Unfortunately I had a brief oral experience with another man whom I did not know on 5.25 around midnight. I gave maybe a 30 second oral performance - I did not notice any fluids involved. The next day I took 1G of Azithromycin (shouldn’t have)  I realize oral gonorrhea presents zero symptoms, a few days later my throat however was red and sore, of course I panicked (chalk it up to human nature). On 5.29 around 3pm I went to an urgent care and had an oral swab performed and was prescribed 500mg ceftriaxone injection and 7 day doxy. The results came back negative. My question is: would the previously taken Azithro alter the test results and did I test too soon anyway? Is it reasonable to resume oral sex with my wife? Also, is there any research done to predict the chances of acquiring an oral HPV infection in a similar scenario? Thanks again!

Your risk for acquiring oral gonorrhea is very low- most people do not have gonorrhea and most single oral exposures do not lead to infection.  The azithromycin you took was lower than the dose which is sometimes effective against gonorrhea so there is just no way to know if you had gonorrhea which was cured before you were tested or not, but it is highly unlikely.  In the improbable situation that you had oral gonorrhea, the ceftriaxone and doxycycline you took is likely to have been curative.  You certainly did not test too soon.  

At this time, I would no longer have any concerns about the possibility that you have oral gonorrhea that you could give to your wife.  I would put your concerns behind you and move forward.

There are no reliable data on the risk for HPV from an exposure of the sort you describe but it is unlikely.

I hope that this information is helpful.  Time to move forward.  Please don't worry.  EWH

1.Oral sex midnight 5.25

2. 1 G Azithromycin the following day

Please be confident in your results.

This completes this thread.  EWH