[Question #10485] STD

Avatar photo
22 months ago
Hi, I have have unprotected oral a few times. In may I had a urine sample that had trace leukocytes but no WBC under microscope. At the time I had burning once a month and some tingling.

The last few weeks on self tested dipstick I had trace leukocytes on each test and a little burning although not much 

This week my wife had her menstrual cycle after 16 days.

The questions are 1) does trace leukocytes mean STI and are my symptoms typical of STI?

Would a very early menstrual cycle be a sign of STI

My exposure was receiving unprotected oral
Avatar photo
Edward W. Hook M.D.
22 months ago
Welcome to our Forum and thanks for your questions. I'll be glad to comment.  I note that you do not say much about your partners.

Amongst penetrative sexual activities, receipt of oral sex is amongst the lowest with relatively will risk for acquisition of STIs.  The two STIs which may occasionally occur following receipt of oral sex are gonorrhea, which is typically more symptomatic than what you describe or non-chlamydial non-gonococcal urethritis (NGU) arising from the introduction of a partner's oral bacteria into the urethra.  NGU following oral sex typically cause mild symptoms and small numbers of WBCs in the urine.  It does not appear to pose a risk to sexual partners and typically can resolve on its own although treatment with doxycycline does appear to hasten the resolution of the irritation.  In answer to your questions:

1) does trace leukocytes mean STI and are my symptoms typical of STI?
See above.  

2.  Would a very early menstrual cycle be a sign of STI
No.  There are many potential causes of variability in the timing of the menstrual cycle.

Anticipating your follow-up questions.  Testing is up to you.  It would rule out the very small possibility that this is gonorrhea.  Typically when urine testing for STIs is done, testing for chlamydia is done at the same time.  Elimination of these two possibilities would certainly be quite reassuring.

Also, by the way, the periodic burning and tingling that you have experienced is not suggestive of STI.  The symptoms of STIs typically do not come and go.  EWH 


---
Avatar photo
22 months ago
Thanks for the response.

Following up .

1. Would leukocytes be higher than trade in a STD such as ghonnorhea? Or is there no relevance? 
2. Confirming it is a very unlikely transmission via unprotected oral 
3. There is no discharge and confirming pee burning doesn’t come and go with a STD
4. My partners early period or bleeding is not a typical sign of any std I could have acquired?. 
Avatar photo
Edward W. Hook M.D.
22 months ago
Straight to your follow-up questions:
1.  Typically there would be more than trace leukocytes with most STI’s.
2.  Yes, acquisition of STI’s from receipt of oral is relatively uncommon. As I mentioned, you said nothing about your partners. If your partner is relatively low risk, the likelihood of an STI is lower still.
3.  Correct 
4. Correct

EWH 
---
Avatar photo
22 months ago
Lastly, I am having a cystoscope in a few weeks for a different reason, would that show a STD?
Avatar photo
Edward W. Hook M.D.
22 months ago
I’m not sure why you’re having a cystoscopy, but that may be related to the trace white blood cells seen in your urine. Cystoscopy would be looking for visual abnormalities in your bladder, and would not detect an STI. Why are you having cystoscopy?EWH---
Avatar photo
22 months ago
Family history of bladder cancer, more for reassurance due to my anxiety. 
Avatar photo
22 months ago
Urologist said not necessary as no blood in urine or wbc under the microscope but he said can do if I want .
Avatar photo
22 months ago
Feel free to give opinion on that as well,
Avatar photo
Edward W. Hook M.D.
22 months ago
As I suspect you know, we provide up to three responses to each client's question.  I kept the thread open beyond that regarding my question regarding your forthcoming cystoscopy.  It sounds like your urologist does not feel strongly that you need a cystoscopy, an opinion that I share.  Persons can be screen for bladder cancer without undergoing procedures with things like urine cytology.  It also sounds as though he is discounting the significance to trace leukocytes in your urine, which I also agree with.

This will complete this thread which will be closed shortly.  I hope that the information and perspectives I have provided has been helpful   I would not be worried- I hope you will not either.  EWH
---