[Question #14063] STD

 
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1 hours ago

Married male here. Yesterday I received Oral sex and brief unprotected vaginal exposure. Is chlamydia/gonorrhea NAAT accurate at 5 days? Is there risk of gonorrhea if she was asymptomatic? 

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H. Hunter Handsfield, MD
1 hours ago
Welcome to the forum. Thanks for your confidence in our services.

You say nothing at all about your non-marital partner yesterday, which makes it difficult to evaluate your STD risk. But the answer to the first question is yes:  a negative gonorrhea/chlamydia NAAT at 5 days will be conclusive.

In women, symptoms are pretty much useless in judging the likelihood of chlamydia or gonorrhea. Many women have increased vaginal discharge but judging normal vs abnormal vaginal discharge can be difficult; and the majority of cases cause no symptoms. If your partner did report she has been experiencing increased discharge or painful urination, it would increase the chance she was infected. But absence of symptoms is no guarantee at all. In terms of gonorrhea/chlamydia risk, just rely on your own test results.

If your partner was particularly high risk -- like a sex worker or bar pick-up -- you might want to also consider blood tests for HIV and syphilis after a couple of risks.

I hope these comments are helpful. Let me know if anything is unclear.

HHH, MD
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26 minutes ago
I'm a married.  The other woman e is promiscuous and has casual sex, when I asked, she mentioned she tests for STDs at least once a year through blood and urine tests recommended by her family doctor. She has never performed a swab test though. She told me she had chlamydia twice, once in high school ( 20 + years ago) and when she was pregnant another one was found ( 15 years ago). She says ever since she has been clean proven by tests. I have no reason to think this is a lie. Last test was around March April this year. 


My concern is about my risk and to pass it to my wife


1) scanning through some questions I see chlamydia is not commonly transfered through oral sex but gonorrhea is, if her throat was infected, what is the likely hood that I could get  gonorrhea and be asymptomatic?

3) if I decide to continue seeing her, if I usecondoms rolled all the way to the base all the time, would it prevent any skin STDs?

4) If I choose to continue to receive fellatio and ask her not to Deep throat, would that reduce the risk of potential infection since it lives in the throat?

What do you recommend me to do in this case and is there something else Im missing to test for? 

Thanks

Frank Dux