[Question #2670] Follow Up Question

41 months ago
Dr H, since my last post, I have gotten a urinalysis.  Everything came back normal.  I was negative for everything.  My concern is that I read through the site and read a post about std testing.  When I did a urine test for gonorrhea/chlamydia, not only had I just urinated 15/20 minutes prior, but it appears I was instructed incorrectly as the lab tech told me to do a midstream catch.  I did as instructed.  I urinated some, then stopped, then went into the cup.  Does this essentially make my test useless?  I understand the spontaneous resolution but I have discomfort when peeing, upon starting, and it feels like a burning sensation but it's never painful where I dread urinating.  Again, I have never had discharge that I am aware of.  Should I get retested or am I okay?  Since this incident, now ten months ago, my wife has gotten pregnant and that is the source of my anxiety.  Thank you for your time. 
41 months ago
Question 2606 was my original question.  It took a lot for me to test in the first place.  Really don't want to have to do it again but if I need to then I obviously will.  Thank you, Dr.
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Welcome back to the Forum.  In preparing to address this question I reviewed your earlier interaction with Dr. Handsfield and agree with his assessment and suggestions.  I'm sorry that you continue to worry about the possibility of infection.  The instructions for collecting urine specimens for STI testing are made to optimize the performance of tests and address theoretical concerns such as not having waited long enough before collecting the urine specimen or having collected a mid-stream specimen.  As it turns out however, these sorts of things are actually inconsequential in terms of test performance.  I urge you to stop worrying about the quality of your tests and believe the results.  it is (past time for you to put this behind you).  You are in the clear.  EWH
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41 months ago
Thanks, Dr. My urinalysis tested for uti. No leukocyte or nitrates, etc. so last questions. Uti was clear. Gonorrhea and chlamydia clear, as you've answered my concern for the testing. I did the naat test via TMA. Would my urinalysis testing for uti have been off if I had gonorrhea/chlamydia? And I can continue sex with my wife and let it go? I just don't understand the burning sensation when I pee. I really appreciate you. Thank you again. 
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
No, if you had gonorrhea or chlamydia, it would not impair the ability to detect a UTI, or vis versa.  You need to move forward from your concerns without hesitation.  There is no reason to abstain from unprotected sex with your wife. 

 As for your abnormal sensations, I would not worry about this.  I would sometimes when a person is looking hard for abnormal sensations, what is detected are normal sensations which are otherwise normally overlooked. 

I hope this will help you move forward.  Take care.  EWH
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41 months ago
Sorry Dr, I meant would my uti test have shown abnormalities if I had gonorrhea or chlamydia. I appreciate your advice and comments as I know it is frustrating to be in your position. Really do appreciate what you do for the public, 
Edward W. Hook M.D.
Edward W. Hook M.D.
41 months ago
Tests for UTIs are not totally sensitive for the presence of chlamydial infections in particular.  You should believe your specific tests for chlamydia and gonorrhea- they are to be believed.

This is my third reply to this follow-up question. thus later today the thread will be closed.  In closing however I must state that it seems to me that your guilt and anxiety over an encounter now in the distant past is your problem and that you need to be believe your tests and move forward.  Further testing or questions about test accuracy is a waste of your time and emotional energy.  I say this in an effort to be of service to you- nothing more.  EWH
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