[Question #10493] STD Testing Conclusive
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22 months ago
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I have tested for the following STD's with all negative results. No symptoms. Can my testing be conclusive since to other exposure since. It is currently 130 days past exposure?
Syphilis - RPR testing at 2,5, 7, 12, 14 weeks and FTA-ABS at 11 weeks
HIV - RNA at 12 days, 4th gen at 2, 7, 12, 14 weeks
Gonorrhea/ Chlam Urine test at 2, 9, 12, 15 weeks
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22 months ago
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For clarification the situation was I (Male) received oral from another male for about 10 seconds without completion. I am not sure of their status or if they had performed oral on another male immediately prior.
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22 months ago
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One more clarification, my tongue has had some spots that are somewhat tender and look like "geographic tongue". This has happened to me prior to the exposure but my anxiety is causing me to think it could by syphillis even though I did not perform any oral and I did not notice any primary cankers.
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H. Hunter Handsfield, MD
22 months ago
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Welcome to the forum. Thanks for your confidence in our services.
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You were way seriously over tested. The exposure you described was very low risk, with essentially zero risk for HIV and zero to low risk for all others. And the tests you had are highly reliable at various intervals. You could have relied with 100% certainty on the first negative gonorrhea/chlamydia test at 2 weeks (in fact, this would have been OK as soon as 4-5 days after exposure); on the negative syphilis result at 7 weeks (six weeks is enough); and your negative HIV antigen-antibody (AgAb, 4th generation) blood test at 7 weeks. You did not need the syphilis FTA-ABS or the HIV RNA tests at all.
Neither syphilis, HIV, nor any other STI causes the sorts of tongue spots that you describe. And in any case, your negative tests prove that these infections are not the cause.
So all is well -- for sure stop testing until and unless you become sexually active against with more exposure(s) -- and even then only if higher risk that this one.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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22 months ago
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Thank you, that makes me much more comfortable. One other clarification, would your opinion stay the same if the other person had just performed oral on someone else, possible exposure to other fluids in the mouth? Thank you for your assistance.
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H. Hunter Handsfield, MD
22 months ago
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Oral sex on a male partner has near zero risk for syphilis, and you also could have caught oral gonorrhea and maybe chlamydia (extremely low risk). Testing urine or urethral swab cannot detect oral infection, but it doesn’t matter now because both of these oral infections are cleared by the immune system long before 15 weeks. There is no known risk from exposure to a different partner's genital fluids in your partner's mouth: not enough could remain even more than a minute or two.---
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22 months ago
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One follow up question, does secondary syphilis ever present as tongue spots? If I do get a spot on my tongue can I rule out syphilis with this testing I did with Labcorp testing? Thank you!
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H. Hunter Handsfield, MD
22 months ago
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Your negative blood test is 100% proof you do not have secondary syphilis -- which also would never cause a "spot" on the tongue as the only symptom.d
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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