[Question #1849] STD Oral
91 months ago
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Edward W. Hook M.D.
91 months ago
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Welcome to the Forum. I'll be pleased to comment. Among various sorts of sexual activity, oral sex is lower risk than genital or ano-genital sexual contact and only relatively rarely leads to infection. When it does, the most common problems are either gonorrhea of non-gonococcal urethritis NGU) caused by mouth organisms introduced in to the urethra during sex. This sort of non-chlamydial NGU is not clearly and STI in the traditional sense, is not readily transmitted to sex partners like other STIs, and in not associated with complications. In the Unitized Kingdom, many specialists do not treat NGU associated with oral sex. When treated, oral sex-related NGU typically resolves quickly.
Having provided this information, given the fact that you have mild symptoms, my advice would be to seek a urine test for gonorrhea (and, although very, very unlikely chlamydia) before you return to sex with your wife. While I anticipate it will be negative, it is the safest approach when we consider your symptoms. I would not worry at all about HIV and syphilis is very, very unlikely as well.
I hope this is helpful. EWH
91 months ago
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Edward W. Hook M.D.
91 months ago
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Have your symptoms continued ? If not, I would not worry however I will share the following information with you:
1. Garamycin is treatment for gonorrhea and would treat many urinary tract infections. If you are continuing to have symptoms, this may be very helpful.
2. Typically blood tests for chlamydia do not do a good job of diagnosing recent chlamydial infections but may tell you if you have had chlamydia in the past. As I mentioned chalmydia is very, very rare following receipt of oral sex so I suspect that this in to the cause of your symptoms.
The most important question however is whether or not you still have your symptoms at this time. EWH ..
91 months ago
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Edward W. Hook M.D.
91 months ago
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Seeing a knowledgeable STD specialist is a good idea. As for your follow-up questions: