[Question #12803] Unprotected Oral
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5 months ago
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I have spent lots of time reviewing this site and understand that oral is relatively low risk but I would still like your assessment on bacterial std risk. I 35M stepped out on my wife and exchanged oral sex with an older male. Verbally we talked about testing and he was tested in Dec. With all neg But did have oral partners nice then. I did not notice any discharge or lesions during the act in a well lit room. Time line is. Feb 19th potential exposure; Feb 22 unprotected intercourse no oral with my wife; 23rd I test positive for influenza a; 27th wife developed as described as yeast infection symptoms (itching, discharge, small increase in odor, no pain with urination) from my anxiety I took 4g of amoxicillin. She takes a 1 dose antifungal suppository and withing a week symptoms have decreased away(discharge normal amount no itching or irritation); March 8th unprotected intercourse with her again after complains for cramping but the next day she starts her period; during the week of her period and counting today she is having noticeable night sweats. Mar 17 unprotected intercourse again she complains of lower back pain fatigue and continuing night sweats. Very small amount of discharge. I feel personally I am being hyper vigilant with my body and haven't had any symptoms (checking for discharge, palpating testicles for pain, nothing)
What is your assessment of risk and the timeline of symptoms? Could I have given her an STD that is now causing PID?
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H. Hunter Handsfield, MD
5 months ago
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Welcome back. (By username you likely posted a similar question a year ago, although the account is a new one.)
I agree entirely with "I feel personally I am being hyper vigilant with my body" and nothing is wrong. Indeed, you had a low risk exposure. Bacterial STIs and yeast are entirely different, and women get vaginal yeast infections all the time -- her symptoms and diagnosis have nothing to do with your sexual dalliance. Your flu also is irrelevant. Night sweats alone are not an indication of HIV or any STD; neither is pelvic cramping in women, especially when their menstrual periods are close. Ditto for lower back pain.
If you continue to feel nervous, feel free to have a urine gonorrhea/chlamydia test; and for still more reassurance, consider blood tests for HIV and syphilis. You can expect negative results for all of them. In the meantime, stop looking for discharge (it's too late for onset of such a symptom) and for sure don't palpate your testicles; that's a good way to make them tender, which would only worry you further without meaning anything.
All is well. I'll be happy to comment further if anything isn't clear, or if you get tested and would like to tell me the negative results. In the meantime, stop worrying.
I hope these comments are helpful.
HHH, MD
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5 months ago
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Thank you for the response a few follow ups.
Would the antibiotic I took affect results?
If it would have cleared something I had and passed on would it likely pass back to me after 2 exposures?
If her symptoms were caused by gon\chl (and not by yeast) would they go away after a week of her body fighting them?
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H. Hunter Handsfield, MD
5 months ago
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Amoxicillin is not a recommended treatment for any STI. Conceivably it could have cured incubating syphilis, which also would have prevented its transmission. (Syphilis does not become transmissible to partners sooner than 10-14 days after catching it. It also might have suppressed gonorrhea or chlamydia, but not reliably. In any case, the combination of the type of exposure, your lack of symptoms, and your negative test results amount to 100% assurance you were never infected and could not have infected your wife, that her symptoms are due to any of these STIs, or that she could have transmitted infection back to you.
Do your best to ignore any and all "yes but" or "could I be the exception" sorts thoughts. There is nothing you can think of that would chance my assessment or advice, or my confidence that neither you nor your wife has any infection from the sexual exposures you have described. Move on without worry.
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5 months ago
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I appreciate your point of view and response. I guess since I have one more follow up you you specifically address the question of, would gon\chl symptoms,such as discharge, decline after 1 week with no treatment or would you expect them to remain constant or worsen?
Thank you again for the services you provide
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H. Hunter Handsfield, MD
5 months ago
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Once such symptoms start, usually they continue and often worsen for several weeks.
That completes the two follow-up comments and replies included with each question and so ends this thread. Thanks for the thanks; that's why we're here.
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