[Question #13565] Oral Gonorrhea
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1 months ago
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I had protected sex with an escort 5 weeks ago. The condom did not break / slip and it remained in tact.
My partner just gave me unprotected fellatio and I am worried she may have contracted oral gonorrhea from my exposure with the escort.
What are the chances my partners has gotten oral gonorrhea from this? And, if she does have it, would it disappear from her throat on its own without any medication? And if so, how long would that take to go away?
Thanks a lot.
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Edward W. Hook M.D.
1 months ago
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Is the same episode you have interacted with Dr. Handsfield and I about on previous occasions. If so, I'm sorry that you continue to worry.
If it regards receipt of oral sex, again, there is little risk. Acquistion of gonorrhoeic from receipt of oral sex is uncommon and is obviously symptomatic over 90% of the time. Condoms worn throughout the encounter virtually assure that you did not acquire infection. Had you acquired asymptomatic gonorrhea, it would be transmissible but I do not see that as a concern.
There are few if any complications from oral gonorrhea and indeed, it does resolve without therapy in many cases when it occurs. The timeline of resolution is unknown but likely to occur rather rapidly- over a week or two.
Please don't worry needlessly. EWH
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1 months ago
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Thank you for your answer.
3 weeks ago I took Azithromycin to clear the gonorrhea and then last week I did a urine test and the results came back negative for gonorrhea. However, i stupidly didn’t use the beginning of my urine stream in the test due to lack of concentration and only used the end of my stream to fill up 1/3 of the cup. I have not had any symptoms at all.
My partner has tonight reported vaginal itching which has triggered my anxiety.
In this situation given that all intercourse involved a condom, I am not experiencing any symptoms, I took azithromycin before testing and that my tests came back negative (albeit I used the end of the stream and didn’t fill up the cup as much as I’d have liked) - would it be practically impossible for my partners vaginal itching to be attributed to chlamydia or gonorrhea in this instance?
I know it sounds ridiculous sorry, I am just panicking and feel extremely guilty.
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1 months ago
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Sorry the above should say that I took azithromycin to clear any potential chlamydia and the test results came back negative for both chlamydia and gonorrhea
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Edward W. Hook M.D.
1 months ago
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Sigh. I suspect you already know what my reply will be. It saddens me that you are having so much trouble moving forward. There is no evidence that you have gonorrhea, in fact, there is evidence that you do not. There is virtually no way that you have gonorrhea, and as a result, there is no way that your partner’s vaginal itch could be due to an infection that you transmitted to her. Finally, Vaginal itching is not a symptom of gonorrhea. It’s time for you to move on.
You have one reply follow up remaining. After that, any further questions you initiate regarding this encounter and your continuing unwarranted anxiety may be deleted without a reply and without return of your posting fee. As a policy, we do everything we can to not feed unwarranted anxiety, and this these actions would take place out of concern for you nothing more. EWH.
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