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Gonorrhea and Infectivity
Hello
Was treated for Gonorrhea last Wednesday night (like 11pm). Received the injectable antibiotic and took the 1g of the other antibiotic. I was given treatment without a test because I was at the Emergency room and they just treated it as a worst case scenario.
I noticed the gonorrhea only on my penis, but not sure if I had oral gonorrhea either. the exposure that gave it to me was probably brief anal play (me as the top; I'm a gay male), but he did suck my penis. I also sucked his penis very briefly and licked his butt hole too (sorry for the language). my penile discharge was clear, and it had no foul smell and I did not experience dysuria. I just had slight burning with or without peeing.
thus, I don't know which route have me the infection.
here are my questions:
3 days after treatment (Saturday night), I gave my partner a ******* (but never deep throated him-- again sorry for the language/lingo) and kissed him. we also engaged in jacking one another off. could I have given him gonorrhea if I had oral gonorrhea too? was waiting 3 days enough to make me "not infectious"? he did not give me a ********. he just briefly masturbated me. I still had very slight clear discharge...by the way, at the time of incident.
I'm worried for him, I don't want to give him anything. if I had oral gonorrhea, is the same treatment effective for that?
Was treated for Gonorrhea last Wednesday night (like 11pm). Received the injectable antibiotic and took the 1g of the other antibiotic. I was given treatment without a test because I was at the Emergency room and they just treated it as a worst case scenario.
I noticed the gonorrhea only on my penis, but not sure if I had oral gonorrhea either. the exposure that gave it to me was probably brief anal play (me as the top; I'm a gay male), but he did suck my penis. I also sucked his penis very briefly and licked his butt hole too (sorry for the language). my penile discharge was clear, and it had no foul smell and I did not experience dysuria. I just had slight burning with or without peeing.
thus, I don't know which route have me the infection.
here are my questions:
3 days after treatment (Saturday night), I gave my partner a ******* (but never deep throated him-- again sorry for the language/lingo) and kissed him. we also engaged in jacking one another off. could I have given him gonorrhea if I had oral gonorrhea too? was waiting 3 days enough to make me "not infectious"? he did not give me a ********. he just briefly masturbated me. I still had very slight clear discharge...by the way, at the time of incident.
I'm worried for him, I don't want to give him anything. if I had oral gonorrhea, is the same treatment effective for that?
MEDICAL PROFESSIONAL
As suggested above, I see no need for the doxycycline. However, a distant online source shouldn't interfere with more direct medical care. I suggest you discuss my views with the PP provider who prescribed the doxy and follow his or her advice about continuing or stopping it.
That will end this thread. Best wishes.
That will end this thread. Best wishes.
I was tested for both CHlamydia and Gonorrhea, sorry. test came back positive only for chlamydia for me
Okay, thank you... I was tested for Chlamydia, sorry... I just didn't know the test results when I last wrote to you. I took the first dose of the Doxy... should i not continue it and wait for a few more days?
MEDICAL PROFESSIONAL
I'm confused; your original question said you weren't tested for chlamydia. Have you in fact had a positve test result?
Based on your exposure history, it is unlikely you could have acquired oral gonorrhea. If you did, the antibiotics would have cured it, so there is no point in a throat swab now.
I recommend against taking the doxycycline. If you do nothing, you can expect your remaining discharge to chear up in a few more days. If it's stil there by the middle of next week, you could take the doxy then.
Based on your exposure history, it is unlikely you could have acquired oral gonorrhea. If you did, the antibiotics would have cured it, so there is no point in a throat swab now.
I recommend against taking the doxycycline. If you do nothing, you can expect your remaining discharge to chear up in a few more days. If it's stil there by the middle of next week, you could take the doxy then.
Hi Dr. Handsfield.
I just wanted to update you on what has happened since last we spoke.
The partner #1 has just told me he had Gonorrhea in his Throat, and that he had both chlamydia and gonorrhea in his anus. He had neither Gonorrhea nor chlamydia in his penis.
My results came back as you had predicted. I only had Chlamydia in my penis. (not gonorrhea).
I didn't have my doctor do a throat swab on me, though... do you think I may have had gonorrhea in my throat? Only exposure I could find is that I briefly did lick his butt (rimming), but not for long. Since I only contracted the Chlamydia, and not the gonorrhea in my penis, I am going to assume I probably didn't contract gonorrhea in my throat as well? (since my penis had more exposure to his butt than my throat/tongue and I managed not to get gonorrhea that way on my penis, only chlamydia).
It has been 6.5 days since my treatment, and the pain is all gone but I (at times) have very little discharge still. I called planned parenthood, and, just for safety, they prescribed me Doxy for 7 more days (I first took 1g of azithro)... but they said it was most likely fine.
And yes, condoms I will most definitely be using... this was such a scare for me and I appreciate that you helped. This will also be my last question.
I just wanted to update you on what has happened since last we spoke.
The partner #1 has just told me he had Gonorrhea in his Throat, and that he had both chlamydia and gonorrhea in his anus. He had neither Gonorrhea nor chlamydia in his penis.
My results came back as you had predicted. I only had Chlamydia in my penis. (not gonorrhea).
I didn't have my doctor do a throat swab on me, though... do you think I may have had gonorrhea in my throat? Only exposure I could find is that I briefly did lick his butt (rimming), but not for long. Since I only contracted the Chlamydia, and not the gonorrhea in my penis, I am going to assume I probably didn't contract gonorrhea in my throat as well? (since my penis had more exposure to his butt than my throat/tongue and I managed not to get gonorrhea that way on my penis, only chlamydia).
It has been 6.5 days since my treatment, and the pain is all gone but I (at times) have very little discharge still. I called planned parenthood, and, just for safety, they prescribed me Doxy for 7 more days (I first took 1g of azithro)... but they said it was most likely fine.
And yes, condoms I will most definitely be using... this was such a scare for me and I appreciate that you helped. This will also be my last question.
MEDICAL PROFESSIONAL
1) It takes a few days for urethritis symptoms to clear entirely. If not entirely gone in a week or so, get rechecked to be safe.
2) Probably you are no longer infectious for others, but it's difficult to be certain. Fortunately, however, you didn't exposure partner 2. It's best to defer sex until all symptoms have cleared entirely.
2) Probably you are no longer infectious for others, but it's difficult to be certain. Fortunately, however, you didn't exposure partner 2. It's best to defer sex until all symptoms have cleared entirely.
thanks doctor. I know, I am a condom user... and, to be honest, these last couple incidences were where my judgement lapsed. I'm confident that I'll be back on track with the condom use.
doctor, I'm not sure if you answered this already, but:
1) is the fact that I still have some discharge normal, even after the treatment? it is better, yes, but I still have some discharge, and randomly still get some pain (as if it is irritated).... and...
2) is this discharge infectious either now or when I was with partner 2? (was slight discharge infectious 3 days post treatment).
I'm sorry if u already answered. English is my second language so sometimes I get confused when reading things so I am sorry.
doctor, I'm not sure if you answered this already, but:
1) is the fact that I still have some discharge normal, even after the treatment? it is better, yes, but I still have some discharge, and randomly still get some pain (as if it is irritated).... and...
2) is this discharge infectious either now or when I was with partner 2? (was slight discharge infectious 3 days post treatment).
I'm sorry if u already answered. English is my second language so sometimes I get confused when reading things so I am sorry.
MEDICAL PROFESSIONAL
I understood the two separate partnerships and your sexual activities with each of them.
Almost certainly you had NGU, not gonorrhea, based on the 10 day incubation period (typically 2-5 days for gonorrhea), the relatively clear discharge instead of pus dripping from your penis, and lack of prominent painful urination.
And as noted above, there is no reason to suppose your mouth or throat were infected with either gonorrhea or NGU. Therefore, you could not have infected partner 2 by perfoming oral sex on him.
For those reasons, my original opinion and advice are unchanged. You need not do anything more about partner 2, or say anything to him.
I'm glad partner 1 has been treated and that HIV isn't an issue. Still, you need to get into the condom habit! If you do not, and if your sexual activities continue as described above, you should expect to have HIV someday.
Almost certainly you had NGU, not gonorrhea, based on the 10 day incubation period (typically 2-5 days for gonorrhea), the relatively clear discharge instead of pus dripping from your penis, and lack of prominent painful urination.
And as noted above, there is no reason to suppose your mouth or throat were infected with either gonorrhea or NGU. Therefore, you could not have infected partner 2 by perfoming oral sex on him.
For those reasons, my original opinion and advice are unchanged. You need not do anything more about partner 2, or say anything to him.
I'm glad partner 1 has been treated and that HIV isn't an issue. Still, you need to get into the condom habit! If you do not, and if your sexual activities continue as described above, you should expect to have HIV someday.
thanks for your prompt response.
allow me to clarify... what I am most concerned about is if I could have transmitted the gonorrhea by giving my partner oral sex 3 days after I started the treatment (the injection antibiotic and 1g azithro). let's call this Partner 2. the sexual act I was referencing to in the end was just oral, not anal.
I believe I got the gonorrhea from an exposure I had a 10 days before I noticed symptoms. during this exposure, my penis briefly (3 secs) slipped into his anus and out. this was with a different partner than the oral sex partner. this partner (let's say Partner 1) was who I think I contracted the gonorrhea froM (partner 1). I already notified him and he is being tested today. he took an HIV test recently (partner 1) and he is negative. also, with partner 1, I briefly sucked his penis and briefly licked his anus.
So, if I performed oral sex on Partner 2, three days post treatment, was I able to possibly infect him? partner 2 did not perform oral sex on me. was I infectious enough to probably infect partner 2 (if I even contracted oral gonorrhea from partner 1? I did not have any sore throat symptoms to suggest I had oral gonorrhea, but I hear that oral gonorrhea is usually symptomatic?)? I just hope I didn't give it to him, partner 2.
allow me to clarify... what I am most concerned about is if I could have transmitted the gonorrhea by giving my partner oral sex 3 days after I started the treatment (the injection antibiotic and 1g azithro). let's call this Partner 2. the sexual act I was referencing to in the end was just oral, not anal.
I believe I got the gonorrhea from an exposure I had a 10 days before I noticed symptoms. during this exposure, my penis briefly (3 secs) slipped into his anus and out. this was with a different partner than the oral sex partner. this partner (let's say Partner 1) was who I think I contracted the gonorrhea froM (partner 1). I already notified him and he is being tested today. he took an HIV test recently (partner 1) and he is negative. also, with partner 1, I briefly sucked his penis and briefly licked his anus.
So, if I performed oral sex on Partner 2, three days post treatment, was I able to possibly infect him? partner 2 did not perform oral sex on me. was I infectious enough to probably infect partner 2 (if I even contracted oral gonorrhea from partner 1? I did not have any sore throat symptoms to suggest I had oral gonorrhea, but I hear that oral gonorrhea is usually symptomatic?)? I just hope I didn't give it to him, partner 2.
MEDICAL PROFESSIONAL
Don't worry about it. MedHelp uses bleeping software that deletes words that of course would be OK on the forums dealing with sexual issues, but they have no way of altering it for some forums but not others.
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.
It is unfortunate you were not properly tested. In STD management, it is inappropriate to treat for "worst case scenario", in a setting where testing is readily available (unlike a developing country, for example). Your symptoms are more suggestive of nongonoccal urethritis (NGU) than gonorrhea. What was the time from exposure to onset of symptoms?
However, the treatment you received was fine for both of these STDs, and it sounds like your symptoms were well on the way to clearing up
Whether it was NGU or gonorrhea, it came from either the "brief anal play" (but only if there was actual penetration of your penis into your partner's rectum) or from oral sex on you. You can't catch a urethral STD by the other sexual practices you mention. Analingus (oral-anal contact) and kissing are not significant STD risks, and you didn't catch this from your partner's penis, so your brief ** on him probably didn't infect you. In other words, if I correctly understand the exposures, the only site at which you were infected was your urethra -- i.e. NGU or gonorrhea.
In terms of the next exposure, the only part of the event that could have infected your partner was the brief ** he gave you. However, since it was brief and your symptoms were improving, probably he was not infected.
The partner that infected you needs to be informed and treated. Speak to him about it, if you haven't already done so.
Finally, it seems you had sex with a casual, new partner without a condom and, presumably, without discussing STD and HIV status. You're playing with fire in respect to HIV. You should have an HIV test, if not tested recently. And I do hope you'll get into the condom habit, especially for anal sex (even if brief).
Best regards-- HHH, MD
It is unfortunate you were not properly tested. In STD management, it is inappropriate to treat for "worst case scenario", in a setting where testing is readily available (unlike a developing country, for example). Your symptoms are more suggestive of nongonoccal urethritis (NGU) than gonorrhea. What was the time from exposure to onset of symptoms?
However, the treatment you received was fine for both of these STDs, and it sounds like your symptoms were well on the way to clearing up
Whether it was NGU or gonorrhea, it came from either the "brief anal play" (but only if there was actual penetration of your penis into your partner's rectum) or from oral sex on you. You can't catch a urethral STD by the other sexual practices you mention. Analingus (oral-anal contact) and kissing are not significant STD risks, and you didn't catch this from your partner's penis, so your brief ** on him probably didn't infect you. In other words, if I correctly understand the exposures, the only site at which you were infected was your urethra -- i.e. NGU or gonorrhea.
In terms of the next exposure, the only part of the event that could have infected your partner was the brief ** he gave you. However, since it was brief and your symptoms were improving, probably he was not infected.
The partner that infected you needs to be informed and treated. Speak to him about it, if you haven't already done so.
Finally, it seems you had sex with a casual, new partner without a condom and, presumably, without discussing STD and HIV status. You're playing with fire in respect to HIV. You should have an HIV test, if not tested recently. And I do hope you'll get into the condom habit, especially for anal sex (even if brief).
Best regards-- HHH, MD
apologies but the ****** refer to "oral sex". I apologize if it was inappropriate. it was not intentional
You are reading content posted in the STDs Forum
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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.
