[Question #635] oral stds

43 months ago
I had a brief oral experience around 10 years ago. The woman giving me my massage started kissing my shaft and head of penis for a few seconds. Her lips might have been slightly opened, can't remember. I have read where a person can get gonorrhea from oral. Had a probe of my urethra. The genprobe  media received with wrong swab. Used VTM MEDIA. They said interpret results with caution. Results were negative for c. trachomatis rRNA and negative for N. gonorrhea r RNA. I should be happy, but does using the wrong swap screw up the test. The hospital lab manager said that my test done 6 years ago should be accurate using the old system.  Should I get retested. My GP said I  should be ok but if I  wanted retested he would do it.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Indeed you should be happy about your test resutls. Using the wrong swab has no known no effect on the reliability of the test results. When a test receives regulatory approval (e.g. by FDA in the US) under certain cercumstances, such as a particular kind of swab, the manufacturer must provide warnings like the one you say ("interpret with caution") if the identical procedures are not followed. It doesn't mean the result is necessarily unreliable. I agree with your GP and advise against retesting.

Equally important, it was a waste of money and emotional energy for you to be tested based on your distant past exposure. Not only did that event carry little or no risk for any STD, but gonorrhea and chlamydia are always cleared by the immune system within months. They never last years on end and there is no possibility you are infected from an exposure that long ago.

This is your 6th question on this forum in 6 months, including 4 within a month. All your questions reveal irrational anxieties and fears about STDs. Repetative, anxiety driven questions are discouraged, and provide little educational value for other users, which is one of the main reasons for this forum. Let's make this your last question on the forum until and unless there is a new exposure that puts you at serious risk for STD. Suggested with compassion, not as criticism. Thank you.

Best wishes--  HHH, MD

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43 months ago
Dr H, I have had a horrible year with aches and pains. I  then do the stupid thing and look at the internet to diagnose myself and find that one negative article that sends me over  the edge with stress. One example finger joint pain, it must be a STD. Hey, gonorrhea can cause joint pains so that must be it. I'm so worn down I'm to the point it's hard to function.  I'm so sorry to have posted over and over again on subjects that scare me. I need my fun life back, because this is really depressing. So in closing. I thought STD's lasted a lifetime,.It's good to know for the people out there that some can resolve themselves.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
I agree that searcing online is often a poor way to figure out the cause of obscure symptoms, especially by anxious persons who may already be obsessed with a particular possible cause. The evidence from your multiple posts is that you are fixated on that distant past sexual exposure and a sexual decision you regret. But it was very low risk; most STDs cannot persist this long; and you have been repeatedly tested for others, like syphilis. There is absolutely no rational reason for suspicion that your "aches and pains", finger pain, or anything else has anything to do with that distant past event.

All this suggests a need for mental health evaluation -- not only because of your apparent obsession, but phrases like "I'm so worn down I'm to the point it's hard to function", "I need my fun life back" and "this is really depressing" only come from people with significant psychological issues. I suspect you are depressed, perhaps seriously so. hope you will seek professional help for it. Like my request for no further forum questions, this suggestion also is from compassion, not criticism.

Best wishes to you.

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43 months ago
Thank You for your help. I'm going to make an appointment to see a mental health professional for my stress and anxiety issues. My GP suggested to retake the test for my piece of mind, because he was confused by the wrong swab issue. One last question before I go  off the site. What do they mean by different swab. I hear they have swabs made out of different materials ( cotton and synthetic fibers ). Wouldn't they all pick up the same gunk in a penis? The pain involved in that  procedure was horrible.


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
"I hear they have swabs made out of different materials ( cotton and synthetic fibers )." True. 

"Wouldn't they all pick up the same gunk in a penis?" Yes. That's why all experts believe a change in swab makes no difference.

"The pain involved in that  procedure was horrible." It often is. Too bad you had it done, since the test was useless, for the reasons noted above. You remain obsessed not only with the exposure, but with testing as the way to know whether or not you are infected. With a little insight, you will realize that the analysis from me and Dr. Hook that you were not and are not infected has several rationales beyond testing itself.

That ends this thread, your last on this forum. I do hope you will indeed follow though with a mental health professional.

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