[Question #4194] additional questions on Oral risk

31 months ago
Hi and thank you for the continued service you provide.  I wanted to ask some additional questions on risk from oral exposure (received fellatio).  For peace of mind I took a Siphilus test 6 months to the day of a potential exposure, as well as another ghonorhea test.  A few questions:

1)  there really isn’t much talk about hepatitis with regards to received oral.  I am wondering what the risk is here (if any) and whether it makes sense to get tested down the road.  

2)  my original test for ghonorhea was 2 weeks after incident, but at the time I was only a few days removed from on levoFLOXacin for another issue. I have read that being on antibiotics may give false negative, so wondering if this would be the case with this specific drug. 

Thanks again.
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
Welcome back to the Forum.  On this occasion I will be answering your questions which are, at least in part a bit repetitive from your earlier interaction with Dr. Handsfield.  I agree with all that he has said.  In answer to your questions:

1.  There is no evidence, or even a suggestion that hepatitis B or C have ever been acquired through receipt of oral sex.  I see no need for concern or for testing related the the exposure you described.

2.  Dr. Handsfield has already answered your question.  Given your ingestion of antibiotics, there is no way to know if you acquired Gonorrhea from your exposure but your follow-up testing proves that you were not infected when you were tested.  I see no reason for concern.

I hope this information is helpful.  EWH
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31 months ago
Hi and thank you again for your reply.  I had one final question.  I received my test results today and wanted to make sure it included the Siphilus test, as it was not well labeled for a lamen.  The results were non responsive for a test labeled 

RPR (DX) W/REFL TITER and Confirmatory Testing

Want to confirm that this test is indeed for siphilus and is negative

And as a final note, these answers bare very helpful.  As you can imagine, we are all here because of fear and anxiety of the unknown, and your service does a great job of helping explain things in a very responsible way, many times easing anxiety and removing the stigma of these sorts of questions.  Keep on doing what your doing.  
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
Yes, test results reported as non-reactive for syphilis are definitive for your exposure six months ago.  You can be confident that you did not get syphilis from the exposure you described.  You can move forward without concern.  EWH---