[Question #5238] UTI or STI

24 months ago
So about a month ago me and my girlfriend have sex after a long time of not having sex.  I got checked for STI back June 2018, I did have a couple encounters of unprotected oral sex and protected sex with other people after that.  She said she has had burning during urination for the last month starting about a week after we were together... and just burning pee, no discharge or itching. She took an at home UTI test and it came up first for leukosites but not nitrates (or whichever they are...)  I havent noticed any symptoms in myself (no burning or discharge or urgency of having to pee)  Could I be asymptomatic and giving her something? could I have given her something before and its just "Flaring up"? how often is asymptomatic in women? 
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Welcome to the Forum.  I'll do my best to help. While any STI can be present without symptoms, STIs are relatively uncommon following receipt of oral sex and condoms are highly effective for STI prevention.  The penile STI most common following receipt of oral sex are gonorrhea which is obvious and symptomatic in about 90% of persons with the infection.  Chlamydia which is asymptomatic in about 60% of infected men is much less commonly acquired from oral sex.  OTOH, UTIs are also associated with sexual activity for women.  My guess is that this is most likely a UTI but the only way to know for sure is to test.  

I hope this guidance is helpful.  EWH
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24 months ago
So she went to the Dr, they said no STD and infection and gave antibiotics.  Now could they really determine it wasnt an STD with a visual inspection? 

If I get tested should it just chlamydia and gonorrhea?  I previously had a negative HIV test (4th Gen AB/AG) at ~5 weeks after a very brief unprotected intercourse encounter, since then there has been no unprotected intercourse (only oral) and the gamut of other tests, (Hep A-C, HSV 1-2 etc,) all negative.
Edward W. Hook M.D.
Edward W. Hook M.D.
24 months ago
Sadly, a health care professional cannot rule out the possibility of an STI with a visual inspection.  My sense is that you are nervous about this and want to do what is right for your partner.  Thus the path of least resistance is for you to go and get a urine test for gonorrhea and chlamydia.  I see no reason to test for other STIs, including HIV and my guess is that the urine test will be negative too but better safe than sorry and you'll feel better.  

I hope this is helpful. EWH
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23 months ago
So I got tested for both and both came back negative.  There couldnt be a possibility of an old infection showing symptoms now right?
Edward W. Hook M.D.
Edward W. Hook M.D.
23 months ago
Thanks for the follow-up and good job in getting test.  Better to be safe than sorry.  If you were infected, and a danger for infecting others, your test would have been positive.  current tests for STIs are amongst the most sensitive tests in all of medicine.  You can be completely confident that your GF's symptoms were not dur to something you gave her.  You in the clear

I hop[e these comments are helpful to you.  As you know, we provide up to three responses to each client's questions.  this is my 3rd response. thus this thread will be closed shortly without further responses from me.  Take care.  EWH
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