Yeast Infection and Chlamydia

[adpenn]

Thank you for taking my question. I have recently had sex with a prostitute. I wore a condom when I had sex with her. We also had unprotected oral sex with me receiving. The only contact we had was my penis rubbed against her vagina when I didnt have the condom on.
A few months later, my wife complains of a yeast infection. She goes to the doctor and they give her tests for yeast infections. They also give her a prescription for terconazole vaginal cream. She uses it and starts to feel better. All her symptoms (basically just irritation) go away.  She calls the doctor and they tell her that the tests for yeast came back negative.
I have had "urethral awareness" but thats it. I keep on focusing on any feeling in my penis. I think I feel a tingling at my pee hole, but thats it. It comes and goes, but I'm not sure if its just my anxiety or not.
My questions:
1.) Can you get chlamydia from rubbing your penis on a vagina with no insertion?
2.) Does terconazole cover up any symptoms of chlamydia? Would it have any effect on chlamydia whatsoever?
3.) Do symptoms of chlamydia, NGU or Gonnohrea "come and go"?
4.) More or less, what are statistical chances of getting chlamydia from oral sex?
5.) Is chlamydia from anal sex only a possibility for the receptive partner?
6.) Do any other STD's look like yeast infections?

Thank you so much for your answers. I really appreciate what you do here. It is a great service. Thanks.

[Edward W Hook, MD]

Glad to help.  EWH

[adpenn]

Thank you so much for the answer to my question. The main reason I was worried was because my wife complained of a yeast infection, took fluconazole and felt better. A few weeks later the yeast infection came back and she was prescribed the terconazole cream. She feels better now too. Her test for yeast came up negative before taking the terconazole. I just got worried, but I'm definitely gonna get tested, for peace of mind.

[Edward W Hook, MD]

Welcome to the Forum.  The exposure you describe was low risk- most commercial sex workers do not have STDs, most exposures to infected partners do not lead to transmission of infection and you used a condom for your penetrative sex, dramatically further reducing your risk for infection if it had been present.  Furthermore, women get yeast infections from time to time- I would not let the coincidence of your wife’s symptoms make you think you have an STD.  I would not worry. With regard to your specific questions:

1.) Can you get chlamydia from rubbing your penis on a vagina with no insertion?
Perhaps possible but most uncommon.  Chlamydia infects the cervix, deep inside the vagina.  Even with rubbing or your penis on her vagina, without penetration the chance of infection is tiny, if she was infected.

2.) Does terconazole cover up any symptoms of chlamydia? Would it have any effect on chlamydia whatsoever?  
No, terconazole does not affect chlamydia or the ability to detect it.

3.) Do symptoms of chlamydia, NGU or Gonorrhea "come and go"?
No, the symptoms of these STDs tend to be present and, if anything increase over time.
  
4.) More or less, what are statistical chances of getting chlamydia from oral sex?
Far less than 1%

5.) Is chlamydia from anal sex only a possibility for the receptive partner?
No, it could be acquired by the insertive partner as well, just less "efficiently"

6.) Do any other STD's look like yeast infections?  
No they should not.

If you are concerned, go get tested.  I anticipate the result will be negative but by being tested you can convert your lingering concerns of the tiny chance that you are infected to being confident that you are not.  You need to put this behind you. EWH