Aa
dont know what to make of this
hello and happy holidays
I am a 35 y/o male.i recently got back together with my girlfriend and we had unprotected vaginal sex on 3 occasions last week. seeing that we broke up for a bit we both thought it would be good to get tested (backwards and stupid i know). her std tests all came back negative but the doctor did say she had a bladder infection. the last encounter for her was 3 months ago(protected vaginal). however i tested positive for NGU. it was done by swab and the doc told me i had a low grade bacterial infection. he said that the majority of cases of NGU are due to chlamydia and i should call in 10 days for chlamydia results. my last encounters before last week were unprotected vaginal in early june and unprotected oral in mid july. i was tested for everything except HSV in mid august and everything came back good. here are my questions.
1) chlamydia was included on my tests in the middle of august and it was negative so how can it be possible that my NGU is due 2 chlamydia?
2) is trich a concern?
3) would herpes be a concern from my last two encounters before this? ive never had an outbreak and i would imagine if one had herpes he would know from a painful outbreak. also when looked at under the microscope would herpes and a bacterial infection look different?
4) could she have passed bacteria from her bladder infection to me?
5) is it possible that other non sexually transmitted bacteria is the cause of my NGU?
I am a 35 y/o male.i recently got back together with my girlfriend and we had unprotected vaginal sex on 3 occasions last week. seeing that we broke up for a bit we both thought it would be good to get tested (backwards and stupid i know). her std tests all came back negative but the doctor did say she had a bladder infection. the last encounter for her was 3 months ago(protected vaginal). however i tested positive for NGU. it was done by swab and the doc told me i had a low grade bacterial infection. he said that the majority of cases of NGU are due to chlamydia and i should call in 10 days for chlamydia results. my last encounters before last week were unprotected vaginal in early june and unprotected oral in mid july. i was tested for everything except HSV in mid august and everything came back good. here are my questions.
1) chlamydia was included on my tests in the middle of august and it was negative so how can it be possible that my NGU is due 2 chlamydia?
2) is trich a concern?
3) would herpes be a concern from my last two encounters before this? ive never had an outbreak and i would imagine if one had herpes he would know from a painful outbreak. also when looked at under the microscope would herpes and a bacterial infection look different?
4) could she have passed bacteria from her bladder infection to me?
5) is it possible that other non sexually transmitted bacteria is the cause of my NGU?
MEDICAL PROFESSIONAL
Sure. But don't expect any follow-up comments from me if the results are negative, which is what you should expect.
Thank you doctor. I will follow up with my PCP. May I post my results when I get them so others can see on the forum??
MEDICAL PROFESSIONAL
Trich is not transmitted by oral sex. Herpes due to HSV-1 can be transmitted to the genitals if the oral partner is infected. But I stress again your symptoms and the overall situation do not suggest herpes. That's not the problem here.
One more question and I will leave you alone I promise. Are trich and herpes easily transmitted by receiving oral sex?
MEDICAL PROFESSIONAL
Herpes would not show up on the tests you had. But you still should forget herpes. It is not a realistic explanation for anything here and there is no need to even test for it.
If those are the only tests done, the exact diagnosis (in either of you) may never be known. In any case, it isn't going to be possible for me or any other distant expert to sort this out. If your partner's symptoms continue or if you develop symptoms, both of you should be examined and retested for STDs, ideally together by the same clinic or doctor. But if there are no further symptoms, I suggest you not worry about it.
If those are the only tests done, the exact diagnosis (in either of you) may never be known. In any case, it isn't going to be possible for me or any other distant expert to sort this out. If your partner's symptoms continue or if you develop symptoms, both of you should be examined and retested for STDs, ideally together by the same clinic or doctor. But if there are no further symptoms, I suggest you not worry about it.
she was diagnosed by urinalysis i was diagnosed by swab. she is on cipro and i got 1g of azythromycin. the doctor who took my swab said it was a low grade bacterial infection. if it were herpes would he have been able to see signs of that when he looked under the microscope??
MEDICAL PROFESSIONAL
Welcome back to the forum.
Let's be clear on a couple of issues before I answer your questions. First, UTIs are very common in women and sometimes are triggered by sex (non-STD bacteria can be massaged into the urethra during sex). So your partner's UTI probably is unrelated to any STD. Second, diagnosing asymptomatic NGU is tricky. Even if you had a few white blood cells detected by urethral swab or urine test, that's not necessarily abnormal. You might have NGU, but perhaps not. To your specific questions:
1) Chlamydia is not the main cause of NGU; it causes only about one third of all cases. Your chlamydia test is reliable; if you really had NGU, it was definitely not due to chlamydia.
2) Yes. Trichomonas is almost always possible in otherwise unexplained genital infections in either men or women.
3) When genital herpes causes symptoms at all, usually there are obvious genital blisters or sores. While in theory herpes could cause NGU or signs in women that would mimic UTI, this is very unlikely.
4,5) UTI bacteria are not sexually transmitted and even if they were, would not be a likely cause of NGU. However, it is conceivable that her UTI was actually due to an STD.
You don't say whether you and your girlfriend were treated with antibiotics. Let me know what drugs you each took, if any. Also say more about how your NGU and your girlfriend's UTI were diagnosed -- then I may have additional advice about further diagnostic tests or treatment.
Regards-- HHH, MD
Let's be clear on a couple of issues before I answer your questions. First, UTIs are very common in women and sometimes are triggered by sex (non-STD bacteria can be massaged into the urethra during sex). So your partner's UTI probably is unrelated to any STD. Second, diagnosing asymptomatic NGU is tricky. Even if you had a few white blood cells detected by urethral swab or urine test, that's not necessarily abnormal. You might have NGU, but perhaps not. To your specific questions:
1) Chlamydia is not the main cause of NGU; it causes only about one third of all cases. Your chlamydia test is reliable; if you really had NGU, it was definitely not due to chlamydia.
2) Yes. Trichomonas is almost always possible in otherwise unexplained genital infections in either men or women.
3) When genital herpes causes symptoms at all, usually there are obvious genital blisters or sores. While in theory herpes could cause NGU or signs in women that would mimic UTI, this is very unlikely.
4,5) UTI bacteria are not sexually transmitted and even if they were, would not be a likely cause of NGU. However, it is conceivable that her UTI was actually due to an STD.
You don't say whether you and your girlfriend were treated with antibiotics. Let me know what drugs you each took, if any. Also say more about how your NGU and your girlfriend's UTI were diagnosed -- then I may have additional advice about further diagnostic tests or treatment.
Regards-- 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.
