Aa
Aa
A
A
A
Close
Avatar universal

False positive or is it possible?

Hi Dr,

I got tested positive for Gonorrhea today. I was very surprised as

A. I have a steady partner since over a year now
B. He is loyal to me (confirmed by the fact that we live in a very isolated environment away from people/villages/towns and we are together 24x7, without exaggeration as there is no where you can go)
C. He climbed a mountain a few weeks ago and started developing a burning sensation at the end of his peeing
However, he said he had noticed a foul smell which was unusual from my vagina, before he left (this was noticed by myself as well)
D. On return from the mountain we returned to our remote location and started a course of cipro x 10 days for + ketoconazole for 7 for him and cipro x 5 days for me + clotrimazole pessaries for 6 days. We abstained from sex during this period. Now 2 weeks after having completed this treatment I am showing +ve for Gono.

He hasn't been away in this time and we have only been with eachother so I am certain he has not passed it onto me.

The test performed was gram stain.

Also, I've had no burning sensation while peeing.

He says, he feels no symptoms and has had gono many years before so he knows what its like.....

What could be going on?

Ps: he has HSV 2 that he contracted more than 20 years ago (he's older than me)and in the last 8 years he's had about 2-3 bouts. Now, since 3 days I've gotten it too. This is inspite of him having shown no sign of the virus manifesting itself externally. His previous partner of 20 years never contracted the virus from him..... So why me? And now gonorrhea?


Any help is much appreciated as I live in a developing country and far from reliable diagnosis and medical practioners

Very distressed,
Missclueless
6 Responses
Sort by: Helpful Oldest Newest
101028 tn?1419603004
acyclovir ointment is ineffective on herpes lesions genitally.  You wanted oral acyclovir, not the topical.  are you in a country where you can buy it otc?

make sure to dilute the tea tree oil. It can be very irritating, especially with the primary ob and the  last thing you want is an allergic reaction to TTO on top of the herpes!!!  I love tto for my recurrences but you do have to be careful with it - I typically don't recommend its use for the primary ob due to the extensiveness of the ob and not worth the risk of making it worse.  Unfortunately this first ob can take 2-3 weeks to run its course :(

epsom salts baths are helpful too and don't hesitate to apply ice packs as needed too. steeping a tea bag, letting it cool and then applying it as a compress is also helpful.

I'd err on the side of caution and return to be seen in a month and get properly tested for yeast and bacterial infections vaginally too.  The bv may or may not have been taken care of and now that you've had more antibiotics , it makes you more prone to yeast again too. sometimes it's a cycle that is hard to break so staying on top of it is a good idea.
Helpful - 0
Avatar universal
Firstly, thank you so much so your response.

I started getting weird down there after everytime after my period, once I moved here. The pads would irritate me and tampons never really worked for me (always make me very dry inside), however this took a few months to dawn on me. Never had so many issues before.

The funny thing is we did cipro + I also did clotrimazole pessaries. The infection shouldve cleared. We didn't have any sex for 10-12 days when we were on meds. Then we had sex and it was painful but I assume because we hadn't had sex in a while (he climbed a mountain before that). But no signs of anything, he seemed cleared and I did too. Then I got my period again and we made love on day 4 and 5. On day 6 he left for his country and that night I began to itch down there. The next night it was pretty bad and I started freaking out and reading up. Then I got to the doctor yesterday and he examined me and said it was herpes. He also did a swab for a gram stain. He said it showed -ve cocci which he told me was gonorrhea. I was baffled. Because I know that since 6 months/7months my husband n I have been together n there is no chance of having had outside partners. Also he's had gon in the past and he always gets discharge and very bad pain in the urethra. He didn't experience this. So how could he transmit it to me. And I haven't strayed.

So I assume its a false +ve but will take the meds anyway.

As for the HSV I didn't know tht having altered ph/bv couldve made me more susecptible. I cried for 3 days, depressed and feeling like a piece of total ****. I have to get back to work and life.

The doctor at the medical facility was meant to give me acyclovir ointment but that lady who prepared my drugs for me put in something else instead. I got back and saw it and it was too late. Typical f*ck up. However, I always have tea tree oil on me and I have been applying that. I hope it helps.

How long before they start drying up?

Thanks so much grace.
Helpful - 0
101028 tn?1419603004
he was still shedding hsv2 as much now as he was 19 years ago even though he doesn't get obvious recurrences frequently. you having an altered vaginal ph made you more susceptible to infection with herpes too. BV especially increases the risk of acquiring hsv2 from a partner.   Your gram negative cocci on gram stain very well could be bv and not gonorrhea.  usually cipro will clear up bv but if you get a return of odor or discharge, be seen again for a round of metrogel if you can get a prescription for it or oral flagyl ( no alcohol with either ).

there can be false positive gram stains for gonorrhea.  at this point I'd make sure you both had proper testing for it just to err on the side of caution if you can get such testing done but odds are this is bv going on.

did you get a round of acyclovir or valtrex to treat your recently acquired hsv2 infection too?

grace
Helpful - 0
Avatar universal
That's a relief, I suppose. Well I am an expat in a developing country with remote access to health care. As for the access to internet: thank god for the blackberry. They have no other method of testing gono here! The dr told me gram negative cocci which meant gono..... And the dr's here are rarely better than the internet. So I will assume its a false +ve as we've been locked away in this wildland since we both had a course of cipro (2-3 weeks ago).

Thanks for the opinions. And sorry for the pessimism.... Just so frustrated with not being able to have a sure shot answer to my problem.....
Helpful - 0
Avatar universal
Fully agree with Vance. I have personally got a false positive for Gonno. I knew it wasn't possible and demanded my samples were retested. Negative as I thought. A gam stain btw will only indicate whether it's a gram positive or negative strain of bacteria - not the type for the want of a more complicated explanation. Need pcr for that and as I've just told you, that can even be non specific.......
Helpful - 0
Avatar universal
You can't be that remote if you have access to the internet. But anyway you took all of that medication and then tested positive. Unless he cheated on you or you cheated on him. I don't see gonorrhea as a possibility, unless you had it before and just recently gave it to him.
Helpful - 0
Have an Answer?

You are reading content posted in the STDs / STIs Community

Didn't find the answer you were looking for?
Ask a question
Popular Resources
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.