[Question #2749] Gonnorhhea

42 months ago
Hi doctor!

Iam a male and 13 months ago i was giving  oral for other man. I tell this my wife then and We decide to continue only protected sex until std testa is done, that time was about 9 week when  all come back negative

I also did gonnorhhea/chlamydia naat troat swab  11  day after and 15 week after negative also.

I saw new article to link between saliva as lubricart to raised number gonnorhhea

My worry is if my oral gc heals it own before my first test, thats because i use saliva as lubricant with my wife 2 times before test,is it possible infect my wife saliva? 

Then other scenario is if my first test fail and between  9week period if protected sex and second test 15 week we had maybe 10-15 times i was giving cunnilingus to her. If i was infect her at the time, was it come back to me? 

Is my wife serious danger to have dgi after 13months? 

If men get oral gc and clears it by immune systen, is he immune to same bacteria penile infection?
42 months ago
No symptoms either one of us
42 months ago
Edit typo. "Is it possible infect my wife VIA saliva" and " between 9 week period OF protected sex and second 15 week" there was 6 week period unprotected sex include 10-15 performed cunnilingus to her.

I hope you can  help me 
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
Welcome to the Forum.  I am aware of the article that you describe which showed that the gonorrhea bacteria can be present in the saliva of persons with pharyngeal gonorrhea and agree that the bacteria can sometimes be found there.  In your situation however I would urge you to remember that::
1.  You do not know that the man you performed oral sex on had gonorrhea.  In fact, it is statistically unlikely that he did.
2.  Only a small proportion (probably less than 1 in 10) of times that persons performing oral sex on partners with gonorrhea acquire gonorrhea in their throats.
3.  Much gonorrhea of the throat cures itself with no therapy.
4.  Gonorrhea is not transmitted in saliva when used as a lubricant for masturbation. It becomes non-infectious in the process of transferring from one site to another and is transmitted only through DIRECT, non indirect contact
5.  You have proven ,not once but with two separate tests that you do not have gonorrhea

Putting all of these facts together, you realistically have no reason for concern about having acquired gonorrhea or transmitting an infection to your wife.  She is not at risk for DGI.  I urge you not to worry about this.  EWH
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42 months ago
We had protected sex 2 times before my first test and i use my saliva as lubrication. Is that same thing that masturbation and no risk? 

In theory, If man has oral gc and clears it by immune system, but before that pass it to partner. Is man now immune to get it back penile infection?

If women have vaginal gc longtime and over time vaginal sections pass infection her anus is there now change for dgi, i have read that dgi occur recently acquired gc or is this what will happen during first part of infection? 

Thanks for your time! Your answers was really helpful
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
Yes, use of saliva as lubrication is the same as masturbation and is no risk.

There is no known immunity to gonorrhea so even if a man were to clear gonorrhea (from any site of infection, it occurs at all sites at somewhat variable rates), he would still be vulnerable to a future infection.

Your question about spread of gonorrhea from the vagina to the rectum is theoretical and there are no data to answer it.  Please remember however that DGI is a VERY rare complication of gonorrhea.  EWH
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42 months ago
Just want make myself clear, so even in highest unlikely scenario, If i woulfd somehow infect my wife and clear my troat gc, i would get it back urea infection and have symptoms at this time? 

i did everthing else, but not hep c testing, during my exposure i fingered myself and there might have precum on my fingers, is that risk hep c,? 

Thats all, thanks for your time!
Edward W. Hook M.D.
Edward W. Hook M.D.
42 months ago
You were clear.  There has never been a case in which the scenario you are suggesting has been documented.  This is just not a realistic concern.

There is no need for hepatitis C testing.  This infection is rarely transmitted sexually and when it is, it is in the case of unprotected, receptive rectal intercourse.   Your exposure did not put you at risk for hepatitis C.

This is my 3rd response to your questions.  Therefore, as per Forum guidelines, the thread will be closed later today.  I hope the information I have provided has been helpful.  Take care.  EWH 
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42 months ago
Thank you very much, you clear my mind! Bye bye