Unprotected oral with CSW, 21st July.

Welcome ot our Forum.  Thanks for your questions.  Following receipt of unprotected oral sex, when persons develop symptoms (most people do not), there are two possible STI syndromes which comprise the majority of these syndromes.  One is gonorrhea which typically causes more prominent symptoms (obvious purulent discharge and burning on urination) and which will be detected by your testing.  Chlamydia, while a common penile STI among persons who become infected through vaginal sex is actually relatively rare following oral sex- it rarely causes throat infection and persons who have throat infection rarely transmit it.  The 2nd possibility however is non-chlamydial non-gonococcal urethritis (NGU) which results from the introduction of an oral sex partner's throat bacteria into the penis.  This tends to cause irritation on urination of the sort you describe.  If your tests are negative (I anticipate that they will be), you may have NGU as described above.  Interestingly, because this syndrome is caused by normal throat bacterial it is not transmissible to others through sex, it does not cause complications, and it easily treated with antibiotics although if untreated it tends to go away on its own.  ---

Thank you Dr. Hook for your insightful reply. I generally follow the NHS’ guidance on such matter and they state ‘[gonorrhea is] less commonly [found] in the throat’ - to paraphrase slightly.

That would certainly be my suggestion.  EWH---

Hi Dr. Hook,

I agree with the NGU diagnosis and treatment.  Nausea would be unusual as a sign of any STI although sometimes doxycycline can irritate the stomach.  EWH---

Hi Dr Hook,

I agree with this plan.  I hope all goes well.---