Avatar universal

Oral Bacterial STD

I am a male who performed unprotected oral sex on a female for a few minutes back in early July.  About 4 weeks later I noticed a scratchy but not very sore throat. No fever, cough, or sneezing.  After ignoring it for a few weeks, I start getting really worried about it.  I went to an urgent care and a physician assistant examined my throat rather briefly.  I told her my concerns and the time frame, she said not to worry about any STD.  She noticed redness and irritation, but no white patches.  Said it was probably from allergies or the crazy weather we have been having. She had an assistant do a swab on my throat.  I was also prescribed 500mg 2x per day Amoxicillin.  Started first pill later that day.  Test came back negative for Antigen/Strep A.  Three days now and I still have a sore throat.  Now if I do have and STD like Gonarrhea, how would the antibiotic use affect the test?  I'm mad now since i was clear that I wanted to know if there was any sort of bacterial infection, not just strep.  She assured me that we would be testing for any bacteria.  Any advice on what my next move should be?
2 Responses
Sort by: Helpful Oldest Newest
4859015 tn?1360119889
You see, when a doctor sees a patient presenting with a sore throat, oral gonorrhea is never thr first thing that comes to mind. Sore throat is very common, throat gonorrhea is uncommon. Doctors are trained to think about most possible causes first (when you hear hoofs, think horse, not zebra).

But a patient who is worried about STIs always exaggerates his or her risks. Throat gonorrhea or chlamydia normally is a low risk for those who give oral sex to a penis; your risk is even lower, a single exposure makes it even lower and very late onset of symptoms suggests your sore throat has nothing to do with STI.
I would only worry if your partner tests positive for gonorrhea or chlamydia. Otherwise, no need for any next move.

If you are super worried, you may ask for a specific throat swab for gonorrhea. There are two variants to process this test, growing cultures is more accurate, but it takes a week or longer.
Gonococci these days are usually not sensitive to penicillins, so your treatment probably won't interfere with test results.
Helpful - 0
207091 tn?1337709493
Totally agree with this, and just to add, performing oral on someone with a vagina makes it even lower risk because nothing is physically in your throat like performing oral on a penis.

We can't tell you what is causing your throat symptoms, but an oral STD would be pretty far down the list of suspicions.
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.