[Question #13924] STI concerns
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2 hours ago
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Hello Doctors. Let me first give you my history. Last Saturday(eight days ago), I went to an Asian massage parlor. I ended up laying on the table and getting only a hand job. I washed up and left. As far as the girl she seemed nice, but I did not check her hands or anything to see if there were any open sores on them. On Tuesday, maybe Wednesday I started having right groin pain that kind of radiated into my testicle area as well as pelvic area. On Friday, I went to LabCorp in the morning and gave a urine sample for gonorrhea, chlamydia, trich. In the afternoon, I went to an urgent care and got a 500mg shot of Rocephin in the butt as well as started taking doxycycline 100 mg twice a day for two weeks. As of this morning, I got my tests back and everything was negative. There has been no discharge, burning or pain on urination, but I continue to have some groin/pelvic pain.
1)are my tests in your opinion accurate or do they need to be repeated? I've heard six Days maybe way too early to detect. Could I have a false negative?
2) if I was having symptoms from an infection would the urine test, be typically positive?
3)can sometimes the reception shot not be effective?
4) would the doxycycline also prevent syphilis from occurring? All treatment started six days after the exposure.
5) apparently before she saw me she was using the restroom. What if she did not wash her hands or had cuts/sores or some sort of vaginal discharge on her hands. Would that put me more at risk and be more concerning??
6)do I need to do follow up testing after finishing the antibiotics or even before?
Thank you
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Edward W. Hook M.D.
2 hours ago
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Welcome back to the Forum. Thanks for your continuing confidence in our service. I'll be glad to comment. I happened to be on the Forum when your question arrived so you are receiving a response more quickly than is typical. Any follow ups may take longer to receive a response.
This was a virtually no risk encounter. The transfer of STIs through had to genital transfer of infection through mutual masturbation is virtually unheard of which is the reason that experts (including us), the WHO, and the US CDC all consider exposure to secretions or blood in the context of mutual masturbation a virtually no risk event. In response to your specific questions:
---1)are my tests in your opinion accurate or do they need to be repeated? I've heard six Days maybe way too early to detect. Could I have a false negative?
I would encourage you to believe your test results. The tests are very reliable, the tests were taken at a time when tests are conclusive, and the chances of a false negative test are quite low.
2) if I was having symptoms from an infection would the urine test, be typically positive?
Yes- see above.
3)can sometimes the reception shot not be effective?
The treatment you received would have almost certainly cured gonorrhea if it were present.
4) would the doxycycline also prevent syphilis from occurring? All treatment started six days after the exposure.
Both the ceftriaxone and the doxycycline would prevent syphilis as well if you'd been exposed.
5) apparently before she saw me she was using the restroom. What if she did not wash her hands or had cuts/sores or some sort of vaginal discharge on her hands. Would that put me more at risk and be more concerning??
See my comments above. If she'd not washed her hands, your risk for infection through transfer on contaminated hands would be virtually zero.
6)do I need to do follow up testing after finishing the antibiotics or even before?
I se no need for further testing. I suspect that your discomfort was due to something other than an STI.
EWH
I hope this information is helpful.