[Question #7237] STD spread

6 months ago
Hello all:
This is a very useful forum and I appreciate all the answers.  

If a male uses a condom correctly during sex can that person spread Syphilis (if there are no sores present or no sores not covered by the condom), Gonorrhea or Chlamydia to the female?

What are the antibiotics like to cure it?

My last tests were negative.  How common are all these diseases and are they easy to catch?
6 months ago
Also, if one does have syphilis, gonorrhea or chlamydia for a year would they have some symptoms by now?
Edward W. Hook M.D.
Edward W. Hook M.D.
6 months ago
Welcome to our forum and thanks for your question. I’ll be glad to come it. Condoms, When used consistently throughout sexual encounters represent one of the most effective mechanisms for preventing STI’s. They are highly effective for prevention of gonorrhea, chlamydia, trichomonas, and other STI’s.  For STI is characterized by lesions such as herpes or syphilis condoms greatly reduce the risk of infection but there remains a potential for transmission through direct contact lesions that are not covered by the condom.  FYI, Condoms do break about 1% of the time they are used. When condoms break it is quite obvious. Condoms do not just leak a little.

When persons acquire STI’s, symptoms may occur. Typically symptoms of STI‘s occur in less than a month. On occasion, and more commonly in women than men, STI‘s may not cause symptoms or the symptoms of infection may be mistaken for another process. For this reason in persons with multiple partners and as part of regular sexual health check ups, including regular gyn visits, regular screening for STI’s is recommended.

Laboratory tests for STI‘s tend to be very reliable. If you have been tested for STI‘s it is most in and have negative tests it is most likely that you are not infected. Infections can occur and be asymptomatic however. When they are most STI‘s are readily treated with affordable easily taking antibiotics.

I hope the information I have provided is helpful.  If there are specific STIs that you have questions about please feel free to ask, using your up to two follow up questions. EWH
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6 months ago
Out of curiosity, are they antibiotics a shot or pills? 

I had an exposure around November and December. I was tested in December but was afraid I tested too soon.  

If I had Gonorrhea, clamydia or syphillis would I be seeing symptoms by now? Or if I did would the symptoms keep getting worse? 
Edward W. Hook M.D.
Edward W. Hook M.D.
6 months ago
Different STI’s require different treatment. Gonorrhea is typically treated with a shot and a pill. Chlamydia is typically treated only with pills. Syphilis requires shots.

Please remember, most single exposures, even two partners with known STI’s, do not result in transmission of infection. If you were tested More than a week or two after your exposures your results are entirely reliable.

As I mentioned above, the presence of symptoms is quite variable and depends on the person to person. For that reason testing is the best way to make sure that a person is not infected. EWH
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5 months ago
Hi Dr. Hook, I do have an update.  I need some advice with added details I have.

In a previous question I asked on here I mentioned how I had sex with a woman who bled over me on areas not covered by the condom on 11/20/2019. On 11/22/2019 I had a full STD panel and all was negative.   

On 12/18/1019 we had sex again and the condom broke leaving a healing herpes lesion open.  The lesion was on the side of my penis as I was trying to go in her from behind vaginally and she said I was not inside her when the condom broke.  We didn't finish sex that night.  I got tested for syphilis, gonorrhea and chlamydia 4 days later on 12/23/2019 and that was all negative.  We did have sex after the testing but it was with a condom and no mishaps happened.

 I also did have a sore throat and congestion around 2/1/2020 and it went away after two weeks. My CBC all came back normal.  No STD testing at that time.

In July of 2020  I had a reddish rash on my scrotum and the DR thought it was epididymitis  and put me on antibiotics.  The rash didn't hurt and didn't itch or anything.  The Dr prescribed me Levofloxicain 500mg but I didn't finish the dose but the rash went away.  This happened 5-6 months after I was with the woman.

I was tested for HIV in May and that was negative.  

In September 2020 should I be worried about syphilis, gonorrhea or chlamydia based on what i said above?  No other symptoms.  The rash/epididymitis came on about 5-6 months after the last known encounter with the woman.  
If I had those STI's would I be having more symptoms now? Really nervous.
Edward W. Hook M.D.
Edward W. Hook M.D.
5 months ago
As you know from your multiple previous questions we provide up to three responses to each question. In your case this is the second set of questions you have asked regarding the counter in the past week. My answers are not going to change. 

The exposures you describe are very very low risk, I would not be the least bit worried about STI’s, including Gonorrhea or chlamydia.  Once again I urge you to move on without concern and without further testing.  Please don’t be nervous. 

This thread will now be closed without further responses. Take care. Please don’t worry. EWH
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5 months ago
Thanks for your response Dr. 

I just brought it up again because I found the diagnosis of the rash in my records.  I wondered if that would change your opinion. 


Edward W. Hook M.D.
Edward W. Hook M.D.
5 months ago
No change in my assessment.  EWH---