Hi, 

I have a few more questions.

Previously, I mentioned that my exposure was oral only. I did not initially mention receiving a table shower with a nude body slide, as I thought it posed no risk but they slide over my penis with vagina  naked . No pen

Afterward, I had a white discharge and was prescribed doxycycline for seven days and a ceftriaxone shot on 6/7. I finished the doxycycline on 6/14.  Took a chlamydia , gonorrhea and Mgen tests on 6/20 all were negative. Dr H suspected oral NGU. I had no symptoms after the shot. More gen focused anxiety until results came back 

I had unprotected sex on 6/21, which was 14 days after the shot and 7 days after finishing doxycycline.  with a clean test result. I’ve had sex a few more times since then without any discharge.l or issues 

On 7/17, my wife experienced painful urination and discharge , and her doctor prescribed metronidazole for a week via telemedicine for bact Vag. The week before, she had a separate illness and was given a Z-pack for suspected strep throat. To be safe, I took a trichomoniasis test Monday , even though it’s not typically acquired orally, and an OraQuick test for hiv to be safe , which was negative.

Is there any chance her symptoms are related to my initial exposure or treatment? Given the antibiotics she took, would that have cleared anything I potentially had.  Should I retest or consider testing for something else? 

Thank you.

The table shower and body slide you experienced do not change the assessment or the fact that you have been more than effectively treated for your NGU.

I'm sorry her doctor prescribed medications for your wife without an evaluation.  There is no way to know what was going on.  Hopefully the metronidazole helped. 

There is NO CHANCE that your wife's symptoms are due to your exposure or treatment,  There is no scientific reason for you to pursue further testing.  As Dr. Handsfield said on your last interaction, further testing is a waste of time and resources.  You need to address your anxiety.  If you are not succeeding on your own, I would suggest seeking input from a confidential, professional counselor.    I say this out of concern for you, nothing more.   EWH

Hi Doc,

I know my ? Today might be somewhat repetitive, but I had moved on and accepted my results. I didn’t want to return here again. I was feeling relieved for the past few weeks until my wife told me she was experiencing issues with her vagina last week. The doctor thought it was bacterial vaginitis or a UTI since we had been to the pool and she has been working out. My mind started wondering if it could be related to my ngu etc and not just a mere coincidence. She had no reason to suspect an STD and the dr tried to pinpoint it via telemed . That’s when my anxiety came back, thinking I might have passed something to her or that my treatment didn’t work or I had sex too soon after my initial treatment, especially since she said it burned when she peed.  Could my gonn/clam, mgen testing been too soon  after treatment or are they conclusive ?

I took a trich test this week after she told me she was experiencing these issues, thinking there might have been something missed in my testing that I could have picked up through body slide / vagina contact or had sex too soon after treatment . I knew it wasn’t likely, but I needed to test for everything since I read that trich could have been passed with genital secretions and not full penetration. Bacteria vag can't be transmitted to me correct ?

Overall, I did accept that the treatment worked for me, and with her recent medication, we should be good. However, she told me this morning that after taking metronidazole for 6 days, the issue returned with burning pee. This made me think it’s a result of something passed since the meds didn’t resolve her issue. I assume she’s going to go back to the doctor for further evaluation, but even so, all the meds she took should have resolved gonorrhea, chlamydia, and trich if they were even a possibility, correct?

You are not at risk for trichomonas in your negative test proves that you don’t have it. Bacterial vaginosis is not an STI.

The medication she’s taken would’ve resolved, trichomonas and chlamydia, but not necessarily gonorrhea. Let me emphasize one last time that you don’t have gonorrhea.

As I said above, you were being overly anxious. I will restate my encouragement for you to seek counseling to help you accept that you are not infected, that you have not infected your wife. And to get help in moving forward. EWH.

Hi Doc,

Since I have one follow-up question remaining, I wanted to ask a few things for educational purposes. I’m currently doing well and have no concerns, but I have some questions for future reference.

1. If someone were to contract NGU from an encounter via oral sex, does the urethra adjust over time to that person? Specifically, if I were to have another encounter with the same person, would I be likely to contract NGU again? The main reason I ask is that I had oral sex with this CSW on two previous occasions without any issues or NGU. Could she have introduced some new bacteria in her mouth this time, leading to the problem?

2. After my NGU episode in June, which was successfully treated, could there be any issues with my urethra readjusting to sexual activity with my wife, both vaginal and oral, following my encounter with the CSW? I understand that research on NGU is somewhat limited, so I’m curious about any potential long-term effects.

3. I introduced a probiotic into my routine a month or two before the initial incident in June. Could this have played any role in the NGU, even though I hadn’t had issues before? Could the new bacteria from the probiotic have affected my body’s response?

Lastly, in your experience, have you seen many patients experience repeated episodes of NGU, especially if they have multiple sexual partners via oral sex? Or is it more random, with no clear explanation related to the partner’s oral bacteria?

Thanks again for your guidance. I haven’t returned to the site since this incident but wanted to make sure I’ve covered all my concerns.

1. If someone were to contract NGU from an encounter via oral sex, does the urethra adjust over time to that person? Specifically, if I were to have another encounter with the same person, would I be likely to contract NGU again? The main reason I ask is that I had oral sex with this CSW on two previous occasions without any issues or NGU. Could she have introduced some new bacteria in her mouth this time, leading to the problem?

The fact that you may have acquired NGU from receipt of oral sex does not mean that you would acquire it with further exposure.  I connot comment on mechanisms- certainly even with true STIs, most single expsoures do not lead to infection.

It is more of an occasional event- not particularly common.  Oral sex tends to be a relatively low risk exposure.

I hope the information I have provided has been helpful. This reply completes this thread which will be closed shortly.  Take care.  EWH