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help ! advise for testing...
hi ! am 25 years old male....i need advise in terms of which tests to take...i have been sexually active with other males...i have jerked off with a lot of guys with just hand touching, cuddled naked, kissed on their neck, kissed on lips only (close mouth), suck nipples, kissed on body and once took a penis in my mouth when the guy had his shorts on also i have received oral two times from two different guys....one guy i had jerked off with was hiv+ with undetectable load but i am still scared....i need to know what should i test for orally in my mouth ? and what about lgv ? am i at risk for that ? how should i test for that ? what is the difference between NAAT Chlaymedia, gonn, trich test and just regular urine tests ? which one to take ? i am having itch on the tip of my toungue and left side of my tounge...i dont know why...also, my penis i have a pimple on the head i went to skin doctor he told me its lichen planus and gave me a cream...i have noticed that whenever i put that cream protopic, my tounge gets this itching, also please tell me when to test for hiv ? am thinking hiv p24 antigen test since its been a month since my last encounter...please help am very confused which tests to take orally ? i never performed oral but just grabbed his penis with his shorts on and have kissed a lot and sucked nipples...
MEDICAL PROFESSIONAL
Welcome to the forum. You have a lot of questions -- but some of them are irrelevant, since your risk was so low.
The only activity you describe that carried any STD risk at all was the oral sex event. Hand-genital contact (mutual masturbation), kissing, and the others you mention are entirely risk free -- and the oral sex was very low risk for all STDs and zero risk for some.
If you still want reassuring tests, in addition to this advice, I would recommend only a throat swab test for gonorrhea; a urine test for gonorrhea and chlamydia; and blood tests for syphilis and HIV. (Urine chlamydia testing actually isn't necessary, but it's done routinely whenever gonorrhea testing is done.) You can expect all these to be negative, and you certainly do not need any tests beyond these.
If you want to include the throat swab, you'll have to see a doctor or clinic in person. Reliable testing of this sort is not available online or by self testing. Your nearest public health STD clinic, or a Planned Parenthood clinic, would be good choices and will cost little or nothing.
"what about lgv ? am i at risk for that ?" No, not at all. LGV is extremely rare, and your rectum would have to be exposed.
"what is the difference between NAAT Chlaymedia, gonn, trich test and just regular urine tests ?" Your doctor needs to specifically request NAAT for gonorrhea and chlamydia. It is an entirely separate test from urinalysis and from a culture for non-STD bacteria.
Penile "pimple" etc: Lichen planus is an easy diagnosis and I'm sure your doctor is right. It's not an STD, and not easily confused with any STD. Your oral "itching" could be the same thing: many people with genital LP also have oral involvement.
You don't really need HIV testing, based on the exposures described. I suggested it above only for reassurance. Once 4 weeks have passed since the last encounter, you can have a conclusive duo test (for both antibody and p24 antigen) -- or wait until 6 weeks for a conclusive antibody test. Again, you should rely on the specific advice from an STD expert doctor or clinic.
Really, do your best to mellow out. You are at no significant risk for any STD, including HIV.
Best wishes-- HHH, MD
The only activity you describe that carried any STD risk at all was the oral sex event. Hand-genital contact (mutual masturbation), kissing, and the others you mention are entirely risk free -- and the oral sex was very low risk for all STDs and zero risk for some.
If you still want reassuring tests, in addition to this advice, I would recommend only a throat swab test for gonorrhea; a urine test for gonorrhea and chlamydia; and blood tests for syphilis and HIV. (Urine chlamydia testing actually isn't necessary, but it's done routinely whenever gonorrhea testing is done.) You can expect all these to be negative, and you certainly do not need any tests beyond these.
If you want to include the throat swab, you'll have to see a doctor or clinic in person. Reliable testing of this sort is not available online or by self testing. Your nearest public health STD clinic, or a Planned Parenthood clinic, would be good choices and will cost little or nothing.
"what about lgv ? am i at risk for that ?" No, not at all. LGV is extremely rare, and your rectum would have to be exposed.
"what is the difference between NAAT Chlaymedia, gonn, trich test and just regular urine tests ?" Your doctor needs to specifically request NAAT for gonorrhea and chlamydia. It is an entirely separate test from urinalysis and from a culture for non-STD bacteria.
Penile "pimple" etc: Lichen planus is an easy diagnosis and I'm sure your doctor is right. It's not an STD, and not easily confused with any STD. Your oral "itching" could be the same thing: many people with genital LP also have oral involvement.
You don't really need HIV testing, based on the exposures described. I suggested it above only for reassurance. Once 4 weeks have passed since the last encounter, you can have a conclusive duo test (for both antibody and p24 antigen) -- or wait until 6 weeks for a conclusive antibody test. Again, you should rely on the specific advice from an STD expert doctor or clinic.
Really, do your best to mellow out. You are at no significant risk for any STD, including HIV.
Best wishes-- HHH, MD
MEDICAL PROFESSIONAL
I forgot to mention your question about trichomonas. It is never transmitted between men. You don't need testing; don't waste your money on it.
I was thinking i might not need to take a oral test for any stds since i never performed oral on any guy but i did kiss nipple...do i have to test for oral gonno ? Also you never told me when is NAAT ordered than just regular test ? Is there a reason for it ? Am trying to see whether to go with NAAT or just regular ?
MEDICAL PROFESSIONAL
I thought you said you had oral exposure to a partner's penis. If not, then I agree no oral STD testing is necessary.
I don't know what you mean by "when is NAAT ordered than just regular test?" NAATs for STD are ordered whenever an STD is suspected. If you see a doctor and don't mention you are concerned about STDs, probably no STD test will be done. I don't even know what you mean by "regular test". However, standard urinalysis, blood counts, etc do not detect STDs. You need to request STD testing.
But I stress again that the actitivies you describe carried little or no risk for any STD. If you were my patient or someone close to me -- my son, brother, close friend, etc -- I would advise you not be tested for anything. But as suggested above, you are of course free to have such tests if you wish.
That will end this thread. I won't have any more comments or advice.
I don't know what you mean by "when is NAAT ordered than just regular test?" NAATs for STD are ordered whenever an STD is suspected. If you see a doctor and don't mention you are concerned about STDs, probably no STD test will be done. I don't even know what you mean by "regular test". However, standard urinalysis, blood counts, etc do not detect STDs. You need to request STD testing.
But I stress again that the actitivies you describe carried little or no risk for any STD. If you were my patient or someone close to me -- my son, brother, close friend, etc -- I would advise you not be tested for anything. But as suggested above, you are of course free to have such tests if you wish.
That will end this thread. I won't have any more comments or advice.
What is the difference between naat test and just screening without that dna technology ? Is it better in any sense ? Like does that detect earlier than others ? Why should one prefer naat test over others
MEDICAL PROFESSIONAL
There are no gono/chlam screening tests any more that do not rely on DNA technology.
That's definitely all for this thread. Do your best to accept and believe the reasoned, science-based reassurance I have given you. Worry about STD testing when you start to have the sort of sexual exposures that carry some risk, but not until then.
That's definitely all for this thread. Do your best to accept and believe the reasoned, science-based reassurance I have given you. Worry about STD testing when you start to have the sort of sexual exposures that carry some risk, but not until then.
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.
