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Chlamydia, gonorrhea or other?

Hi, I'm a young guy in my mid-twenties and I have had several interactions with CSWs in the past year. I have never had unprotected vaginal or anal sex, but I have had unprotected oral probably 12 times in the past 6 months. I recently (about a week ago) noticed some mild discomfort in my urethra along with occasional burning on urination. Other times it just feels like a foreign irritating object is in my urethra. This morning i woke up with a little white discharge on my underwear. I went to the UC today and they told me I had 70 leukocytes in my urinalysis and that they were concerned for gonorrhea/chlamydia, and I was given a shot of Rocephin and a script for azithromycin. I am anxiously awaiting my results and wondering if there's any chance that this is something other than an STD? I until recently believed that oral sex was safe but I see from some of the other posts on here that this is not entirely the case. I would appreciate any expert advise there is out there!
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Avatar universal
No, oral sex is not safe. It exposes u to a wide range of bacteria, such as gono and chlam. The list goes on...
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Avatar universal
Yeah it’s not safe. You could just have a UTI from what we would
Consider normal mouth bacteria. But not normal for your penis. There’s thousands of bacteria that could be in there. Sounds like you need antibiotics.
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207091 tn?1337709493
Oral sex is lower risk than unprotected vaginal or anal sex, but it is not "safe".

There are lots of possible causes for this, including a UTI, kidney stones, etc., but in the absence of pain, those are unlikely. Gonorrhea or chlamydia sounds most likely. You've been given the correct treatment for both, so notify those you can, and abstain from any sexual activity for at least 7 days.

If they didn't tell you, the correct dose for the azithromycin is 1000 mg or 1 gm at once time. You may experience stomach upset, diarrhea, etc.
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Thanks for all the replies. I got my results back today and, after doing PCR they failed to detect chlamydia gonorrhea or trichomonas, and there was no growth on cultures nor gross bacteria. I have a science background so I understand the diagnostic accuracy is high for PCR, but I am still having symptoms despite the treatment. Have you got any ideas what my next steps should be?
Hi -

There is something called NGU, which is non-gonoccoal urethritis. This just means that it's an infection that isn't gonorrhea or chlamydia. But they found no bacteria at all?

I would follow up with a urologist. You could have an infection or inflammation in your prostate that is causing this, but a urologist will better be able to determine what's going on.
Avatar universal
Hey I just wanted to put it out there since I haven’t seen anyone mention it.
I would test for Mycoplasma Genitalium, yes I know they will say it can’t be caught orally but they will also then tell you this bacteria isn’t well studied so it’s better to be safe than sorry. Just my two cents but I would check for that specifically because I have pretty much the same symptoms and I have an antibiotic resistant strain of  Mycoplasma Genitalium.
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