Some questions in regard to Ghonnorhea and NGU

[LONGERFELLOWS]

Good afternoon doctor - I know you are going to be a little upset in my continuing questions.  I do appreciate your help and promise this to be my last post.  I just have so much to lose and really need your advice and proffesional answers.  My quick questions based on reading your many many replies from the past.  I have received oral sex from a massage parlor over a year ago no - my scenrio will be quick then questions - please forgive me. oral received in FEB 12 - wife diagnosed with BV in August - I got tested for Ghonorea and Chlamydia in SEPT with negative results - retested again with swab in NOV again with negative results.  Had sex with wife without condoms in FEB - went to STD specialist and diagnosed with NGU - took 4 pills of Azithro - now May and have noticed this morning grey discharge as I was milking penis in beginning of masturbation.  My questions are as follows

I read in a post from 2005 - that you stated that men can get rid of Ghonorea on its own at times.  Is it possible that the 6 months time from my oral to my test that the Ghonorea was self removed?  

What are the chances that a female could have Ghonorea for over 9 months without complications - is this rare?
Could my test results been negative after i had sex with wife and gave her Ghonorea and now she has been passing it back to me?  

Last question - I have had a urine analysys twice since and have had 0 WBC count - how common is it to have 0 WBC and still have Ghonorea or NGU?

Thank you!  Thank you!  Please do not block me and please help me as I promise this is my last post.

T

[Edward W Hook, MD]

NGU can be caused by a number of different bacteria, including chlamydia.  The recommended therapy is either doxycycline 100 mg twice daily for 7 days or a single 1 gram dose of azithromycin.  Sex partners of persons with NGU should be treated before the couple resumes sex and if so, therapy is highly effective.  

If your partner was treated properly, I cannot explain why the infection recurred.  That said, the safest thing that could be done if you have recurrent NGU is to treat both you and your partner again.  IN addition, at the time of the second treatment, the addition of a 2 gram dose of metronidazole is also recommended.  EWH

[LONGERFELLOWS]

Thank you doctor for the response.  You provide a wonderful service.  It is amazing how misinformation is on the Internet.  I want to reply with the NGU diagnosis from FEB - I visited a clinic in a shady part of town.  The doctor performed a swab from the urethia and looked under the microscope and told me he thinks I have NGU but no ghonorrea and no Chlamydia.  He stated that he could not tell what bacteria - he then gave me a shot and some pills and charged me 700 and got me out of there.  I do not know what to think of all of that - especially after all the negative results - he said it was a std.  That is what I am having a hard time with.  I had the same test 4 months earlier with negative results - only thing that changed I. That 4 months was sex with my wife unprotected 2 times - that is what my concern is.  Thank you again for your time.

[Edward W Hook, MD]

Welcome back to our Forum. I would like to suggest that perhaps you are asking the wrong questions.  You seem to assume that your wife's bacterial vaginosis may be somehow related to your earlier encounter outside of your marriage.  You also seem to presume that you had NGU as an STD despite negative tests.  My sense is that neither of these is the case and what is happening is that your anxiety is getting the best of you.  

there is not good evidence that BV is an STD. Women who are not sexually active get it, as do persons who have never had sex.  I would not assume that your wife's BV is related to your February exchange.  

Also, you do not know that the discharge you saw recently is NGU.  If there are no white blood cells present, this is not NGU and may be normal genital secretions.

As for your specific questions:

1.  Is it possible that the 6 months time from my oral to my test that the Ghonorea was self removed?
It is possible but it is more likely that you did not get gonorrhea at all. It is a rare occurrence following oral sex and there is no evidence that you had gonorrhea as a result of the encounter you describe.

2.  What are the chances that a female could have Ghonorea for over 9 months without complications - is this rare?

Yes, this would be uncommon.

3.  Could my test results been negative after i had sex with wife and gave her Ghonorea and now she has been passing it back to me?

No, this would be most unusual and is unlikely.

4. Last question - I have had a urine analysys twice since and have had 0 WBC count - how common is it to have 0 WBC and still have Ghonorea or NGU?
It would be most uncommon.

As I said earlier, my guess is that you do not have any STD at this time.  EWH