I know the risk of HIV is so low its almost negligible, she had also mentioned she had a negative test in the last 2 months (i do as well).  I also know that the overly cautious lime preventative I started friday (doxy 200 mg x 14 days) the day before rule out chlamydia and syphilis as risks.  So, I got a gonnorrhea test the tuesday after.  Came out negative.

So I guess my question is, from Saturday night to Tuesday afternoon, would a gonnorrhea test be conclusive with a negative result? No discharge or pain with urination at this point.

However, you also are correct that it was seriously over-cautious in taking doxycycline in this situation. And for goodness' sake, why two weeks treatment? Assuming you read up on doxycycline and these STDs, surely you saw that doxycycline post exposure prophylaxis (doxy-PEP) is effective with a single 200 mg dose! Based on this single exposure, you didn't need testing for anything:  you were at no measurable risk of syphilis, chlamydia, gonorrhea or anything else. All you've done with that treatment is increase the risk of altering your own natural bacteria to make them (and future infections) more resistant to treatment. Don't get me wrong -- that's not a big risk -- but any risk is too high when it's greater than the chance of what you're hoping to prevent. Feel free to have the gonorrhea test, but absence of symptoms (pus from penis, painful urination) within 3-4 days of the exposure was itself nearly 100% proof you don't have it.

Sorry if this seems like a condescending lecture -- maybe it is. But I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

I was given the doxy as a lyme preventative the day before (coincidentally).

Also, if the timeline wasnt clear I apologize.  The exposure was saturday night, I DID have a gonnorrhea naat drawn the following tuesday. Was this a time window that would yield solid results?

Doxy is not reliable against gonorrhea, but it would be effective for 50-80% of cases. If you were on doxy when tested, you can be sure you don't have it; or if you had been exposed, it has been eradicated.

Thanks for what you do.