[Question #10294] help please

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24 months ago
I performed oral sex on a male - mid 40's in March ( I am female) it was a regrettable decision that has come to eat me alive with guilt. Looking at the forum I have seen statements that oral chlamdyia usually goes away in 2 weeks and or most of the time it is not viable- so I waited to have sex with my regular partner for 2 weeks and then we resumed as normal. I have since regretted this act, and can safely assume I have had a major panic attack. we have sex once a week and every month I have done a urine STD test for chlamydia, each month it has come back negative- clearly testing every month is getting expensive, but I have this irrational fear I transmitted an infection to my partner. Is there anyway after 5 months that he could have an infection and not passed it on to me? Can I stop testing and assume neither of us is infected? 
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Edward W. Hook M.D.
24 months ago
Welcome to our forum. Thank you for your questions. Thank you as well for reviewing our responses to other questions on the forum. We leave them available to others so that they can learn from our responses.  Overall, it was unlikely that you were ever infected with chlamydia and, if you were, the infection is certainly not present now, and would have shown up if it had been.  You can safely assume that neither you nor your partner were affected by your misstep. I see no reason for continuing to test and encourage you to try to put this episode behind you and move forward.  EWH ---
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24 months ago
Thanks for the response. I just want to confirm you are stating there is a small to almost no chance I gave my partner a genital infection that he has yet to pass to me? I know this is repetitive, but I tested at end of may and was negative and we had sex 4 times in June and i tested negative at the end of June. Would an infection be passed on if there was one ? 

I have read where you both state transmission from oral to penis is rare, is that because you need direct contact with the back of the throat or does chlamydia also live in the mouth? 

Lastly have you ever had a patient was chlamydia transmitted from oral sex? 

I’m sorry for all the questions, I just want to make sure there is no infection between us so I can stop testing 
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Edward W. Hook M.D.
24 months ago
You are correct, this is repetitive.  My assessment is not going to change.  As I said- you are NOT infected.  You need to accept this.  If you cannot, it is not an issue of testing, it is an issue of your guilt.  

I have never seen a patient who acquired chlamydia from receipt of oral sex.  EWH
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24 months ago
Yes I feel guilt, can you explain why transmission of chlamydia from oral to penis is rare? Does it have to do with penis not being in direct contact of throat? 
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Edward W. Hook M.D.
24 months ago
We provide up to three responses to each client's questions. This will be my 3rd and final response, following which the thread will be closed without further responses.  

There are probably several reason why chlamydia rarely infected the throat and therefore is rarely is transmitted to the penis through oral sex.  Part of it is most probably the lack of direct contact as you point out.  In addition, all bacteria and viruses had tendencies to preferentially infect specific types of tissues and the types of tissue vary from location to location in the body.  Thus the cells of a person's throat are different from the cells of the uterine cervix in women or the male urethra (these are the two sites where genital chlamydia occurs)  and throat cells are lesss likely to become infected that genital cells.

I hope this information is helpful.  It completes the thread which will be closed shortly without further replies.  EWH
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