[Question #5973] STD? NGU? Confused

19 months ago
Hi Doctors,
I am married. On 8/24, I received unprotected oral sex at a massage parlor. I've had no other encounters like this...and feel terrible about it. Approximately 6 days later, I started feeling a general discomfort in my penis area with some itching. I had an STD panel done on day 7 after the unprotected oral and everything came back negative (chlam, gon, herpes, HIV, syph). Since then, I still feel discomfort and what seems like urethral itching. I've never experienced discharge or pain while urinating. After researching symptoms on the internet, I started panicking this was NGU so I took a 1G dose of Azythromicin yesterday and will take the remaining 250mg tablets over the next two days. Is there additional STD testing I need? Can I trust my test results? Can I resume unprotected sex with my spouse? Thanks in advance for your help!!
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
 Welcome to our forum and thanks for your question.    From your description it sounds as though you acquired NGU from receipt of oral sex. NGU following oral sex is rarely due to chlamydia and most often occurs because of introduction of mouth organisms into the penile urethra.   Your test results prove that you did not have chlamydia.   The azithromycin that you took should result in resolution of your symptoms. At that point you should be in the clear. After that, there is no need for further testing and no need to abstain from unprotected sex with your regular partner.  I would not worry further.

 I hope that this information is helpful to you. If there are further questions or if anything is unclear please don't hesitate to use your follow-up questions. EWH 
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19 months ago
Thanks so much for the prompt response! So no more testing needed...got it. On resuming sex with my spouse, so I'm ok to do so now given I took the antibiotic yesterday? Can a woman get NGU? 
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
The oral bacteria that cause non-chlamydia NGU following receipt of oral sex are not harmful to sex partners.  There is a counterpart to NGU in women which is called mucopurulent cervicitis (MPC).  EWH---
19 months ago
Helpful, but I'm confused now....so sorry. Can I resume sex now with my partner or do I need to wait for itching to subside? And my last question, with no discharge or pain while urinating, was there a chance this is not NGU?
Edward W. Hook M.D.
Edward W. Hook M.D.
19 months ago
 Not sure why you're confused. What you described was probably NGU.  There is no way to know completely unless you had had a urethral swab at the time of diagnosis (which you did not). Thus we have to go with probabilities. This was most probably NGU based on your history and descriptions. It was treated. Your partner is therefore no longer at risk. 

 There is no need for additional testing. There is no need for follow up. There is no need to abstain from unprotected sex with your regular partner.

 I hope this is now clear. As you know we provide up to three responses to each client's question. This is the third response. Therefore this thread will be closed shortly. EWH  
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19 months ago
Apologies. I'm just anxious about a mistake I made and there is a ton of conflicting information out there. I appreciate the work you all do.