are going way beyond where you need to.  Really.

I don't know the answers to most of your questions, but I am not a lab person.  

But what I don't get is that the lab guy who did your tests - who has a masters degree in it - says you don't have NGU, chlamydia or gonorrhea.  Why are you questioning his experience?

I'm not saying you should blindly accept what doctors have to say, but why are you so concerned about this?  You are NEGATIVE.  Its been 3 months, and you have NO symptoms.  I don't get it.

Again, this is sounding obsessive to me, and I think it might be time to get some help since you can't let this go.  

Aj

Helpful - 0
619690 tn?1221832941
I  will repeat the question N6 to be more clear,

6) Regardless of the collecting way of urine sample was taken in a right way or not, such as a Mid-stream clean catch urine or such as a first-stream and didn't clean the tip of penis as I did;  maybe has some effects on an initial urine test "urine and Microscopic examination" and also maybe has some effects on its culture and sensitivity test "the test which not belong gonorrhea and Chlamydia" such as appearing of germ from wrong way of collecting urine sample, however BUT does that has any effect on the negative of both of gonorrhea, and Chlamydia results "The results which we know from culture and sensitivity tests that belong both of gonorrhea and Chlamydia" I meant " URETHRAL CULTUER "?

Or in a more simplicity question, is true, that in all cases If someone has gonorrhea and Chlamydia, then would Laboratorian knows that from their belong culture and sensitivity tests "URETHRAL CULTUER", regardless the urine sample was taken in a right way as a Mid-stream clean catch urine or as a wrong way as a first-stream and didn't clean the tip of penis as I did?

Helpful - 0
619690 tn?1221832941
First, thanks a lot,
Dear friend,
First my laboratorian said me IgG is the best way for me because it has passed ages from that exposure, and IgG not only detect the virus, but also refers to which type of herpes is 1 or 2, and I checked up from that, and really I found that true.

That said "but not experts", WBC > 5 in urine then NGU or"NSU" is, or at least UTI is.
Then culture and sensitivity test should have been done to assured the results and to know what the main cause of WBC >5.
I tested negative of gonorrhea, and Chlamydia, and was diagnosed nothing regarding NGU at all by urine test. and as I have said, the only one germ which apper in my urine test is Strepto and that refer to either, a slight UTI, or worng collecting way of urine sample as some dr also , from "allexperts site " didn't clean the tip of peins.
Now:
1) Is true that laboratorian could diagnose NGU "in principle" when WBC > 5 such as 10-12 from their descriptions such as "color, size, Shape, gleety" greenish yellow WBC" or not, and etc…  "My laboratorian has a master's degree in laboratorial diagnosing". And he said, not all laboratorians know that, because that needs a long experience of laboratorial work. "He isn't young"

2) Also is true that laboratorian could assure NGU existence from culture and sensitivity test if someone has NGU? I meant is there a specific kind of germ that refers to NGU in culture test?

3) And if the previous questions' answers were NO, then how could we diagnose NGU correctly, "but really don't say from just WBC, because there is consensus about that, which answer is "NOT at all"?

4) What does that mean:
Specimen: URETHRAL CULTUER
Growth of: No Growth Of Ordinary Bacteria Aft.  Colonies count: _______
Direct Exam.
Direct Exam: NOT found Chlamydia.
Microscopic examination of bacteria after coloration: NOT found any complementary diplococcuc. "He said me, when there is no complementary diplococcuc, then no gonorrhea".

5)   However, We know if we wanted to test for UTI or anything else regarding urine diagnosing, then we should take a Mid-stream clean catch urine, but is this applied for all urine tests and in particular for testing each of gonorrhea, Chlamydia and diagnosing of NGU or as it were NSU, and then to diagnose them correctly, or we should take the urine sample from the first portion of urination "just" to diagnose gonorrhea, Chlamydia and NGU correctly?

PS: "Of course and in all cases and before doing anything we should clean our hands and then the tip of penis with soap water and rinse them well".

6) Regardless of the collecting way of urine sample was taken in a right way or not, such as a Mid-stream clean catch urine or such as a first-stream and didn't clean the tip of penis, however it maybe has effect on an initial urine test "urine and Microscopic examination" and also on its culture and sensitivity test such as appearing germ from wrong way of collecting urine sample, however  but does that has any effect on the negative of both of gonorrhea, and Chlamydia results from their culture and sensitivity test that belong both of them?
Thanks.
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
IgG.  Don't let them give you an IgM, and if they do, don't pay for it.  Its useless, and its way too long for it to even have a chance of being accurate now.

Get the IgG only.

Aj
Helpful - 0
619690 tn?1221832941
As for HSV,
As you know I tested negative as for HSV-2 after 87 days.but not as HSV-1.
it has passed more than one year from that exposure,
Which kind of test advice me IgG or IgM to test HSV?
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
Again, some of what you are asking me is confusing, but I'll answer the parts I can understand.

Yes, ideally, you will have no WBCs.  However, as I have stated, and Dr. HHH has stated, you can have WBC in your urine from irritation, etc.  Its not likely to be an std or even an infection if its below 10 and you have no symptoms.

Actually, not all NGU - or even almost all - is caused by chlamydia.  There are many other causes.  Check www.ashastd.org for more info on that.

The rest of your post - I don't get.  I don't get why you are so concerned.  All of your testing is fine.  I'm not sure why you are getting this intense when you just had a few WBC in your urine.

In any case, you don't have an std, and this is the std forum.

Aj
Helpful - 0
619690 tn?1221832941
Hi.
First, thank you..
But really you made me a worried one, when you said first you shouldn't have any WBC in urine, "no site in the world says that" you can check it up from the most famouse sites in the world such as "Lab tests online" and other sites. and later you said WBC less than 10 it is Ok, and then you said less 10 without sympotoms need no treat so you made me confused. but when I went to lab where I did urine test for all of gonorrhea and Chlamydia, and NGU, he asked me to do first stream catch to diagnose NGU correctly and then he said me WBC up to 5 it is considered as an acceaptable universal case, but WBC more than 10 then a culture test should be done to know what the main cause of that (NGU or UTI).
And culture test should have been done in all cases to check up of all the tests which I asked about, and in particular as for both of gonorrhea and Chlamydia, because as you know without cultuer test then we couldn't diagnosing gonorrhea and Chlamydia and then know thier result.
By the way lab said, "he has a master's degree in diagnosing" urine test  isn't as good indicator to diagnose NGU correctly, as Dr. HHH said. and Stephen said from"Urology Experts"also by the way we can diagnose WBC if have link with NGU or any seaual action or not, during its color ,shape, size, and if were gleety or not and others things , and he assuered that I have never ever NGU, but I have a slight of UTI, so lab said culture test should be done to assuer that and to know what the main casue of WBC10-12 and also to check up of gonorrhea and Chlamydia,"as for gonorrhea and Chlamydia I had wait a full three days to take results and as for to diagnose what the main casue of WBC10-12 I had to wait a full two days"
That is a long subject but you can check it up from famosue site such as "Lab tests online"

So as for gonorrhea and Chlamydia, they were negative.
As for NGU, nothing at all refer to that before and after cultuer test.and in particualr as you know almost NGU caused by Chlamydia and I have no sympotoms of that and the most important thing that the growth was the growth of Strepto. Pyogenes.  Colonies count 100.000/ml.. not refer to NGU at all., but probably refer to a slight of UTI.
As for UTI, lab said I have to do again a mid-stream catch clean, becasue the growth of Strepto. 100.000 refer to either a slight UTI or nothing dangerouse because I didn't clean the tip of penis.
and in all cases that growth of Strepto also maybe refers to effect outside of penis skin.
and other results such as Ca.Oxalate++ and Mucus++++, that becasue of the main casue "Fasting month if you know it, that deydration is, lack of drinking water is"and I was taking Vitamine C,  not pills, I was taking ascrobic acid 1000mg "pill which put into water to melt", that casue Ca.oxalate. and as for RBC3/5 and EP4-6.cells also that is a normal case, but as for Ep.cells it is better to find them (0), but also up to 10 is ok. and generally none of them refer to dangerouse case.


I know I am fine and free from everything regarding all STDs. from that exposure from that year ago.
and also you know all my story, I am free from everything.
1) I understood from you that urien sample has no effect on the gonorrhea and chalmida results, if it was taken in a right way or a wrong way. do u agree?

2) I know that I tested negative HSV-2 buy IGg after 87 days and no sympotoms till now "more one year ago"and it is tiny chance to get HSV2 or even 1 from oral sex, but do you agree with me and others if I have HSV-1 from that exposure then I have a developed sympotoms on my penis and body? then should I test for it.
Or should I tset for it in all case?

3)Lab said me we do sexual herpes test in generall, so does that mean both of HSV1-and 2? or which kind of test that was?
thanks a lot
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
I was trying to say that it wasn't taken the wrong way.  If you are looking for a urinary tract infection, you do a mid-stream clean catch.

If you are looking for NGU or other stds, you do a first stream catch.

You are fine.

Aj
Helpful - 0
619690 tn?1221832941
Really thank a lot, but :
I tested a negative for both of gonorrhea and Chlamydia.
results were:
Culture and sensitivity tests regarding both of gonorrhea and Chlamydia, both of them were found negative, "I had to wait a full three days to take these results".
Specimen: URETHRAL CULTUER
Growth of: No Growth Of Ordinary Bacteria Aft.  Colonies count: _______
Direct Exam.
Direct Exam: NOT found Chlamydia.
Microscopic examination of bacteria after coloration: NOT found any complementary diplococcuc.

If we considering which the urine sample was taken in a wrong way, then should that effect on negative results for both of (gonorrhea and Chlamydia)? I meant can I rely on negative results regarding gonorrhea and Chlamydia conclusively and definitively regardless of the urine sample was taken in a wrong way or not and then regardless of the initial urine test "Urine and Microscopic examination" was wrong because of that or right?
Thanks a lot.

Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
You lost me in there somewhere, but I can say that in the clinics I've worked in, we use(d) first stream specimens, not mid-stream, and we didn't do clean catches, which can wipe away some bacteria.

That said, 5 WBC isn't usually used to diagnose by itself.  If you had more than 10, you'd get a definite diagnosis, but most places won't treat under 10 unless you are symptomatic.

Its sounding like you don't have anything, and its time to let this go.

Aj

Helpful - 0
619690 tn?1221832941
Dear friends,
I need a professional answer.

Everything was going ok with me from that exposure once I read that. That said, to get the most an accurate results regarding gonorrhea, Chlamydia and NGU, then I should test by urine.

I tested for each of gonorrhea, Chlamydia and NGU by urine test.

And as we know, the urine test contains three parts:
Physical, chemical, and Microscopic examination.

Now I am going to talk about WBC, because some people "not experts" diagnose appearing of WBC and in particular more than 5/field as NGU.

But STD's Experts from Medhelp.org said urine test is not a significant indicator to diagnose NGU correctly through account of WBC. Also I read from Urology experts' forum from Medhelp.org that they said to get an accurate results, so you should do a mid-stream clean catch urine.

However let us take the worst say, that appearing of WBC and in particular more than 5, then NGU is or at least UTI is.

But if someone has WBC more than 5/field, and during the microscopic examination was found no sing and no link to NGU "Dr knows that according to its specifications such as color, size, shape, gleety or not, and etc…however", then it probably would be UTI or even nothing at all "because of a wrong way of collecting urine sample such as urine sample wasn't taken as mid-stream clean catch urine", so the culture and sensitivity test should be done in all cases to diagnose what the main cause of that, and then to assure what the main cause was? And also the culture and sensitivity test should be done to check up of both of gonorrhea, Chlamydia accurately.

My urine sample wasn't taken as mid-stream clean catch urine. "Lab asked me to take the fist portion of urination to diagnose NGU correctly", but what is more that I didn't clean the tip of penis, because I didn't know that.
However my question is:
If we considering which the urine sample was taken in a wrong way, then should that effect on negative results for both of (gonorrhea and Chlamydia)? I meant can I rely on negative results regarding gonorrhea and Chlamydia conclusively and definitively regardless of the urine sample was taken in a wrong way or not and then regardless of the initial urine test "Urine and Microscopic examination" was wrong because of that or right?
Thanks a lot.
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
And what country do you live in?
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
Mucous in the urine is not from stress or activity.  What kind of doctor is this?

And I'm not familiar with an implantation test.

Aj
Helpful - 0
619690 tn?1221832941
Hi friend,
One small bottle of my urine was taken from me at this morning for gonorrhea , NGU and  Chlamydia but sepertely. I meant each small amount of my urine for each test.

However The test for gonorrhea and chlamida has not finshed yet.
I have wait to 2 days because he wants to do some test (Implantation test ) to know what kind of my WBC belong to and then he knows what is the problem and waht is the best treatment if I need, because he said sometimes people have no WBC but really after doing that test (Implantation test )then they have problem.
my result was: He said.

Mucus + + + +. and that only Because of stress action such as sports That I do.

Oxalate calcium + + so I have to drink water so much and that really because of the nature of our water that is oolitic water.

My WBC were 10-12 cells and also that because of reaction of the body to something , but he assum that not related to that exposure becasue really he showed me a lot of tests that he did and WBC in there tests were more than 95 Cells and some of them(male and female) never did sex before.

From above I think That is the same as Dr HHH's say.

However, as you know it passed more one year from that exposure, SO could you tell me :
1) If I had NGU what should I feel and see or notice nowadays ?(Symptoms)
2) Also as for Gonorrhea  what should I feel nowadays ?(Symptoms)
3) also as for chlamida what should I feel or notice nowadays ?(Symptoms)
4)I know that there are a full treatment for all of them and all of them are full curedable and if I need for treatment for all them is there any risk from taking that treatment later or in the future ?
5) Alos is that treatment effect on any kind of tests if I had to to do in the future?
Thanks.

Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
At my clinic, without symptoms, and at 8-10, we probably would have let you decide whether or not you wanted treatment.  Without symptoms, there's no real need to treat, but when you go back to test for gonorrhea (and your doctor's explanation is silly, by the way - he could have used the same urine sample to test for gonorrhea), ask him to check for WBC again.

Aj

Helpful - 0
619690 tn?1221832941
DR.HHH said, "The tests for NGU are inherently unreliable.  They depend on looking for white blood cells in the urethra, or in urine. Other things can cause elevated urethral WBC from time to time, and most of the time they just go away without treatment.  In my STD clinic, when a male has WBC in the urethra but no other evidence of NGU, we do not diagnose NGU.  Instead we withold treatment and reexamine the patient a week later. Half the time the WBC have gone away"
He said the same as my dr. did.
So what is you advice?
Helpful - 0
619690 tn?1221832941
PS:also I haven't seen any of discharge on my underwea.
Helpful - 0
619690 tn?1221832941
Hello.
I think I did a wrong thing when I tested after one year from the same exposure of  receiving Oral sex.

Today I testd NGU and the dr said me that there are 8 -10 white blood cells , but he said me don't worry about that because of:
1) The result is similar to other results which he did them for a lot of people .
2) The result was maybe because of lack of water or stress or anything.
3) And the most important thing my NGU's result was not from recieving Oral sex becasue If the results of NGU was related to Oral sex then he should discovered a green spots instead of what he found under Microscop or something else.really I don't know what he found but he said that because I didin't ask him.

And at the same time really really I have never ever felt burning urination at all.and if I had NGU from that time(one year) then I should at least feel burning urination except a develpoment symptoms. but really I haven't had them.

And I said him you are on right becasue really nowadays I run for 3 Kms everyday with my friend and I am not of who drink a lot of water.

He said it passed one year from that exposure , so be relax.
I asked him to do Gonorrhea and  chlamydia by urine, and he said I should wait 2 days at least to do the test because the test needs 2 full days.and then to find the conclusive and definitive and final result.


What is your say about NGU result?
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
1) However what should I say to Dr to do that test "Hsv -1"? I meant what is full test's name? just say hsv-1 or what should I say?

Ask for an IgG hsv1 blood test.  

2)what is the defferent between Hsv1 and Hsv2 ?

They are similar, and cause similar symptoms, but are sort of cousins.  Hsv1 can be either oral or genital, and hsv2 is almost always genital.

He asked you to wait because the results take time.  They probably sent the blood to a lab, where the test will be done, and then the lab will send it back.

3)Should I retest Chlamydia test by urine or the test which I did is conclusive and definitive?

Since you won't get chlamydia from oral, the blood test is fine.

I get that you are wanting info, but this is becoming an obsession.  The ONLY things you haven't tested for are gonorrhea and NGU, and you'd probably have symptoms.  Test for those, and then end this obsession.   You need no other testing.

Aj
Helpful - 0
619690 tn?1221832941
Thank you so much,
I am asking you because I am SURE that you are answering me according to your experience and according to the best health information that we can get ever from the best sources and Drs. :)

As for genital hsv1.  my dr.said it difficult to get it from reveiving oral sex due to that is belong genital of female , so if I put my mouth on her genital then maybe get it but alos that way is not an enough way to get genital  hsv1 from oral sex.

1) However what should I say to Dr to do that test "Hsv -1"? I meant what is full test's name? just say hsv-1 or what should I say?

2)what is the defferent between Hsv1 and Hsv2 ?

I know that never ever get Chlamydia from Oral sex , that said." Dr HHH , HooK and others, but the test which I did was blood test and the best way to know that by urine or sawp the eara, but dr who did that test asked me to come after 4 days at least to 1 week to get the result , by then. do you know why he asked me to wait? that I did by "Chlamydia IgG".

3)Should I retest Chlamydia test by urine or the test which I did is conclusive and definitive?
thanks.
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
I did answer this, but I think it was in your other thread.

Your test at 87 days is fine.  It can take up to 4 months, but you have no symptoms.  Without symptoms, your test is fine.  Getting herpes from oral sex from someone without an active sore is low risk, so you don't have anything to worry about.

If you want to test for hsv1, that's fine too.  Totally up to you.  You wouldn't get hsv2 from oral sex, you'd get genital hsv1.  

You really are worrying WAY too much about this.  Perhaps its time to talk to someone about this.

AJ

Helpful - 0
619690 tn?1221832941
Thank you so much for your help,
But you didn't answer on my question:
as you know I tested a negative blood of herpes II IgG at 87 days from that exposure of receiving Oral sex.
1)I heard that it takes 3 weeks to 4 months and I tested at 3 months , so should I retest again?
2)And should I test for herps Kind I ? and is test done by blood  as herpes Kind II  as I did or urine?
Thanks
Helpful - 0
207091 tn?1337709493
COMMUNITY LEADER
Hi there -

OK I see you sort of sliding into obsession or anxiety about this, and it might be easier to just test.

NGU and gonorrhea are urine tests, and the white blood cells in urine is a bit different than white blood cells in your body that you find on a blood test.

You shouldn't have white blood cells at all in your urine, so you won't get the same kind of result for it.

The ONLY way to know if you have it is to test, and not by doing all these what ifs.  You will make yourself crazy with this, so just test and take comfort in the fact that you are doing something proactive.

Aj
Helpful - 0
619690 tn?1221832941
PS:  "In my opinion, as long as you do not have urethral symptoms, you do not need testing at all.  If you experience urethral discharge or burning, a urine or swab test for gonorrhea and white blood cells (to diagnose nongonococal urethritis/NGU) is all that is needed." Dr.Hook said for someone asked question that is similar to mine.
So as for NGU dr hook said "white blood cells (to diagnose nongonococal urethritis/NGU) is all that is needed" did he mean if the white blood cells are normal I meant between 4100-10000 , then no NGU.?
Helpful - 0
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