[Question #13636] Unprotected oral STI concerns
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2 days ago
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Hi doctors. About 4 weeks ago, I went for a massage in an Asian Massage Parlor but ended having unprotected oral sex (received fellatio and anilingus) and protected vaginal sex with the CSW. She offered unprotected vaginal sex which I declined and had protected vaginal sex.
A week later I had penile discharge and sore throat. I went to see a GP who administered a shot of Ceftriaxone and Azithromycin 500mg x 2 tablets. The GP ordered urine sample and throat swab for Gonorrhea and Chlamydia, and the test was positive for Gonorrhea in both urine and throat.
14 days after the exposure, I asked the GP for other STI testing - HIV, Syphilis, Hep B & C which all came negative.
2 days after my exposure, I had unprotected intercourse with my partner. After I got diagnosed with Gonorrhea, I informed her. She tested 2 weeks after the intercourse, and 5 days later she results showed that she was positive for Gonorrhea too. So, on day 19 after intercourse, she got the same treatment as me.
So, given that the CSW offered unprotected sex (both oral and vaginal) to all her clients, please help me with the questions below:
(1) What are the chances of me getting other STIs - specifically Syphilis and HIV? If I have got other STIs, how contagious I would have been during my unprotected intercourse with my partner (which was 2 days after the exposure), and what are the chances I could have infected her? I feel so guilty about me transmitting Gonorrhea to her already.
(2) How conclusive are the results from the 14 days? Do I need to get re-tested again? Do I need to get any other STI tests?
(3) What are the chances that Gonorrhea have affected mine and my partner's fertility? Will there be any issues in future after treatment?
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Edward W. Hook M.D.
1 days ago
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Welcome to our Forum and thanks for your questions. I’ll be glad to comment. Your infection, as well as the infection your partner had was treated correctly. Further, your treatment eliminates virtually any risk for syphilis- that is not a concern. Hepatitis C is rarely sexually transmitted and your risk for hepatitis B is quite low as well but your testing was not conclusive. Repeat testing at 4-6 weeks would be conclusive. Personally I would not be concerned about hepatitis.
The chance that your infections had any effect on you or your partner’s future fertility is very, very low and not something to worry about.
My advice is to move forward without concern. EWH
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