[Question #10324] STI testing and risk

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23 months ago
Hello,

I had vaginal unprotected exposure on 11 March. Around April, I started having pain in my testicles. 
Also I had pain in knee joints, dry mount, dry eyes.
My testing history:
11 April (30 days after exposure) - 10 STIs from urine - all negative.
28 April (47 days after exposure) - Hepatitis B, C, HIV 4gen test - Hepatitis c, HIV - negative, Hepatitis b - vaccinated.
10 July (121 days after exposure) - 14 STIs from urine - all negative.
12 July (123 days after exposure) - Syphilis (RPR, antibodies IGM/IGG) , HIV 4 gen, hepatitis C - all negative. 
18 July (129 days after exposure) - HIV RNA test - negative
My girlfriend also feel pain in both knees (got positive Ureaplasva parvum other STI negative, doctor said what it is not probably related with joint pain and if i am negative I can be sure, that I do not have this infection (Ureaplasma parvum)

Am I save from STI infection? Should I repeat some test? Maybe my anxiety "speaks"?



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Edward W. Hook M.D.
23 months ago
Welcome to our Forum.  I'll be glad to comment.  I can say with confidence that with the testing that you have had, there is no reason for concern that your March encounter resulted in an STI which accounts for the symptoms you describe.  The tests that you have had, at the time you had them are highly reliably and having repeated most of them twice assures you that there were no errors in testing.  You can believe the results.  There is no reason for further testing for any STI and you can be confident that the symptoms you describe are not due to an STI.

I hope that this information is helpful.  EWH
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23 months ago
Tnaks for Your answer.
Could You explain more about Ureaplasma parvum? If it is diagnosed for my permanent girlfriend, am I safe? 

What is chances to get STI from one vaginal exporse?
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Edward W. Hook M.D.
23 months ago
Ureaplasmas, including Ureaplasma parvus are normal parts of the genital tract flora and not a cause of disease.  Most experts do not recommend testing for it and when tested for and found, would not treat.

Most persons, even those with multiple sex partners do not have STIs and most single exposures to STI infected partners do not result in infection.  The rates of infection vary from infection to infection.  For HIV, fewer than 1 in 1000 exposures lead to infection.  EWH 
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23 months ago
Good day!

I got positive test for Streptococcus pyogenes from blood and positive test for Staphylococcus sp. In the throat. Could it be related with any STIs, HIV?
Also I did blood test and my LYMPH% is only 20,3% while norm is from 20% so it is slightly higher than lowest norm. 
Could HIV or any STI so fast weaken immunity? 
I am still worried after so many STIs tests.
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Edward W. Hook M.D.
23 months ago
Neither Strep pyogenes nor Staph aureus are STI pathogens. Staph May be normal in the blood but Strep in the bloodstream may be a serious non-STI infection.  You should discuss this with your doctor who should carefully examine you as well.  Reduced lymphocytes may reflect the Strep infection.

We provide up to three responses to each client’s questions. This is my third response. You have proven that you do not have an STI but you may have a serious bacterial infection. Once again, I urge you to seek thorough evaluation by a trained clinician. This ends this thread. There will be no further responses.  EWH 
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