[Question #7481] Sti risk
56 months ago
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Hi, I had unprotected oral from an escort and protected vaginal sex, I don’t think the condom broke from what I have read I would have noticed it. I am male 45years old, about 10 days ago. About 5 days after this I felt a burning sensation on the top of my urethra it was there most of the time. There was no discharge and urinating didn’t make it worse.
I went to the doctor and he did a urine dip test and I was clear. He prescribed me a 3 day antibiotic for a UTI. Two days after taking the antibiotics the buring sensation eased, it’s still there but not as bad.
As the burning was still there I went to the doctor and got a STI test done. Would taking the antibiotics give a false negative for the urine test.
My questions are.
I went to the doctor and he did a urine dip test and I was clear. He prescribed me a 3 day antibiotic for a UTI. Two days after taking the antibiotics the buring sensation eased, it’s still there but not as bad.
As the burning was still there I went to the doctor and got a STI test done. Would taking the antibiotics give a false negative for the urine test.
My questions are.
How much of a risk did I have contacting chlamydia or gonnerea.
I am worried I put my girlfriend at risk as she performed oral on me 4 days after my exposure.
Hope you can advise.
I am worried I put my girlfriend at risk as she performed oral on me 4 days after my exposure.
Hope you can advise.
. I had taken two days worth of antibiotics when I went for the STI test.
Would a negative leucocytes urine test be encouraging
When I get the results back would they be reliable considering the 2 days of antibiotics.
The burning sensation has reduced allot, hardly noticible now. Would this also be encouraging.
Just to mention I was prescribed Azithomycin as a precaution.
Thanks in advance for your advice on this matter.
Would a negative leucocytes urine test be encouraging
When I get the results back would they be reliable considering the 2 days of antibiotics.
The burning sensation has reduced allot, hardly noticible now. Would this also be encouraging.
Just to mention I was prescribed Azithomycin as a precaution.
Thanks in advance for your advice on this matter.
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H. Hunter Handsfield, MD
56 months ago
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Welcome. Thanks for your confidence in our services.
It is unlikely you have (or had) gonorrhea, chlamydia, or other STI your symptoms don't fit well; oral sex is low risk (although not zero risk) for STIs that cause urethral infection; and condoms are very effective in preventing such infections by vaginal sex. I doubt you have (or have had) a UTI either. I have to wonder why your doctor prescribed an antibiotic based on your history and the negative urine dipstick result. However, it probably did not affect your STI test (presumably for chlamydia and gonorrhea) only 2 days later. (It takes several days for the current standard tests to become negative with effective treatment.)
Those comments partly address your questions, but to assure no misunderstanding:
1) How much risk? Very low, as discussed above.
2) Since you probably were not infected, it is unlikely you put your partner at risk. This also depends on what antibiotic you took for 3 days. If active against gonorrhea and chlamydia, that would further lower any chance you could have infected her. What antibiotic was it?
3) Negative urine leukocytes is reassuring, although in itself does not conclusively exclude gonorrhea, chlamydia, or nongonococcal urethritis (NGU).
4) Your test result probably was reliable despinte the antibiotic.
5) I'm a bit confused by your description of the "burning sensation". What do you mean by the "top" of your urethra? Was it urethral or penile pain? When urinating or continuous? and you never saw visible discharge, right?
6) I'm confused by your statement about azithromycin. Is that what was used for the possible UTI? Or was this in addition to that treatment. What dose of azithro, and what exactly was the timing?
I may have more to say when you fill in the missing information. In the meantime, I hope these comments are helpful.
HHH, MD
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56 months ago
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Hi
Thanks for replying. The pain I’m feeling is near the top of the penis inside. No sign of discharge it has easy quiet a lot now. I would have to come trays on the pain to notice it.
The antibiotics I was taking was Trimoptin inside for the assumed UTI. I had taking two days of the antibiotic before I did a urine test for STI. Reason I went back to test was the pain did not fully go away.
The doctor also did a urine dip test again which was all clear but decide to treat me for STI .
Summery
5 days post exposure burning sensation top inside penis no discharge. Urinating did not make it better or worse, pain was constantly there throw out for two days and then intermittently for 1 day and now is nearly in noticeable.
7 days post exposure went to the doctor for the pain. Urine dip test done and all was clear. He prescribed 3 days Trimoptin. Nest day pain was intermited and had eased.
Day 10 was a bit nervous about contacting an STI so went back to the doctor. I had only taken two days of Trimoptin at this point. Doctor did another urine dip test and all was clear. Decided to get tested anyway for STIs. He also prescribe antibiotics for bacteria STI. Chlamydia and gonnerea.
Thanks in advance
56 months ago
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The azithromycin is 1g then 500g for two days. I’m waiting on the results for the STI test both blood and urine
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H. Hunter Handsfield, MD
56 months ago
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Thanks for the clarifications -- but you still leave some peculiar uncertainties. You say your doctor "also prescribe[d] antibiotics for...chlamydia and gonorrhea": are you referring to the azithromycin or still other antibiotics? It seems clear your doctor doens't very well understand STIs and their treatment: almost everything was done wrong. Did you perhaps pressure your doctor into prescribing drugs for STI treatment?
If the pain was in your urethra, "toP or elsewhere doesn't matter. The timing is consistent with inflammation related to the sexual exposure, but clearly you had no traditional STD. Herpes due to HSV1 is possible but unlikely: urethral herpes usually is much more painful than you seem to have experienced (I've had patients who described it as the worst pain they ever had), and usually there would be herpetic lesion on the outisde of the penis (blisters, sores, etc). Adenovirus, a common cold virus, sometimes is transmitted to the urethra by oral sex, so that's also a possibility.
At this point, I suggest sitting tight. Absolutely no more antibiotic treatment of any kind. Your symptoms are improving and probably will clear up entirely, and it is unlikely you have any lasting problem that will harm you or any futhre sex partners.
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56 months ago
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Hi,
Yes I’m referring to the azithromycin for gonorrhea, chlamydia. I didn’t pressure him for antibiotics I didn’t even mention them. He said he was going to treat me for both gonorrhea, chlamydia,
I haven’t started the azithromycin.
Follow up questions
Would it be safe to assume I didn’t have an STI. Normal I wouldn’t be concerned but the timing has me a little worried. Plus no signs of any sores or lesions. With the pain I had I could easy carry out my day to day tasks.
Would you recommend I take the azithromycin would you have prescribed me azithromycin for this situation.
Would the two urine dip tests be very encouraging.
Do you think it would be ok to have unprotected sex with my partner.
Would gonorrhea, chlamydia Pain start then ease after two days with Trimoptin or even with out antibiotics.
Would you expect a negative gonorrhea, chlamydia result.
56 months ago
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Forgot to mention don’t know if it’s relevant. But when I first notice the pain it was during ejaculation after receiving oral from my partner. Pain lasted about 15mins then went away later that day I notice slight burning next day it was worse and the day after it was continues, then started to ease.
Also when I received the oral from my partner this was 5 days after the incident she had just finnished a perception for a UTI about 3 to 4 days beforehand. Don’t know if any of this is relevant
56 months ago
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Also forgot to mention that I developed a cold sore on my lip probably about 7 days after the exposure. Reason I didn’t mention it is because for me cold sores on the lip are very common. 5 or more a year wouldn’t be uncommon for me. Plus this was was very mild.
56 months ago
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Sorry can I add would a discharge be noticeable
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H. Hunter Handsfield, MD
56 months ago
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We don't provide direct medical care; I cannot make a specific recommendation about how you should be treated, i.e. either to take or not take azithromycin. I'll just say I continue to doubt you have any STD at all. If your symptoms actually started immediately after the sexual exposure, it suggests a physical or chemical irritation; no infection can cause symptoms in less than 24 hours. In that case, or if it's a viral infection, like adenovirus, no antibiotic will help. But you should discuss this with your doctor.
If you really have true cold sores, that's good: it means you are immune to a new infection with HSV1, the virus type that causes oral herpes -- and therefore your symptoms cannot be herpes from this event.
The most important question you ask now is "Would it be safe to assume I didn't have an STI?" Yes, that's safe. Of course I can't guarantee it, but from all you have said, any STI is very unlikely. I'm sure your additional gonorrhea and chlamydia tests will remain negative.
That completes the two follow-up comments and replies included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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