[Question #6430] Test Accuracy & Symptoms
14 months ago
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Edward W. Hook M.D.
14 months ago
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Welcome to our Forum. I'll be glad to answer. The short answer is that you are in the clear- all of your tests for STIs should be believed and are reliable. Could you clarify however whether the oral sex you participated in was giving, receiving or both. The reason I ask is that if your exposure was giving oral sex, to be entirely sure you were not infected, you should have a throat swab for gonorrhea and chlamydia. Your tests for HIV, syphilis, hepatitis and BV are certainly conclusive .
I'll now provide a bit more detail:
1. In general, the sexual activity you describe, oral and some genital rubbing without penetration is relatively low risk for all STIs.
2. Urine tests are statistically equivalent to swab tests for detection of gonorrhea nd chlamydia.
3. HIV tests are conclusive at any time more than 6 weeks after an exposure.
Given your test results, the rash under his armpit is due to something other than an STI. There are any number of possibilities but, whatever it is, it does not represent a threat to your health.
I hope this information is helpful. If there are further questions, please feel free to use your up to two follow-ups for clarification. EWH
14 months ago
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14 months ago
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Edward W. Hook M.D.
14 months ago
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14 months ago
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Edward W. Hook M.D.
14 months ago
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Gonorrhea and chlamydia are transmitted through direct contact. Thus, your throat could have become infected when you performed oral sex on him. You indicated that you did not have penetrative vaginal sex with him, therefore you could not have gotten infected even if he had been (these infections are NOT transmitted through rubbing bare genitals without penetrative sex). since you indicate that he has not had prior partners, it is unlikely that either of you are infected. As I said above, if you want to be 100% confident you are not infected, a throat swab should be done. My guess however is that it is unlikely that you were infected and, if I were you, I would not be worried and probably would not pursue testing. Our role on this forum however will be to provide all information possible to clients.
In answer to your other questions:
The rash you describe would not be something that is seen with gonorrhea or chlamydia.
Most men with genital infection do develop symptoms.
The available tests for gonorrhea and chlamydia are very sensitive and reliable, including when specimens are taken from the throat.
I really would not be worried at this time. I hope the information I have provided is helpful. As per Forum guidelines, as this is my 3rd reply, this thread will be closed shortly. Take care, EWH
14 months ago
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Edward W. Hook M.D.
14 months ago
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