[Question #13312] Gonorrhea and atopobium vaginae detected
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14 days ago
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Dear Doctor, I am male, 43 years old married.
At the beginning of July I had a full STD test and was diagnosed with haemophilus parainfluenzae.
I few days later I had a sexual contact with a girl I met at a pub on 21 July. She is 39, Caucasian and office worker. The vaginal test was protected and there was a short unprotected oral sex, 30 seconds maximum. Since I am anxious, I got tested a week after the sex on 28 July and the result was the same.as for the first test.
I had a sexual contact with the same girl, only a very short unprotected oral sex also on the 28 July evening, I ejaculated to her mouth....I could not resist. I got tested for the third time on 1 August days after this second sexual contact. I know this sounds very weird.....but here comes the point.
I received the results today. They are positive for gonorrhea and atopobium vaginae - not for haemophilus parainfluenzae. All tests were swab tests from urethra, I was not urinating hours before the tests.
I know that I need to take medication for these STI's and then retest. I will also tell this girl about the results, I guess this is what I should do.
However, I had also an oral sex with my wife after the results of the second test, showing only haemophilus parainfluenzae, but also after the second oral sex with the girl....so I am afraid I may passed the gonorrhea and atopobium vaginae to her. She was performing it on me and I ejaculated. And after this encounter came the results of the third test.
Now I don't know what to do. I know she must do the tests to ensure she is fine, but if I tell her the truth, our marriage will be ruined..... What do you suggest? Should I retest? Should I tell my wife? Thank you.
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Edward W. Hook M.D.
14 days ago
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Welcome back to the forum. These questions appear to be regarding the same partner and exposures that you interacted with Dr. Handsfield about two weeks ago. I read that interaction and agree with all that he said- your partner is low risk. The additional information you provide today is a bit confusing. It sounds like the testing you have had has not been testing targeted for gonorrhea and chlamydia which is specialized testing which which would not detect organisms such as Haemophilus influenzae or atopobium vaginae, both of which can be normally found in the genital tract of men and women and are not considered STI pathogens. Testing for gonorrhea or chlamydia require specialized testing. This also makes me wonder if your recent tests which found gonorrhoeae actually contained that organism of another related bacteria. Assuming that you do not have symptoms, I think you need more information and hope that you can get it before you take any sort of treatment.
I would suggest that you seek testing specifically for gonorrhea and chlamydia. In addition, I would suggest that your casual partner also be tested for the same organisms using a throat swab. The results will inform you not only whehter or not you are infected but also whether your casual partner was infected as well. Unless you are symptomatic, I see no need for you or anyone else to be treated until the test results are available. EWH
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14 days ago
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Dear Doctor,
You are right, this case is linked to the previous case I discussed with Dr Handsfield.
I want to assure you that I was tested specifically also for Gonorrhea and atopobium vaginae. I live in Hungary, and STD tests here covers all these bacterial and STI's. When making the tests, doctors use several sticks to take samples and send them to the laboratory - both to bacteriological department and microbiological department. And the result said "Neisseria Gonorrheae DNA detected"... at my results.
I will tell my causal partner as you suggested and I will ask her to do a throat test, to see about the results.
In such case should I tell my wife?
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Edward W. Hook M.D.
14 days ago
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Your results remain unclear, and there is a strong possibility that you do not have gonorrhea. I would encourage you and your casual partner to be both be retested for gonorrhea before you receive any treatment. I do not see a compelling reason to tell your wife of your casual encounter until you have more information. EWH.---
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13 days ago
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Thank you, but why do you think that? I mean the test is positive, why should I doubt the result? I made it at a clinic specialises also for STD's. I will tell my casual partner of course and tell her to test.
Also, in case my wife got it, isn't there a risk to wait? I read that a non treated gonorrhea can lead to serious health issues, and I don't want my wife to have any problems. Also I feel guilty causing her potential problem. Do the test again, for my casual partner to do test, waiting for results, in case it is positive do test again, then waiting again..... wouldn't I lose too much time?
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Edward W. Hook M.D.
13 days ago
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Final answers. If you are confident in the results, of course it is a good idea to tell your wife however, the fact that your first test was negative and only the second one was positive is most unusual. This is the reason for our recommendations.
At this point, we have a little more to offer to you. I would urge you to discuss your plans, going forward with the healthcare provider who obtain the cultures that you have discussed.
This thread is now complete. Take care. I wish you the best. EWH.
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