[Question #2077] FAO: Dr. Handsfield (just due to slight difference in opinion to Dr. Hook)

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86 months ago

Good afternoon Doctor,

After a recent risky exposure outside of my relationship (I am heterosexual)I have recently  tested for the usual STDs at the correct time periods with the NHS – all with negative results.  I have also tested for other STIs through a respectable private clinic here in London with a home urine test which included mycoplasma genitalium, UU, trich and gardnerella which is PCR tested at a leading Lab in London. 

Questions

1.      1. You usually say that ‘most STI’s clear on their own with treatment within ‘a few weeks to months’.  However you responded to a separate post recently asking about Mycoplasma Genitalium and Trich and said that these would be much longer lasting and would last for months or even years. Would you say the same would apply in the case of Ureaplasma Urealyctum? – eg. months rather than say 5 weeks?

2.       2I took my urine sample whilst sitting down on the toilet. I got the first catch but then moved the sample pot away slightly so it didn’t over flow. I can’t remember if I stopped urinating briefly and started again into the toilet or whether it was a continuous flow into the toilet after moving the sample pot away, but either way after moving the sample pot away some urine went into the pot after a short delay of none going in as it came out of my penis at angle. Would this have any impact on the testing, even if i had stopped and started again?

3.       3. Finally, I did the test when I woke in the morning. I had held my urine  as advised, however, as I’d been asleep I’m concerned I may have been aroused in my sleep shortly before and any pre-ejaculate that had discharged from my penis which usually happens when I am aroused could have impacted the test accuracy in the same way as urinating shortly before taking a urine sample would? Or would pre-ejaculate / discharge be different to the impact urine would have and irrelevant to test accuracy?

Thanks Doctor

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H. Hunter Handsfield, MD
86 months ago
This is at least your third question, using different email addresses. Repetative questions and multiple accounts are not permitted. I'll answer these questions briefly, then close this thread without further disucssion.  Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions on these topics will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

1) The times these infections may persist without treatment are only educated guesses by experts. I don't see much difference between the durations you have found. Ureaplasma urealyticum is a normal bacteria in the urinary tract, rarely causing disease. My guess is that it can last for months or years.

2,3) You are seriously overthinking this. The urine tests for STDs are not known to be affected by any of these factors, nor is there any plausible scientific reason why they might be. Don't worry about it.

HHH, MD
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