Quandary over Chlamydia -- please advise

[lookingforadvice423]

Okay the short version of the scenario is:

On October 9, 2007 I had unprotected oral sex (receptive and insertive) and PROTECTED receptive anal sex with another man.  It was a first and only time event and since then I have abstained from all sexual contact pending the completion of testing.  

Underwent the following testing:
October 24, 2007 (15 days post contact) urinalysis for gonorrhea, Chlamydia, RPR and FTA-ABS for syphillis -- all test were negative.  
October 27, 2007 (18 days post contact) blood test for HIV - negative
November 1, 2007 (23 days post contact) urinalysis for gonorrhea, Chlamydia, RPR for syphillis -- all negative.
November 26, 2007 (48 days post contact) FTA-ABS for syphillis - negative
January 28, 2008 (111 days, 15 weeks 6 days or 3 months, 2 weeks and 6 days) RPR, HIV antibody, and Hepatitis panel -- all negative.

Recently, I read that chlamydia might have a window period as long as six weeks.  However, although both county health department clinics I attended for testing (urinalysis for chlamydia and gonorhea) said anything about coming back for a follow up test.  

Question:  Can anyone advise?  Can you tell me authoritatively whether I should retest for chlamydia before resuming sexual relations?  

In addition, what is my risk of Lymphogranuloma Venereum?  Although rare in US (only about 1000 cases a year), I was reading recently that it could take as much as six months to show up.  

Thanks for your help.
Lookingforadvice423

[auntiejessi]

I wouldn't worry about LGV unless you have symptoms.

Chlamydia will show up on a test within 3-5 days, so your test results are fine.  :)

AJ

[lookingforadvice423]

I understand about symptoms for LGV but when can one stop worrying about it?  When is one in the clear?  

BTW I called a counselor at the STD Clinic where I wast tested and he said two or three days.  

[auntiejessi]

According to the CDC, the incubation period is 3-30 days, and you would get an ulceration on your skin by that time.

http://www.cdc.gov/std/lgv/STDFact-LGV.htm

AJ

[lookingforadvice423]

One other question since you moderate the herpes board.  Back in October when I was tested for gonorrhea, chlamydia and syphillis they also tested me for HSV 1 & 2 and when I got my results the counselor said it was a "high" negative.  What does that mean?  Should I retest?

By the way, when you were infected with HSV 2 did you have the initial outbreaks or did you learn about it from a blood test?  What's the real scoop with HSV2?  Can it be transmitted orally?  From what I've read it seems like it's almost as common as fingernails, not much of a problem for most people (knees aren't much of a problem for most people, but I've had three surgeries on mine) and more of a nuisance than anything.  Have we made much adoo about what is essentially nothing (no one worries about HSV1) out of a sense of social indignation?  

Thanks,
Lookingforadvice423

[lookingforadvice423]

Wow thanks for the quick response to my previous question.  You are obviously one committed and busy lady.  Thanks for the service you're providing.  

Read the link and would you say I'm in the clear as far as LGV is concerned given that it has been six months since the contact?  Also since the only unprotected act was oral how common is it to pass LGV by oral sex?  

Thanks again
lookingforadvice423

[auntiejessi]

I don't think, but don't know for sure, that LGV is passed orally.  I know "regular" chlamydia is rarely passed orally.

HSV2 is almost never spread via oral sex.  Oral hsv2 is rare.

Personally, I think its a lot of fuss for not much of anything.  I had symptoms within a couple of days of having unprotected sex with my bf, who I knew had it, and I was pretty sure what it was.

I had a lot of outbreaks at the beginning, but after getting some other vaginal stuff cleared up (bacterial vaginitis, strep b, some hormone things), herpes really calmed down for me.

For me personally, my allergies bother me far more than herpes does.  Whether or not someone has a lot of symptoms is really individual, and taking the antivirals can really help keep things calm, and can help reduce the risk of transmission.

AJ

[lookingforadvice423]

Hi again,

I was hoping I could get an opinion from you.  You know my story and the scenario or can review the synopsis above.  As far as these LGV and Chlamydia things are concerned and in your opinion do I need to be concerned about anything?  Could I resume sexual relations with uninfected people without being concerned whether I'm passing anything along?  

My problem is this.  It has been diplomatically suggested that all this is in my mind and that I might need help in getting by the issues arising from my experience nearly six months ago.  It has also been diplomatically suggested that I'm wasting everyone's time and resources with what is essentially not a concern anymore.  

I sent an email to one doctor who runs the San Francisco Health Department STD program and teaches at the University of San Francisco, outlined the scenario as I've done for you above and he said, "Based on my test results (the same ones I've outlined above) I didn't get any infections and don't need further testing."

You've said basically the same thing regarding my Chlamydia test results.  But would negative Chlamydia test results on a urinalysis equate to negative for LGV realizing that LGV is caused by a strain of the Chlaymydia bacterium?

Somehow this whole Chlamydia thing got into my head and that led to the whole LGV thing.  I think it comes from reading that it can take up to six weeks for Chlamydia to become discernable in a urinalysis.    

I'm really not sure what to do and could use some advice from someone with experience along these lines.

Thanks
Lookingforadvice423

[auntiejessi]

I have to agree that you have nothing to worry about.  As far as I understand LGV, you would have symptoms.  You don't.

Please try and move on from this.  If you can't, then do think about getting help, ok?

AJ

[lookingforadvice423]

Sorry to hit this topic again, and sorry about the length of this post, but I wanted to get your opinion as someone who is knowledgeable and appears to have some experience in this arena.  To recap my situation:

On October 9, 2007 I had unprotected oral sex (receptive and insertive) and PROTECTED receptive anal sex with another man.  It was a first and only time event and since then I have abstained from all sexual contact pending the completion of testing.  

Underwent the following testing:
October 24, 2007 (15 days post contact) urinalysis for gonorrhea, Chlamydia, RPR and FTA-ABS for syphillis -- all test were negative.  
October 27, 2007 (18 days post contact) blood test for HIV - negative
November 1, 2007 (23 days post contact) urinalysis for gonorrhea, Chlamydia, RPR for syphillis -- all negative.
November 26, 2007 (48 days post contact) FTA-ABS for syphillis - negative
January 28, 2008 (111 days, 15 weeks 6 days or 3 months, 2 weeks and 6 days) RPR, HIV antibody, and Hepatitis panel -- all negative.

Recently, I read that chlamydia might have a window period as long as six weeks.  However, although both county health department clinics I attended for testing (urinalysis for chlamydia and gonorhea) said anything about coming back for a follow up test.  

Here is the list of consultations I've gotten:

1. You said, "Chlamydia will show up on a test within 3-5 days, so your test results are fine.  :)."  

2. The ASHA message board reply said:
"Based on what you've written here, it's not likely you have chlamydia because:
1. you tested negative and
2. transmission is not likely to occur the way you described."

3. I wrote:

Jeffrey D. Klausner, MD, MPH
Deputy Health Officer
Director, STD Prevention and Control Services
San Francisco Department of Public Health
Associate Clinical Professor of Medicine
University of California, San FranciscoHi.

He said:  

"You are worried and anxious about your encounter. That is normal and those feelings will take time to resolve.

Based on your test results and the timing of those tests you are NOT infected with HSV-1 or 2, chlamydia, gonorrhea, syphilis or HIV. Those test results are definitive. You do NOT need any repeat testing unless you have had additional sexual contacts."

4. I found the following question/response from Dr. HHH on the STD Ask the Experts here, which is very similar to my situation:

Recently, I received unprotected oral