FOLLOW UP - TREATMENT!

[MrJ123]

Hello Doctors, I want to thank you for your previous information.  I just want to follow up with you really quickly and I have a couple of questions.  3.5 days ago, I had an unprotected encounter (oral and vaginal) with a girl I met in a bar.  She was not a csw or anything like that.  My stats - 28 yo male, Caucasian, non drug user.  Her 32 y/o female, Caucasian, non- drug user.  A day after my encounter I went to the doctor out of concern.  He tested me for chlymidia and gonhorrea via a urine test and the prescribed me 100 mg doxcycycline, twice daily for 10 days.  I'm still waiting on the results (which im sure will be negative) and I have taken almost 3 days of the medication.  What I am wondering is this...1)I have taken my 5th dose of the medication as of now (on 3rd day), Assuming I was infected, would I still be able to spread the diseases? 2) I know this was very low risk, but I am still concerned.  Would you be ok with resuming sex with your regular partner at this time?

Thank you

[Edward W Hook, MD]

I agree with your doctor's suggestion.  I would not have given you medications "just in case" to start with.  

Time for this thread to end.  Take care.  EWH

[MrJ123]

1 final update Doctor.  I am on my 5th day of doxycycline and received my test results back for Chlamydia, Gonhorrea, and NGU...All negative.  If you remember, I was tested a little over a day after exposure (about 28 hours).  My doctor recommended that I stop the antibiotics since the testing was negative.  can I be confident in this test?  Thank you.

[MrJ123]

Thank you Doctor.  You have put my mind at ease.  You guys are doing a fantastic thing here.  It's nice to have access to an MD for advice.  Thank you again.

[Edward W Hook, MD]

The risk for HIV from a single unprotected exposure is less than 1 in 1000 exposures, IF flour partner had HIV, and that is unlikely.  EWH

[MrJ123]

the stats of my exposure are above

[MrJ123]

this was an un-protected encounter however.

[Edward W Hook, MD]

No, condom protected genital sex is safe sex and there are no instances in which persons have been proven to get HIV through receipt of oral sex.  EWH

[MrJ123]

Thank you again doctor.  Sorry, I'm just a bit paranoid about this whole situation.  It's definitely out of the league of things that I've ever dealt with.  Should I be worried about HIV or something more serious or are the chances of that even an issue?

[Edward W Hook, MD]

Welcome back to the Forum. You could have asked this question as part of follow-up to your earlier one particularly, since it repeats a question you asked earlier (and which I answered).

If you had an STI (I agree that it is unlikely that you do), the treatment you have begun (7 days of doxycycline) would cure the most common STIs, chlamydia and NGU, prevent syphilis (VERY unlikely in the situation you describe) and cure nearly all gonorrhea.  Persons become non-infectious before they have completed their course of therapy although precisely how quickly is not known and has not been studies.  As I told you earlier, while it is recommended that you abstain from sex until you complete your medication (or get your test results back) the likelihood of infecting an uninfected partner following two or three days of antibiotics is very, very low.  Given the lack of good scientific data on this, that's about all I can say.  I hope it helps. EWH