Thank you for your continuing confidence in our services, and welcome back. However, I'm sorry you round it necessary.
You are overly concerned about gonorrhea and kissing. I read Dr. Hook's comments about it. He correctly expressed my views as well as his own. We recommend testing for pharyngeal gonorrhea only after performing oral sex on a potentially infected partner, not when the only possible exposure is kissing.
1. There are no scientific data on the chance any particular pharyngeal gonococcal infection may lead to DGI. However, DGI is very rare -- even the busiest medical centers see one or two cases a year, or none. (At one time it was much more common -- but that's a separate story.) And pharyngeal gonorrhea is very common. Therefore, it is obvious that it is exceedingly rare that oral gonorrhea results in DGI. I would guess the chance is under one in several thousand.
2. DGI causes arthritis with redness and swelling of the joints (usually several joints at once), fever, and a typical skin rash. It is not a subtle illness and there is no such thing as asymptomatic DGI.
3. There is no lab test for DGI; lack of symptoms proves it isn't present. DNA testing of a throat swab will show you don't have pharyngeal gonorrhea, and therefore that you cannot get DGI from your kissing event two weeks ago.
4. Oral chlamydia is rare; when present, it probably clears without treatment, but there have not been enough cases to study it or to know for certatin. Oral gonorrhea is quite common, especially in men having sex with men, but it rarely causes any symptoms and usually clears up in a few weeks without treatment.
The important things about safe sex for men having sex with men are 1) choose your partners with care, 2) ask about HIV status first (and no sex with those who are infected and not on treatment, or who don't know), and 3) condoms for anal sex. No worries about anything else, except maybe to get tested from time to time.
Пожалуйста и спасибо за ваши добрые слова. (Я изучал русский язык в университете. Извините, у меня никогда не было шансов использовать это.) (Пожалуйста, не отвечайте на русском языке. Я не знаю много, кроме "спасибо", "добрый день", и "очень хорошо". Все эти комментарии через гугл переводчик.)
HHH, MD
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