[Question #3399] Complete std panel test negative after 17 weeks and 4 days test

35 months ago
Hello sir/ madam,
I made biggest mistake of my life by having sex with a stripper 5 months ago. The sex was protected one. We only had vaginal sex for 4-5 minutes. There was no oral sex at all only brief kissing for 5-7 minutes. After that incident i have really been depressed with maybe i might have got some type of std. i got myself tested several times but all my results came back negative each time. The test i got done was from quest diagnostics and everytime i got tested for complete 10 panel std test that includes chlamydia, Gonorrhea, syphilis, hiv 1/2 , herpes 1/2, hep A, hep B and hep C. The duration of tests are as follow
1. 1st test after 12 days of exposure
2. 28 days after exposure
3. 10 weeks after exposure
4. 13 weeks after exposure
5. 15 weeks and 4 days after exposure
6. 17 weeks and 4 days after exposure
Herpes test was type specific igg and for syphilis was rpr blood test.
I got myself tested for 6 times for everything and now it is almost 21 weeks and i am still worried and depressed with what if the results are still false negative.  I never got any sore kind of thing near my genitals or lips. Can i consider my test results to be 100% conclusive?Please help me because i really want to move on and want to get done with this. This is really affecting my life and i am not able to focus on my work. I am getting into a new relationship and i dont want to spread any kind of sti to my sexual partner in future and that is why i got tested soo many times. Really looking forward for you to help me please.
Thank you!!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
Welcome to the forum. Thanks for your question.

For the sort of exposure you describe, you were seriously overtested (probably at rather substantial expense that was unnecessary!). The chance of most or all these infections was low to zero; and for most there was no need for testing beyond 6 weeks. However, the results you report are conclusive, but with one caution:  The only way to reliably test for gonorrhea and chlamydia is with a genital tract specimen, either a urethral swab or urine. If those tests were blood tests, they are not reliable. That said, the chance of either infection with condom protected sex is zero or close to it; and absence of symptoms (urethral discharge, painful urination) also is strong evidence you weren't infected.

So you can be sure you didn't catch any of the infections for which you were tested and cannot transmit any of them to your future sex partner(s).

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

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35 months ago
Thank you soo much sir for your reply. The tests for chlamydia and Gonorrhea were done by urine sample each time. I want to give little bit of more detail. After the exposure maybe after 3 or 4 weeks i got a little skin raised on my penis and it is painless and i should it to 3 different doctors including dermatologist and everyone told nothing to worry this is nothing related to herpes or any sore and is still there.No pain at all but from past 2 days i am feeling temporary minor pain near my penis. So i am again worried. Should i take another tests at 21 weeks? Or is it possible that the tests results might change in future if there is no exposure? I have ready many articles on google that says it might take upto 6 months to show positive for herpes. Please i need your advice sir. I am more worried for herpes, hiv and syplilis. 
Thank you once again for your reply. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
Thanks -- glad to know you had proper gonorrhea/chlamydia testing. The negative results for these two STDs at 12 days were conclusive; all others were superfluous. The "symptoms" you describe are not abnormal -- you're obviously paying too close attention to your penile skin out of anxiety. Three different personal examinations have told you the same thing:  why in heaven's name would you doubt such strong evidence? There is no possibility any of your tests will change, and herpes is conclusive at 4 months; 6 months is unnecessary.

Do your best to accept this reasoned, science based reassurance. You had a low risk exposure and did not catch anything. Please don't ask for further clarification of my opinion. There is no information you can provide that would possibly change my opinion or advice. If you still find yourself obsessed about all this, all I can do is suggest professional counseling.

Really, move on. Don't confuse your anxiety over a sexual decision you regret with infectious consequences of it. They aren't the same.

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35 months ago
Thank you doctor for your time and effort. I am now really looking forward for some professional counselling and after your advice now i dont wish to take any further tests. Thank you once again!!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
35 months ago
Thanks for the thanks. I'm happy to have helped. Best wishes and stay safe!---