[Question #10721] Follow up - Wifi with Menstrual Spotting

20 months ago

Hi Dr, thats me again.

I tried to reply on my last question, but i guess it was closed by due time.

As anticipated, my latest blood tests from the beginning of November (3 month mark) came all negative, including HLTV, Sifilis, etc.

The latest Chlamydia urine PCR test I did was on Mid September (5 week later exposure, 3 weeks after I finalized Doxy cycle) - was negative as well.

7 days ago my wife told me she had a Spotting. She is in birth control pills for 2,5 years now. She did had one or two episodes of Spotting last year. She doesnt smoke. I also cant know for sure if she took Doxy correctly (she did took the pills, but dont know if she delayed/skipped a dose or not)

By now you can conclude why Im writing again, every single site says thay chlamydia/gon can be a cause of Spotting, besides stress and other unknown causes.

I dont have any symptom, besides the SebDerm. I also have a kind of variation of color (more reddish) in part gland, that urologist says it is normal fungus/candida. Im not circumcised.

I resumed unprotected sex with my wife since end September.

Appreciate your view and comments on this case. Thank you.

H. Hunter Handsfield, MD

20 months ago

Welcome back yet again, but once again I'm sorry you found it necessary. Threads are closed after two follow-up comments and replies or after 4 weeks, whichever comes first.

From your many discussions, it is 100% certain that your (and therefore your wife's) symptoms and various health issues are not due to any STD; and STDs are the only topic for this forum. Yes, chlamydia causes vaginal spotting -- but so do many other common gynecological problems, most of which are more common than chlamydia. And we know for sure you do not now have chlamydia.

Any and all unexplained vaginal bleeding needs professional medical attention, and therefore your wife should see her gynecologist. You can safely assume she does not have chlamydia. You should not be medically reevaluated in any way at this time.

I hope these comments are helpful. Best wishes.

HHH, MD

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19 months ago

Hi Dr, happy new year!

My wife now developed lesion in the lips, that looks like Herpes.

I do have HSV1 (i dont remember a recent herpes outbreak in my lips), so could be I passed it her and only now she developed symptoms?

On chlamydia topic (or any other potential DST), my main concern is that if I acquired it and passed to her. Maybe I did the urine tests too early (not yet detectable), took the meds, cured it and did the tests again 3 weeks later the treatment and tests were clear. But she never tested, maybe she didnt take the meds in correct way, and could have the infection present? In this case by now, if I was reinfected by her, would I show any symptoms?

H. Hunter Handsfield, MD

19 months ago

Since your wife's oral problem apparently is new, she should be professionally evaluated to confirm the diagnosis. If it's herpes, you can safely assume she has HSV1 but testing can be done to be certain. If she is seen within a few days of onset, the best diagnosis is to test the sore(s) for the virus by PCR; if they are beginning to heal before she can be seen, she can have a blood test.

If she has just one or a few lesions and it's oral herpes, it's safe to assume it's a longstanding infection (months or years) that previously caused no symptoms -- i.e. not a newly acquired infection. In that case, most likely she has a longstanding oral HSV1 infection from childhood, as you likely have yourself. Or she could have caught it from you by kissing any time over your years together. Oral herpes isn't considered an STD.

Your continuing concerns about chlamydia have no basis in reality. I have nothing more to say about it. Re-read my reply above and in your multiple previous threads. Your concerns about STDs are without basis.

That completes this thread. Please do not start a new one about on any topic until and unless you have a documented STD or a genuine risk. Repeated anxiety driven questions are not permitted, and this is your tenth. Further ones will be deleted without reply, and without refund of the posting fee. This policy is intended to reduce the temptation to keep paying for quesitons to hear the same answers. Also, repeated questions and replies often fuel anxiety rather than resolving it. Finally, such questions have low educational value for other users, one of the goals of the forum. Thank you for your understanding.

That said, I hope this final discussion has been helpful and allows you to move on without further STD worries. Happy new year.

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