Hello

I was at a party on 1/10 and got very intoxicated. There is a 2 hour window where I do not recall anything that happened. It has never happened to me before. Because of this, I felt it necessary to test for STDs on Monday morning of 1/13. I was tested for Chlamydia and Gonorhea and both came back negative today 1/15.

Is this long enough for both of these tests to be conclusive?

I am currently experiencing mild testicular pain, as well as discomfort in the head of my penis. No discharge, no burning or pain during urination. Could this be something else? Syphillis? 

Assuming I had sex when I was ultra intoxicated...what are your thoughts? Am I being too anxious about this? I just want to get back to my girlfriend and my normal sex life...

Thank you!!!

Welcome to our Forum and thanks for your question and your confidence in our service.  I'll do my best to help.

Your tests for gonorrhea and chlamydia, taken more than two days after your blackout, will provide accurate information regarding the presence of absence of gonorrhea or chlamydial infection at the site which was tested.  You can have confidence in your results. 

Isolated testicular pain in the absence of other sings and symptoms such as burning on urination or a penile discharge is quite unlikely to be due to an STI.  Your negative tests make it even more unlikely.  Syphilis would not cause testicular discomfort. 

Regarding your risk while you were blacked out, let me make a couple of points:

1. It is hard for a male to have sex while blacked out as erections are more difficult to achieve.

2.  Even if you had sex, most persons do not have STIs.

3.  Even if you had sex with an infected partner, most single encounters do not lead to infection.

Keeping these consideration in mind and given your negative tests, this is something I would not be worried about.  I hope this information is helpful to you.EWH

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Thanks Doctor.

1,  Correct. Current tests for gonorrhea and chlamydia are very sensitive and highly reliable.

2.  I cannot provide a diagnosis however they would be unlikely to be due to the possible exposure you describe.  could there have been trauma of some sort during your black out?

3.  If an uninfected male has sex with an infected female with gonorrhea or chlamydia the risk for infection is about 20%- 1 out of five people get infected.  For an uninfected woman exposed to an infected man with the same organisms, the risk for infection is slightly higher, about 30%

4.  No.  I would move forward without concern

EWH

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Thank you Dr...I suppose I was just a little confused because I have seen conflicting information on this site from Dr. Handsfield I believe...indicating that Chlamydia tests are only conclusive at 4-5 days post exposure.

Thanks for your question.  Dr. Handsfield and I do not vary as much as you might think.  In general we would prefer a day or two more than two days to make sure positive tests reflect true infection as opposed to residual organisms present following an exposure which do not take hold to cause infection.  While it takes a day or two for infections organisms to begin to grow but a negative test at two days is a reliable way to rule out infection and should be believed.  Really!  Have confidence in your test results.  EWH---

Addendum.  This is my 3rd response to your questions.  As per Forum guidelines, this thread will be closed shortly without further replies.  Take care.  Please don't worry.  EWH---