[Question #3054] Unprotected Oral Sex

40 months ago
Hello, almost exactly 4 weeks ago I engaged in protected sex and unprotected oral sex with someone who is not my regular partner. We had sex 2 times and unprotected oral sex both times that lasted about 2 or so minutes each time. Since then I have had no obvious symptoms and I took a naat urine test for Chlamydia and gonorrhea 5 days after the encounter. Those both came back negative. I admit I am overly guilty about this encounter and have been anxious ever since. Last night I felt like I had to pee every 5 minutes and the urge to urinate is still kind of there. Also over the last 4 weeks I have felt some stuff going on down there, like some discomfort in my testicle, urge to pee,  but I don't know if its because I have been thinking about it practically all day every day. My question is does any of this sound like I could have gotten Chlamydia or gonorrhea on that day, and the test 5 days after missed it?  Should I retest? Thank you doctors, this is an excellent service
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Welcome to our forum and thanks for your question.  I'll be happy to comment. First, the exposure.  Most people do not have STIs and even most unprotected exposures do not lead to infection.  In your case, condom protected genital sex and unprotected oral sex are both very, very low risk for acquisition of infection.   

Then, NAAAT urine tests for Gonorrhea and Chlamydia are amongst the most sensitive diagnostic tests in all medicine.  You should believe your tests.  

Finally, symptoms of urinary urgency and testicular discomfort are both non-specific problems more associated with anxiety than infection.

For all of the reasons I've listed, I would urge you no not worry further about this exposure and to do your best to move forward without concern.  There is no reason for further testing.  I hope this comment is helpful.  EWH
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40 months ago
Thanks for the reassurance Dr. With your response and the research on this forum it looks like my low risk exposure, combined with negative tests and no obvious symptoms it seems like me having anything would be extremely unlikely and unlucky. 
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
You are absolutely correct.  I hope you can move forward without further concern.  Take care.  EWH---
40 months ago
Thanks doc. I went on a spiral of googling stuff and most websites do say that 1-3 weeks is the most accurate time for a gonorrhea and chlamydia test. As a person who is already anxious this put a lot of doubt in my mind that I tested to early. Why is it that these websites and some testing centers recommend waiting that long? It seems like every site has somethings different regarding the likelihood of symptoms and the testing windows. Its confusing
Edward W. Hook M.D.
Edward W. Hook M.D.
40 months ago
Seeking information on the internet is a bad idea. All too much of what is found there is taken out of context, mis-interpreted or just plain wrong.  Most people with gonorrhea are symptomatic at 3-4 days.  Chlamydial infection can take a bit longer but the NAATs tests are typically positive in 2-3 days after exposure.  No change to my assessment.

This is the third and therefore, as per Forum Guidelines, my final response as part of this thread. The thread will be closed in a few hours.  Please don't worry.  EWH
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40 months ago
Just wanted to thank you again