Hello Doctor,I am a male in mid 30s posted in a small town in an Asian country. I was buzzed last week and had a major lapse of judgement. I ended up having unprotected intercourse and unprotected oral with an asian woman who seems promiscuous.  From reading the posts on this forum, I came to understand that after a week of exposure, i shall get tested for CHLAMYDIA and Gonorrhoea. Once its about 6 weeks, then i shall get tested for syphilis and HIV. Do i need to get tested for anything else? 

I have been tested for all types of STDs/STIs in my home country and never had any of them but now i have been feeling slight burning sensation during urination and frequent urination. Now to get tested for CHLAMYDIA and Gonorrhoea, i went to a couple of clinics but since its a small town in an undeveloped country, the physicians don`t seem to have too much knowledge about these STDs and how to test them.  However, i found a testing lab that provides for testing of both CHLAMYDIA and Gonorrhoea. The problem is that they have a few types of tests for both the diseases. I`m mentioning them as below and i`d really appreciate if you could guide of on which type of tests to get done from the tests they provide. As per the lab, POLYMERASE CHAIN REACTION is done via urine sample.

Test Name:NEISSERIA GONORRHOEAE CULTURE
Diseases:Neisseria gonorrhoeae infection
Methology:CULTURE

Test Name:NEISSERIA GONORRHOEAE DNA PCR
Diseases:Neisseria gonorrhoeae infection
Methology:POLYMERASE CHAIN REACTION

Test Name:CHLAMYDIA DNA DETECTOR
Diseases:Molecular diagnosis of chlamydia trachomatis infection
Methology:POLYMERASE CHAIN REACTION

Test Name:CHLAMYDIA SPECIATION BY RFLP
Diseases:Molecular method for speciation of the infecting chlamydial pathogen
Methology:POLYMERASE CHAIN REACTION

Test Name:CHLAMYDIA TRACHOMATIS ANTIBODIES
Diseases:Immunologic confirmation of chlamydia trachomatis infection
Methology:ENZYME IMMUNOASSAY

Test Name:CHLAMYDIA TRACHOMATIS IgG ANTIBODIES
Diseases:Immunologic confirmation of chlamydia trachomatis infection
Methology:ENZYME IMMUNOASSAY

Test Name:CHLAMYDIA TRACHOMATIS IgM ANTIBODIES
Diseases:Immunologic confirmation of chlamydia trachomatis infection
Methology:ENZYME IMMUNOASSAY

Welcome to the Forum.  Your plan for testing is a good one although if you are beginning to have burning on urination, you do not need to wait for testing, you can get tested for gonorrhea and chlamydia now.  The tests you list are the proper ones.

As far as which tests to have done, the polymerase chain reaction (PCR) test is more sensitive than culture for detection of gonorrhea and more sensitive than the enzyme immunoassay tests for chlamydia.  Of the two PCR tests for chlamydia: the Test Name:CHLAMYDIA DNA DETECTOR
Diseases:Molecular diagnosis of chlamydia trachomatis infection, Methology:POLYMERASE CHAIN REACTION test is the correct one.  Both tests can be performed on a small amount of urine collected just as you begin to urinate.

I hope this information is helpful.  EWH

Actually, I did answer your 2nd question although perhaps my reply was buried.  Testing for syphilis and HIV is the only other routine testing I would perform.  I would certainly NOT test for problems such as herpes.

The treatment for gonorrhea is typically a single injection of ceftriaxone, 250 mg, given with a single 1.0 gram dose of azithromycin taken by mouth.  For chlamydia, treatment is just a single 10. gram dose of azithromycin, taken by mouth.  EWH

As per Forum guidelines which permit three interchanges with each client per question, this will be my final response. 

1. E. coli is a different bacteria from the bacteria that cause gonorrhea and chlamydia and is not an STI.  The level of E. coli seen in your urine suggest a urinary tract infection, not an STI.

2. Ciprofloxacin is among the antibiotics that will cure this infection.  I suggest you speak with a local doctor about which of several possible antibiotics might be helpful.  EWH