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STDs (Expert Forum)
Gonorrea diagnosis
Answered by
University of Washington
Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.
IMPORTANT
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum
Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.
Gonorrea diagnosis
by rich2005, May 25, 2005 12:00AM
Many thanks for your responses.
Recently I had a sexual encounter with a pros. We did use a condom. However, during the intercourse, I took off the condom for her to masturbate me. While doing it, she used her spit (by directly spitting on my penis) to lubricate the motion. About 10-20 seconds of this, I put on a new condom without washing her spit off and continued intercourse until I ejaculated.
About 3 days after that, I started to have a white discharge in the morning. No pain during or after urination. Slight penile pain along the shaft. Today, after the 6th day, I had a Diret Gram Stain exam done on my morning discharge. They did not see the Nesserium Gornorea bacteria, but they did see ROD and COCCI present. Doctor said, there is bacteria but not gonorrea. My urine sample has blood traces in it. My question:
1) Can I get gonorrea from her spit?
2)Is the test method and results reliable in diagnosing gonorea? The doctor said I dont have gonorrea but I'm skeptical/worried.
3) My wife has this recurring bacteria vaginal infection and was suppose to get treatment. She had a course of antibiotics but never finished them. She had a recurrence two days after my visit to the pros. ( I also had intercourse with my wife later on after the visit to the pros).Is it possible that she got her recurring bacteria re-infection and I got bacterial infection from her, resulting in the white discharge?
5) Other than gonorrea, what could cause white discharge?
6) Can I get HIV from the pros via her spit?
I have regretted this beyond sanity.
Recently I had a sexual encounter with a pros. We did use a condom. However, during the intercourse, I took off the condom for her to masturbate me. While doing it, she used her spit (by directly spitting on my penis) to lubricate the motion. About 10-20 seconds of this, I put on a new condom without washing her spit off and continued intercourse until I ejaculated.
About 3 days after that, I started to have a white discharge in the morning. No pain during or after urination. Slight penile pain along the shaft. Today, after the 6th day, I had a Diret Gram Stain exam done on my morning discharge. They did not see the Nesserium Gornorea bacteria, but they did see ROD and COCCI present. Doctor said, there is bacteria but not gonorrea. My urine sample has blood traces in it. My question:
1) Can I get gonorrea from her spit?
2)Is the test method and results reliable in diagnosing gonorea? The doctor said I dont have gonorrea but I'm skeptical/worried.
3) My wife has this recurring bacteria vaginal infection and was suppose to get treatment. She had a course of antibiotics but never finished them. She had a recurrence two days after my visit to the pros. ( I also had intercourse with my wife later on after the visit to the pros).Is it possible that she got her recurring bacteria re-infection and I got bacterial infection from her, resulting in the white discharge?
5) Other than gonorrea, what could cause white discharge?
6) Can I get HIV from the pros via her spit?
I have regretted this beyond sanity.
Doctor's Answer
by H. Hunter Handsfield, M.D., May 25, 2005 12:00AM
, May 25, 2005 12:00AM
You almost certainly did not acquire an STD from the exposure you describe. But if you had an abnormal discharge that was documented by the provider who examined you, then you may have nongonococcal urethritis--but it would have had to be acquired elsewhere. Everyone has some bacteria in the urethra that can be seen by gram stain. However, you should have lab tests for gonorrhea and chlamydia, not just a gram stain, which can miss many infections.
If you are not confident about the STD knowledge of your doctor, consider a visit to your local health department STD clinic.
Specific answers to your questions:
1) No.
2) No, a gram stain alone isn't enough. You need urine tests for gonorrhea and chlamydia.
3) It sounds like your wife has bacterial vaginosis. The cause isn't clear; some cases of BV may be sexually acquired, others not. BV in women does not cause symptoms or problems in their male partners.
4) See above.
5) No.
Good luck-- HHH, MD
If you are not confident about the STD knowledge of your doctor, consider a visit to your local health department STD clinic.
Specific answers to your questions:
1) No.
2) No, a gram stain alone isn't enough. You need urine tests for gonorrhea and chlamydia.
3) It sounds like your wife has bacterial vaginosis. The cause isn't clear; some cases of BV may be sexually acquired, others not. BV in women does not cause symptoms or problems in their male partners.
4) See above.
5) No.
Good luck-- HHH, MD
Member Comments (2)
by worried and stupid, Jun 07, 2005 12:00AM
Doc I had a breif oral experience, 30 seconds of cunnilingus and 30 sec of oral from her. Ive had no symptoms and based on your previous posts should be ok. Here is the problem. 3 weeks After wife has that fishy smell first time ever and in a recent mammogram a swollen lymph node in her breast. I havent been screened for anything. Should I fess up or is this likely unconected. BTw the woman I was with says she was recently screened for all STDS and was clean, (who knows)
by Aritisc, May 24, 2008 09:43PM
A related discussion, Is it Gonorrhea? was started.
by bazooka, Jul 29, 2008 12:25PM
A related discussion, gonorrhea was started.
