[Question #10498] Testings

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22 months ago
Hi to everyone,

I had risky vaginal intercurse so now I have some questions. 

My condom broke, I realised that and it lasts from that maybe 2 minutes till I finished. 
Two weeks after I got tested on chlamidia, gonnorhea, gardnerela vaginalis. 
I got results everything negative except gardnerela. (I took antibiotics)

I got tested at the private lab (blood from vein) 71days after HIV ag/ab, HBsAg ( I am fully vaccinated in 2000 when I was 8 years old), HCV ab, and syphilis VDRL & TPHA everythings was non reactive.

I tested again on gardnerela few months later, again positive. ( i took antibiotics again). And after that I got negative results. 

My question is are my results are conclusive? 
(I had several symptoms, like diarhea, night sweets, loss of apetite and etc)



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H. Hunter Handsfield, MD
22 months ago
Welcome to the forum. Thank you for your confidence in our services.

To respond to your concerns most effectively, it would be helpful to know more about the exposure you describe. How long ago was it? What was it about the event that make you describe it as risky? If your partner was a sex worker, was she a bar pick-up, brothel worker, escort (expensive, usually by appointment), or other? Was vaginal sex the only thing, or was there also oral or anal sex?

Assuming a standard urine or urethral swab gonorrhea/chlamydia test, those results are valid and conclusive, and so was your HIV AgAb test at 71 days. (45 days would have been long enough.) There was no point in having an HBsAg test, since you had been vaccinated in childhood -- but in any case the negative result shows for sure you weren't infected. (But from a heterosexual exposure there was little or no risk anyway.) Your syphilis VDRL test was conclusive; the TPHA was unnecessary -- negative VDRL was sufficient by itself -- but also confirms you didn't catch syphilis.

There is no standard test in males for Gardnerella vaginalis, and in any case it is an entirely normal bacteria in the genital tract of either men or women. Overgrowth of gardnerella is associated with an infection in woman called bacterial vaginosis, but gardnerella is not the cause. That did not need treatment. Did you by any chance have symptoms like urethral discharge? I'm wondering if perhaps gardnerella testing was done because you had nongonococcal urethritis (NGU). Anyway, what treatment were you given?

The symptoms you describe are not typical for any STD and probably had nothing to do with the sexual exposure sometime previously. Your negative syphilis and HIV test results prove they were not a possible cause.

I hope these comments are helpful. My guess is that knowing the details of your partner as suggested above won't make much difference, but feel free to tell me more if you think it would be helpful.

HHH, MD
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22 months ago
I had a little pain when I am peeing, so I went to private lab and give them my urine.
I am now 31 years old, and I get fully vacinated when I was 8 years old. I do not know am I for entire life safe from HBV. 
I know Doctor that my exposure is not a high risk, I had with her only vaginal intercourse which takes 10 min, I noticed that my condom broke and after that it took 2 minutes till I finished.

I am just curious about my testing results, because here in my state health care is not well as in your state. 
1. So cmia hiv ag/ab at 71 days can not be wrong?
2. My HBV ag results shows for 100% that I didnt catch that virus?
3. I know that HCV is almost imposible to catch by vaginal intercourse, but is my result of HCVab at 71day 100% conclusive that I didnt catch that also?
And finally my dear doctor is my syphilis tests at 71days 100% conclusive?

Do you think that I should do some another test (for some another std) or should I be retested maybe.

That incident happened 9 months ago


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H. Hunter Handsfield, MD
22 months ago
These questions ask me to repeat what I've already said!
1. Correct. 
2. Correct.
3. Correct. I'm glad you understand the near zero risk. One calculation for vaginal sex is that once daily exposure to an infected partner might result in transmission after 520 years -- i.e. once for every 190,000 exposures.

Syphilis testing: also answered above.

No, you should not have any other tests of any kind.
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22 months ago
I will use this final reply just to ask you how long does the vaccine for hbv lasts? Thats all my dear Doctor, thank you for the answers. :)
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H. Hunter Handsfield, MD
22 months ago
HBV vaccination is effective prevention for at least ten years, and most experts believe protection is lifelong.

As you anticipated, that concludes this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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