[Question #6671] Please help me figure out my chances

13 months ago
On sept 14 2019 I received oral sex from a man. About 5 days later I had some burning when I peed. About 2 days after that I had sex with my wife. No ejaculayion in her mouth or vagina. I would think that increases the risks. About 2 more days after that, about 10 days from the 14 I had about a quarter sized maybe a little more amount of white discharge come out. I Freaked. Realized I had doxy and took it for the next week. Went to see doc a week later and he took a urine sample that was positive for lekolytes and nitrites I believe. Showing bacteria. Test came back negative (probably because of the doxy I took. Fast forward weeks later Exactly 7 1/2 weeks and she still had no symptoms and she’s not one to dismiss anything going on with her body. She also had her yearly exam at this time pap came back normal(I think std can cause abnormal pap) urine test came back normal( no lekolytes no nitites) blood came back normal(no elevated wbc. I think std can raise wbc) fast forward and now we are at 5 1/2 months with 0 symptoms. We’ve also had sex 7 times and I have not been reinfected.im no doc but all this together seems like she probably didn’t get it. I know it’s not passed EVERYTIME. How long can a woman remain with 0 symptoms? Could I have not gotten it back by now if she had it? I guess it’s possible but is it likely? I feel like everything points to she’s fine but that’s why I’m here.   Can a woman go 6/7/8/9 months with nothing showing?
13 months ago
Forgot to add but I sure you can realize I’m guessing I had Gono or NGU. Won’t know cause I foolishly took the medication.  I’ve been living a nightmare for 5 + months now and I just want to know what you think. I know no 100 percent certainty but more what’s the likelihood given the info I’ve provided 
Edward W. Hook M.D.
Edward W. Hook M.D.
13 months ago

Welcome to the Forum and thanks for your question.  I'll do my best to help but you may never have a 100% clear answer to your questions as the doxycycline you took has obscured the chances of finding an answer.  From a statistical point of view you are more likely to have acquired non-chlamydial NGU from the exposure you describe than either chlamydia or gonorrhea.  The timeline you describe is also more consistent with NGU than with gonorrhea, as is your response to therapy (only about half of gonorrhea is cured with doxycycline at present).

As I read your question however, I sense that your major concern is whether or not you may have transmitted anything to your wife.  Non-chlamydial NGU following receipt of oral sex appears to result from the introduction of another person's throat bacteria into the urethra and while acquired through sexual activity is not readily transmitted to others to cause problems for them.  Some experts argue that there is no need to treat it.  Irrespective of what it is however, given your wife's normal examination, your own normal urinalysis, and your lack of recurrent symptoms, this all suggests that whatever was going on was not transmitted to your wife and has not been back to you.  You cannot be 100% sure however as women can remain asymptomatic for long periods of time.  A urine test for gonorrhea and chlamydia would add to the likelihood that neither you nor your wife is currently infected.

otherwise there's not too much to do.  I hope these comments are helpful to you.  EWH

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13 months ago
Thank you for your response. Couple follow ups though...I realize it can remain asymptotic for long periods of time but how common is it for Gono(if it was that and you seem to think it wasn’t) to cause no symptoms for 6 months?  What percentage of women have 0 symptoms for that length of time?  What is the time frame where you’d say with almost certainly that Gono was not the cause? 7 months? 8 months of no symptoms?  And do you know the likelihood  IF that is what it was and now we’ve had sex 8 times with no recurrent symptoms to me that that I wouldn’t get it? I would think if she did have it after 8 exposures I would have most likely got it back by now.
13 months ago
Also what is the typical timeline for gonorrhea symptoms in a man?  Is discharge usually a continuous discharge that comes out throughout the day once it starts? I believe this is my last reply. Thank you for your time and look forward to hearing your response 
13 months ago
One more if allowed your statement “  Non-chlamydial NGU following receipt of oral sex appears to result from the introduction of another person's throat bacteria into the urethra and while acquired through sexual activity is not readily transmitted to others to cause problems for them. “ does this mean it’s not usually passed or it is possible to pass it but it is  harmless to them and causes no problems.. promise last reply. If not allowed, I understand. Thanks again
Edward W. Hook M.D.
Edward W. Hook M.D.
13 months ago

Your follow-up questions are indicative of your concern over the tiny chance that you acquired an STI and then transmitted it to your wife.  The information i provide below is estimates since there are no scientific studies to provide answers (it would be unethical to follow portions who are known to have infection and not treat them). 

At least 90-95% of men with gonorrhea will develop symptoms of an obvious discharge, most typically in 3-5 days after acquisition of infection. Asymptomatic infections certainly do occur and can certainly persist for weeks.  Whether they might persist for months is not known.

For women the majority of women will be asymptotic or have entirely non-specific symptoms.  We know for a fact that gonorrhea can persist in a women for several months. 

In the unlikely circumstance that you had gonorrhea and transmitted it to your wife, it is highly probably (>90%) that you would have required infection and become symptomatic again.

Finally, regarding non-chlamydial NGU following oral sex, since there is no indication that something is transmitted or if transmitted does any harm, there has been little research.  Its a non-issue.

I wish I could provide absolutes for you.  I cannot.  I can tell you that it is most unlikely that you transmitted anything to your wife.  As I said above "A urine test for gonorrhea and chlamydia would add to the likelihood that neither you nor your wife is currently infected."  I do not think you are infected, nor do I think you transmitted anything to your wife as a result of your misstep.   EWH

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