[Question #10154] Urine Testing and Risks
25 months ago
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Hello Drs
8 April sex with an ex (oral/vaginal - started protected then unprotected)
8 May sex with woman I met through friends (protected vaginal and unprotected oral)
Mid-May sex with another ex (only vaginal - started protected then unprotected)
Prior tests all negative.
Recently met someone and agreed to be monogamous. We had sex 3 days ago (oral/vaginal - started protected then unprotected). Main priority is for me not to put her at any risk. Tested today for everything (urine/bloods). Bloods came back negative.
Urinalysis results however showed 3-5 WBC. Normally my results are 0-1 or 1-2 so this alarmed me. I have zero symptoms. Is it a cause for concern? If the NAAT results for Gon/Chlam/MG/Trich/MH/UU/UP are negative in the coming days, can I forget about it? Or best to repeat urinalysis or seek treatment/further evaluation?
Many thanks
25 months ago
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I recall from previous discussions that any results for UP/UU/MH without symptoms can be ignored (assuming this is still the case - however I listed them as they come as part of the testing package deal offered by my local lab and cheaper if all done together!).
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Edward W. Hook M.D.
25 months ago
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Welcome to the Forum. Thanks for your questions. It interests me that most of the exposures you describe start protected but then become unprotected- makes me wonder.
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Irrespective, you report multiple oral and vaginal exposures. Getting checked for STIs is a good idea and STIs such as gonorrhea, chlamydia, etc. can occur without symptoms. We often recommend getting checked as a great way to initiate an ongoing relationship both for the assurance it provides and for your own sexual health.
The numbers of WBCs seen in urinalysis can certainly vary from time to time and from person to person. You were right to go on and have your urine tested for the other STIs you mention. If the urine test results are negative, then you are unclear and need not worry about the possibility of having infected your partner and move forward without concern. You are also correct that UP/UU/ and MH are normally present in the genital tract and are not pathogens which need to be treated.
I hope this information is helpful. Congratulations on your approach to your sexual health. If any part of this response is unclear, please don't hesitate to use your up to two follow-ups for clarification. EWH
25 months ago
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Hello again Dr Hook
Got my NAAT results. All negative (assume this would also have covered my unprotected intercourse with my new girlfriend 3 days prior to testing?)
I also did another Urinalysis today before receiving my NAAT results, though came back WBC 2-4.
Maybe just my system getting used to my new partner?
Thank you again for your help and support as always.
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Edward W. Hook M.D.
25 months ago
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Thanks for the follow-up. Glad to hear of your negative urine tests- that should allow you and your partner to move forward with assurance. I would not fixate on the urine WBCs. EWH---