[Question #13620] Gonorrhea chlamydia exposure?
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2 days ago
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Back on sept. 25th I had protected sex and protected oral sex with a CSW. I also performed unprotected oral sex on her for a few minutes. On October 4th I had sex and oral sex with my wife and about a week later she started complaining about lower pelvic abdominal pain and some blood in her urine. She saw a urologist and tested her urine but didn’t see any infection but gave her antibiotics anyway. I went for a gonorrhea/chlamydia test through STDcheck.com on October 15th. 20 days after exposure and it came back negative but now I’m worried I diluted the sample with too much urine. I filled the cup about halfway with first catch pee. It’s now almost 3 months later and I still have no symptoms. I don’t think They tested my wife for std just UTI when she went to the urologist. She also has had blood in her urine in the past. Just this past week she has had a sonogram and cat scan done and the cat scan said 1.8 x1.4 cm horseshoe shaped structure draped along the right lateral and posterior aspect of the proximal urethra compatible with a urethral diverticulum. There is a 0.6 cm hypodensity projecting into the bladder base which may represent superior extension of the diverticulum and to follow up with a pelvic MRI. Is this a sign of PID which I know comes from gonorrhea and chlamydia. I know this is a long question and it’s all over the place but here are my questions. btw I did speak to the CSW and she told me she was clean and she did take precautions when I was with her and had good hygiene
1. Could I have received a false negative due to dilution and passed gonorrhea or chlamydia to my wife through vaginal sex
2. Could I have caught oral gonorrhea which I wasn’t tested for and passed it to my wife through oral sex
3. Are my wife’s test results and stomach issues showing PID and also would a cat scan and or sonogram show PID
4. Are her symptoms showing gonorrhea or chlamydia.
Thank you in advance
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H. Hunter Handsfield, MD
2 days ago
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Welcome back to the forum, several years after your last question.
It's certainly understandable how your wife's symptoms concerned you, given their timing following your recent extramarital sexual exposure. However, there is no realistic possibility you transmitted any STI to her or than an STI explains her symptoms. Not being a urologist or gynecologist I cannot comment on your wife's uterine and urethral anomalies, but they certain could predispose to non-sexually acquired UTI, which she probably has.
As you attended, you had a very safe sexual encounter with your CSW partner. And it sounds like she is aware of her health, the STI risks etc. To your numbered questions:
1. Your negative test results are reliable. Diluted urine has no effect on reliability of gonorrhea/chlamydia test results. Although officially the initial ounce of urine is advised, with over 30 years experience all labs and STI experts have learned that such details of specimen collection have no effect on the test. For sure you did not have either of these infections.
2. Oral gonorrhea is very rare from performing oral sex, so almost certainly you weren't infected by performing oral on your CSW partner. It also is very rarely transmitted to female partners by cunnilingus; even if you had it, you can be sure you didn't infect your wife.
3,4. From the information you provide about your wife's medical findings, almost certainly she doesn't have PID. I'm confident her symptoms are not due to gonorrhea or chlamydia.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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2 days ago
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Ok thank you so much I need to stop using Google as it says diluted urine is no good. Thank you for the quick response
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H. Hunter Handsfield, MD
1 days ago
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It's always wisest to limit online health search to professional or professionally moderated services, and avoid those by and for people at risk (like Reddit, for example). And for the most part, AI responses tend to be based on frequency of online mentions, not necessarily the most reliable sources. The official guidelines for gon/chl testing specify initial urine because that's what was done in initial research -- which doesn't necessarily reflect laboratories' day-to-day experience.---