[Question #11968] LGV, Chlamydia and new exposure
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11 months ago
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After the last conversation (Question #11201) unfortunately i am here again. this is not due to anxiety, but some developments and a new sexual exposure.
- the last time i had a receptive unprotected rectal experience was about 573 days ago.
- i had a lot of tests for hiv hepatitis syphilis during this time but i did not have a rectal and throat test for gonorrhea and chlamydia.
- i had reactive arthritis and i also had rectal symptoms.
- 400 days after my last rectal intercourse (probably because of the unnecessary augmentins i took for a very long time) my lymph node in my right groin became hot, painful and enlarged but it did not bother me too much.
- i went to the doctor, she didn't do a test (swab tests were not available) and gave me 1 box of monodox. but i used 2 boxes in total.
- it has been 130 days since i took my last dose of monodox, the lymph node in my right groin has become even smaller, there is no more heat and pain. but it is palpable, it has remained the same size and it presses from time to time.
-My doctor said I don't need anything else. but I can't trust her.
-She gave me 1 box. I didn't ask about the possibility of LGV, I drank 2 boxes and the doctor wrote a prescription as if he wanted to get rid of me.
-I am being followed up by a new doctor (more specialized) for my neck, armpit and groin lymph nodes. Should I ask him AGAIN about rectal intercourse and the possibility of LGV?
-Does LGV stay like this for 4 months?
I also want to ask about the new exposure in the other follow-up question.
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11 months ago
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Is there anything I should do for my rectal and oral exposure? Do I need to tell my new doctor about the situation? I don't really want that. Or should I trust my old doctor?
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H. Hunter Handsfield, MD
11 months ago
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Your last thread ended with a warning about repeated anxiety driven questions. We do not provide direct medical care; you need to rely on your own doctor(s). I see no reason you should not trust your doctor; she apparently agrees with all we have said on this forum.
LGV does not act at all like the symptoms you have; and if somehow you had it, the doxycycline (Monodox) would have cured it. The lymph node enlargement in your groin doesn't sound significant and certainly does not fit with LGV.
With any new doctor, it makes sense to be entirely open about all medical concerns on your mind. But if s/he understands STDs, s/he will understand LGV or any other active chlamydial infection is impossible.
Whatever the nature of your "new exposure", I am confident you can predict what we would say.
HHH, MD
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11 months ago
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I apologize for coming back. I will go to my current doctor for chlamydia, lgv and gonorrhea even though I don't want to because I can't get it out of my mind.
I have a few questions for you:
1. Does lgv or gonorrhea remain silent for 4.5-5 months after the last dose of antibiotics?
2. Does gonorrhea remain silent for 4.5-5 months after the last dose of antibiotics?
3. Does rectal lgv or chlamydia swell the lymph nodes in the neck and armpit?
4. lgv requires 3 boxes of treatment, I used 2 boxes. Is this a problem?
5. Does starting treatment late require more doses?
6. In the previous question, you told me that a swab test would not work for lgv and that fluid should be drawn with a syringe. According to my research, my lymph nodes are not that big and they are not red, and there is no bubo or groove signal, should I ask the doctor about this again?
NEW EXPOSURE: I actually know what you are going to say, but I wanted to be sure.
Exactly 133 days ago, a boy I don't know (20 years old) performed oral sex on me for 9-10 minutes. I had a condom on for the first 3-4 minutes but unfortunately I took it off after that.
He was someone who was very afraid of STDs.
Question: Can HIV or anything else be transmitted like this?
An association said that HIV is not transmitted and that you shouldn't get tested.
-There is no burning or pain in the penis.
-106th day, HIV-1 RNA PCR was NOT DETECTED, 4th generation Agab test is negative. HBSAG antiHBS is negative.
-I had 15 HIV tests in more than 1 year because of a previous encounter and I don't want to do this again.
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H. Hunter Handsfield, MD
11 months ago
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I'm sorry, but these questions have been asked and answered in your previous threads; and this forum is not a resource to assess STD/HIV risks for every new exposure someone has.
1. Does lgv or gonorrhea remain silent for 4.5-5 months after the last dose of antibiotics? You could sy it "remains silent" because it is cured. It does not persist in silent form after treatment.
2. Does gonorrhea remain silent for 4.5-5 months after the last dose of antibiotics? Same answer.
3. Does rectal lgv or chlamydia swell the lymph nodes in the neck and armpit? No; LGV does not travel through the body, it remains only at the initially infected site.
4. lgv requires 3 boxes of treatment, I used 2 boxes. Is this a problem? Despite official advice for 3 weeks treatment, most LGV is cured with a week of doxycycline.
5. Does starting treatment late require more doses? No, not necessarily. If I correctly recall your previous threads, you never had LGV anyway.
6. In the previous question, you told me that a swab test would not work for lgv and that fluid should be drawn with a syringe. According to my research, my lymph nodes are not that big and they are not red, and there is no bubo or groove signal, should I ask the doctor about this again? You have misunderstood something. LGV nowadays is usually diagnosed by swab from the rectum. It requires lymph node aspiration rarely.
NEW EXPOSURE: I actually know what you are going to say, but I wanted to be sure.
Exactly 133 days ago, a boy I don't know (20 years old) performed oral sex on me for 9-10 minutes. I had a condom on for the first 3-4 minutes but unfortunately I took it off after that. You have correctly predicted the responses to this. Little or no risk and once again your irrational anxieties have led to gross over-testing.
That concludes this thread. Here again is the same warning from last time.
This being your third [now fourth question] on your sexual exposures, symptoms, etc, it will have to be your last one; future questions on these topics will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding.
In the future, you will not receive any reply at all. Believe it and please do not try. Also please seek professional counseling to help resolve the likely underlying mental health issues that underlie your heightened concerns, perhaps including conflicts about your sexuality. I suggest it from compassion, not criticism. Good bye.
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