[Question #666] Risk and assessment
106 months ago
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106 months ago
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Edward W. Hook M.D.
106 months ago
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105 months ago
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Edward W. Hook M.D.
105 months ago
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At 26 weeks with no positive tests there is no appreciable risk for having acquired herpes form the encounter that you describe. While there are no formal studies, our estimate of the risk of getting herpes from an infected partner who does not have lesions is somewhere between 1 in 1000 and 1 in 10,000 per exposure. With negative tests, your likelihood of infection is lower still. At this time, even with prior negative tests, your risk of having a falsely positive test is still higher than your risk of having been infected. I see no reason for further testing and instead, urge you to move forward without further concern.
I cannot tell you why doctors would give medications without an indication. Perhaps they feel it is the quickest way to address a patient's concerns and misjudge the risk of giving medications that are not needed.
I see no reason for further testing and no reason for concern. I suspect you are overthinking this, perhaps related to your guilt/shame over the event. I urge you to move on and not worry further. Stay safe. EWH
105 months ago
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105 months ago
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Edward W. Hook M.D.
105 months ago
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Thanks for the reminder. I had missed your follow-up questions.
When persons have burning on urination it is not positional but is more prominent the longer the interval since last void (due to the build up of inflammatory material over time) Similarly a split stream is one of those things that does happen from time to time and does not suggest an STI, including NGU. I would urge you not to worry further.
I hope this comment is helpful and wish you well going forward. EWH
105 months ago
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Edward W. Hook M.D.
105 months ago
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