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Lingering STD Worry

Dear Doctor

Out of character and for the first time in Aug 07 I had protected sex with a sex worker and also unprotected oral sex both ways. I suffered terrible guilt but attempted to ensure the health of my partner by getting checked out. Had a full STD check 10 day, 51 days had full STD tests once again, including HIV and throat swab. 100 days repeated the full STD tests except for throat swab. Results all negative though for throat swab Doc just told me there were no unusual cells found.

The niggle I continued to have was gonorrhea of the throat, as between the first test and the second I had a bad sore throat. I performed oral sex on my wife in the September after my exposure but had only protected intercourse.

The following Jan (08) we decided to try for a baby. However in Feb and also the March my wife experienced some spotting and mild abdominal pains but nothing in April. By May she was pregnant and we were delighted though I was anxious. The pregnancy did not go to plan, we miscarried after 8 weeks and a D&C was performed.

Nomal periods returned for my wife from July 08 to Feb this year and I convinced myself this had all been a terrible coincidence. The problem is that we have subsequently tried for another baby, she is pregnant again but after 5 weeks she is suffering spotting, cramping and we are certain we are losing another baby.

She was also recently sent by her GP for a cervical smear that came back all clear.

Questions:
1>  How likely is it that I acquired oral gonorrhea (percentages) from performing cunnilingus on s/w in Aug 07
2>  Passed this to my partner in Sept 07.
3>  She unwittingly carried gonorrhea infection demonstrating the symptoms described in Feb/March
4>  Gonorrhea symptoms were masked by the pregnancy in the May
5>  Gonorrhea continues to infect the womb/cervix and could contribute to miscarriage of our baby
6>  Have caused internal damage, PID or other complications

With thanks

SKSAM

3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Yes.

End of thread.
Helpful - 0
Avatar universal
Doctor

Many thanks for your response, I am very happy that your reply is direct and decisive as you have correctly interpreted I have had many "yes but" and "are you sure" questions. (I therefore won't insult you by asking them)

I really appreciate your comments, sometines you just need it from the hip from a professional. It has lingered for many months that I could have acquired an oral infection that has manifested genitally to my wife and therefore causing complications to our ongoing attempts to have a baby.

With just one further question I believe this thread can end.
If even at zero or near to zero if my wife had acquired genital gonorrhea 20 months ago are you certian she could no longer be carrying it?

Thanks again for the excellent service you provide.

SKSAM
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

You have absolutely no STD worries from the events of 2 years ago.  And even if it was missed by the tests you had, without antibiotic treatment gonorrhea of the throat clears up on its own pretty quickly, generally within 8-12 weeks.

The direct answers to your questions are:  1) Almost zero.  2) Even lower.  3) No way.  4) Pregnancy doesn't mask gonorrhea.  5) Gonorrhea doesn't cause miscarriage.  6) Not possible.

You're obviously having problems with emotional adjustment following your sexual indiscretion.  That is the only health problem you have that is related to that event.  Please see your primary health care provider and discuss these concerns directly, including my responses.  You can expect him or her to recommend professional counseling.  I suggest this approach from compassion, not criticism.

Let's not have any follow-up "yes but" or "are you sure" sorts of questions.  There is no information you can provide that could possibly change my opinion or advice.

Good luck--   HHH, MD
Helpful - 0

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