Aa
Worried
I little over 7 weeks ago I was involved an oral sex situation encounter from a csw ( she sucked me). I was treated without being tested right after by my pcp which I realize was more of a precaution then anything. I felt comfortable shortly after to have sex with my wife but am still a little nervous about the possibility of transmission. She is now pregnant and will be receiving Gonorrhea and Chlamydia test ( I'm assuming). I have done a fair amount of research and have found not all STD tests are reliable, specifically cultures. We live in a well to do area where I'm assuming this type of thing is not a major concern. Talking to the doctor and asking for the most sensitive tests are not an option. Do doctors (specifically obgyn during prenatal testing) use inferior testing methods anymore. Will any test actually reveal an infection?
MEDICAL PROFESSIONAL
There is no realistic chance you caught gonorrhea; and the "shot of something" probably was ceftriaxone, the primary treatment for gonorrhea -- which is 100% reliable. Tendon pain does not hint at disseminated gonorrhea, which you couldn't have had anyway. Please stop worrying abnout it.
That's all for this thread.
That's all for this thread.
can you please comment on my previous post, in addition although I did not have any urogenital symptons, I did have some severe tendon pain near my ankle about two weeks after that was treated. Is it possible with prompt treatment for gonorrhea to disseminate or is that something that occurs without treatment?
You are right, it seems that GC is not standard in their testing. I was given a shot of something and pills when treated and I agree there is little chance that she contracted something, but worst case scenario she did have gonorrehea through pregnancy and at time of birth it seems from what I read, the eyes would really be the only effected ( except in rare cases) body part and eye drops are given to the baby directly after birth to prevent blindness (mandated by the state I am in).
Is this true, or does Gonerrehea normally cause other complications in utero?
Is this true, or does Gonerrehea normally cause other complications in utero?
MEDICAL PROFESSIONAL
Welcome to the forum.
The chance of any STD from unprotected oral sex (oral to penile) is low -- as a guess, less than 1 in every several hundred exposures result in any infection. Further, the antibiotic(s) from you PCP would have been effective in preventing most of the possibilities -- although this assumes your doctor knew the right drugs to prescribe. (I can comment further if you'll tell me what you were treated with.) In addition, most of the STDs that would be transmitted by oral sex would cause obvious symptoms. If you didn't develop abnormal penile discharge or penile sores within 2-3 weeks, it was additional evidenc eyou weren't infected. So if I were in your situation, I would have done exactly what you did -- had unprotected sex with my wife, whether or not she was pregnant, with no worries of infecting her.
You should not assume your wife will be tested for STDs. It is pretty much automatic throughout the US to test all pregnant women for HIV, and usually syphilis. Routine testing for other STDs would be wise, but often isn't done. The only way to be certain is to discuss desired testing with the obstetrician. However, you may not want to raise the issue for fear of alerting your wife to your indiscretion -- and truly I do not think you need to do so. As you seem to know, routine STD testing often includes gonorrhea and chlamydia. But both are more or less impossible as a result of your oral sex event. Chlamydia uncommonly infects the oral cavity, and therefore is almost never transmitted by oral sex. And although gonorrhea can be so transmitted, it almost always causes very obvious symptoms. Without overt pus dripping from your penis, you can be confident you weren't infected -- or, if you were, that the infection was aborted by the antibiotic therapy.
For those reasons, the type of test done -- if your wife is tested for gonorrhea and chlamydia -- probably doesn't matter. But FYI, culture is rarely done any more. Almost all testing is done by nucleic acid amplification testing (NAAT), i.e. tests for chlamydia or gonorrhea DNA. The NAATs are more sensitive than culture, and there is no realistic chance the test would miss either infection. If NAATs are done, you can be confident in the negative results.
In summary, my advice is to not worry at all about this, regardless of whether or not your wife is tested for STDs. If she ever should show up with any STD, it will almost certainly not be from (or traceable to) your oral sex event with the CSW.
I hope this helps. Best wishes-- HHH, MD
The chance of any STD from unprotected oral sex (oral to penile) is low -- as a guess, less than 1 in every several hundred exposures result in any infection. Further, the antibiotic(s) from you PCP would have been effective in preventing most of the possibilities -- although this assumes your doctor knew the right drugs to prescribe. (I can comment further if you'll tell me what you were treated with.) In addition, most of the STDs that would be transmitted by oral sex would cause obvious symptoms. If you didn't develop abnormal penile discharge or penile sores within 2-3 weeks, it was additional evidenc eyou weren't infected. So if I were in your situation, I would have done exactly what you did -- had unprotected sex with my wife, whether or not she was pregnant, with no worries of infecting her.
You should not assume your wife will be tested for STDs. It is pretty much automatic throughout the US to test all pregnant women for HIV, and usually syphilis. Routine testing for other STDs would be wise, but often isn't done. The only way to be certain is to discuss desired testing with the obstetrician. However, you may not want to raise the issue for fear of alerting your wife to your indiscretion -- and truly I do not think you need to do so. As you seem to know, routine STD testing often includes gonorrhea and chlamydia. But both are more or less impossible as a result of your oral sex event. Chlamydia uncommonly infects the oral cavity, and therefore is almost never transmitted by oral sex. And although gonorrhea can be so transmitted, it almost always causes very obvious symptoms. Without overt pus dripping from your penis, you can be confident you weren't infected -- or, if you were, that the infection was aborted by the antibiotic therapy.
For those reasons, the type of test done -- if your wife is tested for gonorrhea and chlamydia -- probably doesn't matter. But FYI, culture is rarely done any more. Almost all testing is done by nucleic acid amplification testing (NAAT), i.e. tests for chlamydia or gonorrhea DNA. The NAATs are more sensitive than culture, and there is no realistic chance the test would miss either infection. If NAATs are done, you can be confident in the negative results.
In summary, my advice is to not worry at all about this, regardless of whether or not your wife is tested for STDs. If she ever should show up with any STD, it will almost certainly not be from (or traceable to) your oral sex event with the CSW.
I hope this helps. Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
