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NSU - Could it be Chlamidiya

Hi there,

I am a 31 year old male. I am married and have had this one incident where i was the passive receiver of oral sex from a sex worker. The oral exposure was very brief (maybe 2 minutes) she had a lot of saliva in her mouth and kept on spitting it out on my penis and surrounding area. After the brief unprotected (2 min) oral i put on a condom and then ejaculated in the condom. I did not have vaginal or anal sex.

Afterwards i realised what i had done and thoughts of guilt came into my mind as well as being transmitted with STDs. After 2 weeks i went to my GMU and got tested becuase i felt slight discomfort upon passing urine (nothing major) and after getting a swab test i was told that i had NSU but no gonorreah. My urine sample has been sent away to a lab for testing and im still waiting to see if the NSU was caused by Chlamidiya or not. I had my wife tested as well the next day and they sent samples of her away as well a day after me. They did however find thrush. Me and my wife did have unprotected sex a week after the incident with the sex worker and a week before the test where she was diagnosed with Thrush. My wife has never been unfaithful.

1) Could it be an STD from the sex worker or could it be caused by her thrush?
2) i have a 3 year old son, i am scared if i do have Chlamidiya, then is there any possiblilty i can pass it onto my son?
3) I also have recently found my eyes itchy and slight white mucous build up on the corners of my eyes near the tear glands. Could this be Chlamidiya
4) What are the possibilities of Syphillis and HIV from my encounter?

I have been a nervous wreck, ridden with guilt and shame that i had done this to my wife and son. Please help.
6 Responses
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Avatar universal
Dr

Your help has been much appreciated and i thank you sincerely for your patience and understanding,

Thank you once again.
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Your anxiety needs to be working over time.  Let's not have this devolve into a series of "could this happen" questions.  Most people do not have STS, including commercial sex workers and even if your partner di, the risk of getting any STD from any single sexual encounter is low.  It's now been 3 weeks.  You may have had NGU and now have been treated.  I will briefly answer these questions:

1.  The perform similarly. The urine test is now the recommended test in most situations.
2.  Chlamydia is virtually never transmitted by oral sex. and even if it had been, you've been treated.  Stop worrying about the tests.  Believe the result and move forward.
3.  Mucous is a meaningless term which describes the appearance of material.
4.  Close to zero (you are really hung up on this, aren't you)
5.  No
6.  Azithromycin is the recommended therapy for both NGU and chlamydia infection.  The failure rates is so low that there is NO recommendation for repeat therapy following treatment. In studies, the observed cure rate is 98%.

1.  HPV is rarely spread by oral sex..  If it was, the condition is typically self limited and there is no test.  This should not be a concern.

1 and 2.  The risk for getting HSV from receipt of oral sex from a partner who does not have a cold sore is less than 1 in 1000.  It's been 3 weeks.  Herpes lesions typically appear within 2 weeks of exposure.  If you did not develop herpes in the interval since your exposure you will not.  Blood tests for HSV are not recommended in your situations due to problems with false positives.  

This will conclude my answers.  You need to move on.  EWH
Helpful - 0
Avatar universal
I sincerely apologise dr but I forgot to include this question on the last reply.
I did not see neither do I remember seeing any cold sores or lesions on the person giving me oral sex but I could not tell about the inside of her mouth.
1) what is chances of getting genital herpes?
2) how soon after exposure do you get genital herpes if you have never had it before in your life? My exposure has been 21 days now including the day of the incident.
Helpful - 0
Avatar universal
Also very lastly to get it off my chest.

What are the chances of hpv and warts from my exposure?
Helpful - 0
Avatar universal
Dr,

As you assumed both me and my wife were given 1.0gram of azithromycin at the clinic which we took. I wanted to clarify the following:-

1) which is more accurate and reliable. A swab test or a urine test?
2) if I had any chance of chlamidiya then would it generally have come up on the swab test? And seeing that it didn't does that mean there is a lesser chance of it coming up on the urine test?
3) In the sawb test they did find slight mucous which made them suspect it could be chlamidiya therefore they gave me the medication. Is the mucous a symptom of chlamidiya?
4) what are chances of getting false negatives on both swab and urine tests?
5) if urine comes back negative should I retest again after couple of weeks just to rule out false negative?
6) how effective is the drug I took?

I thank you in advance dr. You have gone a long way to getting me back on the road to sanity. These last answers will seal my worries.  
Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  NSU stands for Non Specific Urethritis.  Another term for this is NGU of Non gonococcal Urethritis.  While some NSU is caused by chlamydia most is not and virtually none of the NSU which follows receipt of oral sex is due to chlamydia.  Your tests confirm this.  NSU following receipt of oral sex is thought to be due to the introduction of oral bacterial from one person's mouth into the recipient's penis.  Whether these bacteria can be transmitted to others or cause problems if they do is not known but many think it is doubtful.  With this as background, let's address your questions.  

1.  See above,  This is not thrush either.
2.  You do not have chlamydia. Believe your tests.  Even if you did, you would not pass it on to your son (or anyone else) unless you had sex with them.  Don't worry.  
3.  No.  It could be a manifestation of your anxiety over the topic however, or perhaps a viral conjunctivitis.  
4.  Virtually zero

Please try to relax.  I presume you were treated for your NSU with either a single 1.0 gram does of azithromycin or 100 mg of doxycycline twice a day for 7 days. these are the recommended therapies for the condition,  Take care.  EWH
Helpful - 0

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