Aa
Horrible Mistake Compounded
Dr.
I made a terrible mistake when on a business trip to San Francisco a few weeks back and hired a pro who advertised as Sensual Tease , non GFE, Non full service, specialty face sitting (IE DATY, oral), from her reviews online it seems that her ad description is accurate for most, anyway the session was just that until the very end when one thing led to another and I temporarily lost my mind and proceeded to have unprotected intercourse with her for about 5-6 strokes totaling about 30 seconds before I came to my senses and pulled out.
About 5 days later I started having some Urethritis and panic that I picked up an std. I know it is not wise to self medicate, but I wanted to eradicate any chance of an std and move on without effecting my wife and our family, again this was a horrible mistake and I have learned my lesson.
We had amoxicillan so I took 3 grahams of it on a Saturday followed by 1.5 Grahams on Sunday Monday and Tuesday and 1 graham on Wednesday.
Fearing that this data regarding amoxicillan is old and may not be a reliable medication for cure I ordered a zithromax package and on Thursday took 4 zithromax totaling 1 graham and on friday took the remaining two.
To this point I had mild urethritis only, Yesterday as paranoia has me in a tighter and tighter grip I bought a identigene Chlamydia and Gonorrhea urine test and mailed it off but will have to wait until weeks end for results. Yesterday three days after the zithromax I have noticeably less urethritis but noticed a small amount of clear discharge in the urethra. Is this normal? Also if the test comes back positive for chlamydia or gonorrhea do I assume that the above treatment was adequate?
Also I know risk of hIv from Female to male is fairly low based on description above how confident can I be from the above treatment and odds that I will not pass anything to my spouse?
I made a terrible mistake when on a business trip to San Francisco a few weeks back and hired a pro who advertised as Sensual Tease , non GFE, Non full service, specialty face sitting (IE DATY, oral), from her reviews online it seems that her ad description is accurate for most, anyway the session was just that until the very end when one thing led to another and I temporarily lost my mind and proceeded to have unprotected intercourse with her for about 5-6 strokes totaling about 30 seconds before I came to my senses and pulled out.
About 5 days later I started having some Urethritis and panic that I picked up an std. I know it is not wise to self medicate, but I wanted to eradicate any chance of an std and move on without effecting my wife and our family, again this was a horrible mistake and I have learned my lesson.
We had amoxicillan so I took 3 grahams of it on a Saturday followed by 1.5 Grahams on Sunday Monday and Tuesday and 1 graham on Wednesday.
Fearing that this data regarding amoxicillan is old and may not be a reliable medication for cure I ordered a zithromax package and on Thursday took 4 zithromax totaling 1 graham and on friday took the remaining two.
To this point I had mild urethritis only, Yesterday as paranoia has me in a tighter and tighter grip I bought a identigene Chlamydia and Gonorrhea urine test and mailed it off but will have to wait until weeks end for results. Yesterday three days after the zithromax I have noticeably less urethritis but noticed a small amount of clear discharge in the urethra. Is this normal? Also if the test comes back positive for chlamydia or gonorrhea do I assume that the above treatment was adequate?
Also I know risk of hIv from Female to male is fairly low based on description above how confident can I be from the above treatment and odds that I will not pass anything to my spouse?
MEDICAL PROFESSIONAL
The Gen-Probe assay can remain positve for up to two weeks following successful treatment. As I said before "Should your tests be positive for chlamydia, your treatment is adequate. Should your test be positive for gonorrhea you'll need additional therapy." EWH
how long will chlamydia or Gonorrhea show up on an test after treatment
(The test is Gen-Probe APTIMA Combo 2 Assay, which is a target amplification nucleic acid probe for the qualitative detection and differentiation of ribosomal RNA (rRNA) from Chlamydia trachomatis and/or Neisseria gonorrhoeae to aid in the diagnosis of chlamydial and/or gonococcal urogenital disease)
If I took the Zpac on THursday afternoon and did the urine test on Monday is it still likely to show up even though its cured?
(The test is Gen-Probe APTIMA Combo 2 Assay, which is a target amplification nucleic acid probe for the qualitative detection and differentiation of ribosomal RNA (rRNA) from Chlamydia trachomatis and/or Neisseria gonorrhoeae to aid in the diagnosis of chlamydial and/or gonococcal urogenital disease)
If I took the Zpac on THursday afternoon and did the urine test on Monday is it still likely to show up even though its cured?
MEDICAL PROFESSIONAL
Sorry, don't know the brand name. It is made by Abbott and is referrred to as the combination HIV antigen/antibody test as well. EWH
Is the DUo test called something else in the U.S.
MEDICAL PROFESSIONAL
It sounds more like chlamydia or NGU but the reason we do the tests is that the symptoms can overlap. EWH
thanks Dr. Would gonorrhea most likely present as urethral discomfort and then several days later slight clear discharge or doe that sound more inline with Chlamydia or NGU?
MEDICAL PROFESSIONAL
Welcome to our forum. I hate to say so but I do agree with your assessment that your self-medication may have compounded things, making assessment more difficult.
Your concern however is appropriate. Intercourse is intercourse and whether 6 stokes or 600, there is risk associated if unprotected. Amoxicillin may have a beneficial effect on some gonorrhea but is no longer recommended for STD treatment as failures are relatively common. On the other hand, the azithromycin you took is in the dosage appropriate for treatment of chlamydia and NGU, the two most common forms of urethritis and would be expected to cure about 70% of gonorrhea. Following treatment, the response is often gradual with irritation and discomfort diminishing progressively. Should your tests be positive for chlamydia, your treatment is adequate. Should your test be positive for gonorrhea you'll need additional therapy.
Finally, as far as HIV is concerned. Your risk is modest. If your partner had HIV, which is statistically unlikely (most commercial sex workers do not have HIV), the risk of transmission through a single act of unprotected intercourse is 1 infection per 1000 exposures. Testing to rule out HIV would depend on the test used. the recently approved DUO test which tests for both the HIV p24 antigen and HIV antibodies provides definitive results in 4 weeks following exposure. On the other hand, the traditional antibody only tests require 8 weeks to provide definitive answers.
I hope these comments are helpful. EWH
Your concern however is appropriate. Intercourse is intercourse and whether 6 stokes or 600, there is risk associated if unprotected. Amoxicillin may have a beneficial effect on some gonorrhea but is no longer recommended for STD treatment as failures are relatively common. On the other hand, the azithromycin you took is in the dosage appropriate for treatment of chlamydia and NGU, the two most common forms of urethritis and would be expected to cure about 70% of gonorrhea. Following treatment, the response is often gradual with irritation and discomfort diminishing progressively. Should your tests be positive for chlamydia, your treatment is adequate. Should your test be positive for gonorrhea you'll need additional therapy.
Finally, as far as HIV is concerned. Your risk is modest. If your partner had HIV, which is statistically unlikely (most commercial sex workers do not have HIV), the risk of transmission through a single act of unprotected intercourse is 1 infection per 1000 exposures. Testing to rule out HIV would depend on the test used. the recently approved DUO test which tests for both the HIV p24 antigen and HIV antibodies provides definitive results in 4 weeks following exposure. On the other hand, the traditional antibody only tests require 8 weeks to provide definitive answers.
I hope these comments are helpful. EWH
You are reading content posted in the STDs Forum
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.
