[Question #10554] New relationship

Avatar photo
21 months ago
Hi Drs. I started a new relationship after being single and abstinent for 3 years. My relationship started about 6 months ago and we have unprotected sex once a week. I know I should have insisted he be tested, but I didn’t… my anxiety kicked in recently so I ordered an std kit on line. Chlamydia/gonorrhea was a urine sample … hiv/syphillis was a blood sample. Everything came back negative. Can I safely assume that my partner is std free since I tested negative. Or is there any chance he has an active infection that he has yet to pass on to me? I am female. 
Avatar photo
H. Hunter Handsfield, MD
21 months ago
Welcome back to the forum. Thank you for your continued confidence in our services.

While many couples get tested together before starting a sexual relationship, it isn't necessarily an error not to do so or to insist a partner be tested. In absence of symptoms, I would not have thought it necessary for you to be tested at this time. In any case, the tests you had are highly reliable, in any and all labs. You indeed can be certain you have none of the infections for which you were tested.

That doesn't prove your partner doesn't have a transmissible STI; all STIs are transmitted inefficiently, and it is possible to have multiple exposures without catching anything. If your partner is a typical male who has had multiple male partners himself, it is reasonable for him to be tested for common STIs from time to time. If I were in your situation, I would discuss my own testing and ask (not insist) that your partner also be tested. Probably he will understand and comply -- but that's between the two of you. Maybe you'll even find he has exactly the same concerns you did! 

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
---
Avatar photo
21 months ago
Thanks for the response- just to clarify we are a heterosexual couple, my partner has never had other male partners. 

That being said, my real concern would be chlamydia or gonorrhea since it is often asymptomatic. After 6 months of weekly sex would an infection more than likely be passed on? Or can chlamydia and gonorrhea remain asymptotic for 6 months? 

I also had a gyno appt after my negative tests and was told everything looked normal down there. 
Avatar photo
21 months ago
I also asked my partner if he would get an sti test and he stated that he doesn't have any symptoms- we have been together for 6 months and my tests were negative. Anxiety is just getting the best of me. 
Avatar photo
H. Hunter Handsfield, MD
21 months ago
Thanks for the clarification. I don't think you stated your own gender -- I thought you and your partner both are male.

Men who have sex only with women have far lower STI rates than gay/bi men, and absence of symptoms also is a good indicator, although not perfect. So in view of both your negative test resuls and normal gyn exam, I don't see his being tested is a high priority.

And your negative gonorrhea/chlamydia tests are good evidence he doesn't have either one. Although not transmitted with every sexual episode, having had somewhere around 25 exposures (weekly for 25 weeks), almost certainly you would have tested positive if he had either of them. I really don't think you need to be worried at all.
---
Avatar photo
21 months ago
Thanks Dr. How likely would a male have asymptomatic chlamydia or gonorrhea for 5-6 months? 
Avatar photo
H. Hunter Handsfield, MD
21 months ago
Probably zero chance for gonorrhea. Chlamydia maybe, but still very unlikely. But as just discussed, if he had either one, you would have tested positive.

I sense a relationship problem here. That's not our expertise and I have no advice about it, except that you might consider having a sensitive, caring discussion with your partner about your fears. In that context, perhaps he would agree to being tested. But in all honesty, your concerns seem way overblown. In any case, that completes the two follow-up exchanges included with each question and so ends this thread. I hope it has been helpful. 
---