Chlamydia

[LandGar80]

Hello Doctor,

Im 26 male. About 3 months ago went back to a girls place, situation is was absolutely drunk, remember saying to her i wasnt going to have sex with her as i had a girlfriend, as my conscience kicked in. I was pretty certain we didnt have sex but certain rubbing did occur and have since spoken to this girl and she remembers the same. Even though that was the case i went to get tested for sake of my girlfriend. The encounter was on a saturday night and i was tested at approx 3: 45 on the following wednesday morning (so roughly 4 days), came back Negative for everything, they picked up nothing from the immediate swabs or the lab tests. 3 months passed and I picked up a genital injury playing sport. then a week after that had a bit of pain in testicles and penis, so out of paranoia I decided to get checked again as i was told by a friend getting tested 4 days after this girl was innacurate result. I got tested and the doctor said i had NSU.Told my GF straight away and they did a cervix test and said it was inflamed but she is still waiting for results too.
SO my questions are:
1. is 4 days totally innacurate for chlamydia and NSU testing?
2. Could my sports injury or fact i had sex night before my latest test have caused my NSU?
3 IF you have NSU do you Defiantely have Chlamydia as also?

Thanks,

[Edward W Hook, MD]

The symptomsyou describe do not suggest an STD and alcohol would no way effect your test results (unlike, as I think you will agree, your judgement).

In women the initial exam can give some indication but it is not very precise.  The testing is really the key.  In men immediate testing is more helpful but still not perfect.  EWH  

[LandGar80]

Thanks for the advice,

Also i dont think i had any symptoms, i had strong smelling urine, but always have even since i was young. only thing i can honestly say were unusual and not typical, was the pain in the testicles and the fact that (only sometimes) after i peed, i had some leakage for a few seconds after. are these typically related?
Also would alcohol affect the validity of my first test in the summer?

AHH and also a question i forgot to ask in the first post was: when they tested my girlfriend.....can the actually tell anything immediately from the tests they do there and then? by that i mean is there any indication they can tell straight away if a female has an std?

Sorry to go on this i my last post

Thanks again

[Edward W Hook, MD]

Welcome to our Forum.  NSU or non-specific urethritis is term which describes signs of irritation in the urethra (penis).  This can be due to STDs such as chlamydia or it can be non-infectious.  Most NGU is not caused by chlamydia.  The recommendation when a person has NSU, irrespective of the cause, is for both the person and his sexual partner to be treated, just in case infection is present. This certainly results in some overtreatment but we would rather be safe than sorry.  

Chlamydia testing at 4 days should typically be accurate for NSU or CT. I suspect that your current irritation is not related to your encounter over the summer.  Perhaps the sports injury could be related.  EWH

[LandGar80]

sorry thats meant to say my girlfriends Cervix was NOT inflamed