[Question #6443] Should I get tested? Chlamydia and Gonorrhea

16 months ago
I (male) had unprotected sex (vaginal, oral) three months ago. I was tested for HIV and Syphilis (negative) but was unable to get a gonorrhea and chlamydia test. I've yet to get symptoms and I've heard that men can clear those infections without treatment. At this point is it worth it to get those tests, or I can be pretty certain I don't have them?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Welcome to the forum. Thanks for your confidence in our services.

Asymptomatic urethral (i.e. penile) gonorrhea is rare; without symptoms, you can be very sure you aren't infected. However, many chlamydial infections cause minimal or no symptoms. It other words, without discharge or painful urination after 3 months, you can be certain you don't have gonorrhea and you probably don't have chlamydia, but there is a slight possibility. If you consider your partner to be high risk -- sex worker, multiple partners, etc -- it would be reasonable to have a urine test.

The oral sex part isn't a concern. If she gave you oral, that's much lower risk than vaginal so doesn't mean anything different. And performing cunnilitus (oral-vaginal) is extremely low risk for gonorrhea, chlmaydia, and all other STDs as well. So no worries there.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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16 months ago
Got, it!Thanks.