[Question #1982] Chalmydia Trachomatis

47 months ago
Hello Dr
I had recently been to a dance bar and had a close intimate dance with one of the bar girls. There was no kissing, but close body contact was there. I had briefly sucked her breasts though. This was a lapse from my part and I have never done anything remotely similar to this. I was a bit anxious and therefore decided to go for a STD Panel test comprising of HIV, Herpes, Syphillis & Chalmydia Trachomatis testing after 2 weeks. I have had no symptoms though. 
All tests other than Chalmydia Trachomatis (IgG Antibody, Serum EIA) came out to be negative. This one was positive  with a reported figure of 1.31 with an index value of >1.1 indicating positive results. I am now completely confused on what to do next, as per some of the articles which I have read about Chalmydia Trachomatis, blood testing is not a very accurate way of diagnosing this issue. Should I go in for some other tests, if yes, which ones. Also Gonorrhea seems to be an infection which is common with Chalmydia Trachomatis, so should I get tested for this as well. Lastly, does the positive test on Chalmydia Trachomatis indicate possibility of other STIs also given the type of exposure I have described above.
Thanks

47 months ago
Hi, just to add, I did rub the dancer's vagina from under the skirt but over her panties for a little while. I do not recall having experienced any fluids as such. Other than this episode, I have had no sexual exposure in recent past which can change the diagnosis. Please advise accordingly.
Edward W. Hook M.D.
Edward W. Hook M.D.
47 months ago
Welcome to our Forum. It is my pleasure to try to help.  While bar girls/exotic dancers may be of higher risk for infection than the general population, most such persons do not have STIS and even when they do, even direct sexual contact does not typically lead to infection.  In the situation that you describe, there is no risk for STI (including HIV) acquisition from the sorts of contacts you describe above- no risk from kissing/sucking on an infected persons breasts or from rubbing the vagina (masturbation)  of an infected person with your hands, whether directly or through clothing. 

Blood tests for chlamydia are not well standardized and not a reliable means for diagnosing infection.  The test you describe was most likely a test for antibodies to Chlamydia and is not well standardized are reliable.  False positives do occur and detection of antibodies to chlamydia does not mean that infection is present. Tests for chlamydia should be performed on swabs taken directly from the possible site of infection or, in the case of genital infections on voided urine.  From your description there is no need at all for testing for any STI.  I would ignore the results of your chlamydia blood tests and urge you to move forward without any concern. 

I hope my comments are helpful.  Please let me know if anything is not clear.  EWH
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47 months ago
Thank you doctor for the clarification. We may close this question now.