Unprotected Oral Sex Exposure?

[GoBucks8080]

I am a male and I received unprotected oral sex on Saturday December 12th from an exotic dancer.  I had Chlamydia several years ago before I was married and the only symptoms I had was was severe itching and burning in my Ureathra which allowed me to realize I needed to get tested.  On the following Tuesday after the oral sex I  a noticed a mild form of these symptoms beginning , it is no where near as severe as when I had Chlamydia and it may all be in my head.  I had intercourse and oral sex with my wife on that Tuesday.  I would think it would be awful early to have symptoms on Tuesday if I were exposed on the Saturday before but then I read that Gonorrhea symptoms can appear as early as 2 days after after exposure but not Chlamydia?  I then became concerned that not only did I catch something but now spread it to my wife 3 days later.  I have been freaking out ever since and I found 7 Cipro 500mg and started taking it 2 times per day.  I did this for 3 and a half days and symptoms seemed to go away completely.  This is probably all in my head because I feel guilty for receiving the oral sex while in a relationship but is it possible I could have an STD from receiving unprotected oral sex, and if so would I have had symptoms that soon?  

Now after the symptoms went away I received oral sex from my wife on Sunday morning and had intercourse with her last night.  Today my penis is itching on the inside and a little tender on the very tip.  It's probably still in my head but I don't know.  The symptoms aren't severe, I haven't had any discharge at any time (I didn't when I had Chlamydia years ago either though) and no burning when I urinate, actually it relives the itching when I urinate.  I would just go get tested but this small town doesn't have any clinics and if I go to the doctor I'm afraid my wife will find out.  Do you think I could have contracted something form the oral sex and brought it home?  Should I get tested?

[Edward W Hook, MD]

The absence of discharge is a good signs and makes it still more unlikely that you have an STD.

Symptoms which come and go are rarely due to STD and mre often a reflection of the attendtion paid to the area in question.  EWH

[Edward W Hook, MD]

Welcome to the Forum.  Before I answer your question let me point out that your partial self-medication will hinder evaluation since this is partial therapy for some infections which may or may not be effective but can obscure test results without really curing the underlying disease. thus there will be several questions which I cannot answer with as great a precision as I could if you had not self medicated.

Following receipt of oral sex you are at risk for gonorrhea or non-chlamydial NGU.  Chlamydia is effectively not present in the throat and thus there is no risk for chlamydia from your exposure.  Gonorrhea is more likely to be symptomatic than non-chlamydial NGU but either could typically become symptomatic as early as two days although 3-4 days would be more typical.  On the other hand, anxiety can also mimic these subtle early symptoms of gonorrhea as well.  

My advice.  Wait until at least 5-7 days since your last ciprofloxacin, then go get tested for gonorrhea and NGU.  NGU is diagnosed based on detection of increased numbers of white blood cells shown on either the first bit of urine in a urine specimen (not from mid-stream) or from a swab taken from the penis. A test for gonorrhea can also be done from either of the specimens I suggest.   Depending on that your health care provider should be able to make decisions and recommendations regarding treatment.  If these tests are negative, you do not need treatment.

Hope this is helpful to you.  EWH

[Edward W Hook, MD]

Correct.  EWH

[GoBucks8080]

Thanks...but I am not at risk of chlamydia from oral sex, right?

[Edward W Hook, MD]

Omnicef has not been studied for treating sTDs. If enough is taken it is likely to cure gonorrhea but it would not be expected to be effective for chlamydia or NGU.  EWH

[GoBucks8080]

This will be my last question I promise. I went to a regular walk in urgent care today and told them of my symptoms. I gave a urine sample but will not have the results for a couple of days. The doctor was not real knowable about STDs. He gave me omnicef to take. Will omnicef cure the potential infection? I dropped the prescription off at the Rx and can't remember the directions or mg but will the omnicef work?

[Edward W Hook, MD]

STD symptoms occasionally get better on there on but not as quickly or as soon as yours have.  I think it is unlikely that you have an STD.  I see no reason to go to an ER.  EWH

[GoBucks8080]

Last question I hope:  I've been trying to get tested all week but my Doctor is out of town and I live in a rural area and the closest clinic is 60 miles away.  The itching in my urethra persisted through yesterday but is much better today.  I still have no discharge but I'm convinced that the itching/irritation I experienced on Tuesday and Wednesday was real.  If I has an STD would the symptoms improve without treatment?  I probably won't be able to get tested until Monday unless I go to an ER.  Thanks for your help.

[GoBucks8080]

Also why did the symptoms go away for a few days and return?

[GoBucks8080]

Thank you sir, I will have to get tested.  Is the fact that there is no discharge significant?  I was hoping that was an indicator that I do not have it.