[Question #7651] Other stds

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54 months ago
Hi drs. I am a 22yr old male I had unprotected sex and oral with a female multiple times around 6 months back and I was tested for gon/chla/syp/ Hiv around 3 months after that encounter but I’ve recently been reading up on ngu , mycoplasma gen and trich and I’m wondering if I should be concerned about these ? and test for them? I have not had any concerning symptoms since then and I’ve already had unprotected sex with my gf and would not want to have infected her with anything.
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54 months ago
I forgot to mention that my results for the tests I tested for were negative 
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Edward W. Hook M.D.
54 months ago
Welcome to our forum and thanks for your questions. Any exposure with a single partner tends to be relatively low risk because most people do not have STI ‘s. Having tested for gonorrhea and chlamydia, you have tested for the most common STI’s. Syphilis and HIV are both much rare and relatively uncommon amongst heterosexual men and women.  Finally, you are now six months out from your exposures of concern and asymptomatic.

NGU is typically symptomatic and routine screening for M. genitalium or for trichamonas in asymptomatic is not recommended, particularly in relationship to an exposure six months ago.  I see no reason for further testing at this time.

Although there are more than 30 STI‘s which may be sexually transmitted, you have tested for the most common ones. At this point I see no reason for continuing concern or testing for the STI as you have listed. On the other hand, for any asymptomatic person who has multiple sexual partners, who is entering new relationships, or who has partners who may have multiple partners, we do recommend an annual sexual health check up as a good idea (and perhaps more often if you think your risks are particularly high).  Such testing should focus on Gonorrhea, chlamydia and for women trichamonas.  Most people would include testing for HIV and Syphilis as well even though these infections are far less common.  We specifically recommend against routine blood tests for herpes (the tests are not good enough and because of false positive results just confuse things).

I hope this perspective is helpful.  EWH 
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54 months ago
Thank you dr. Hook your answers have been helpful. I had put this behind me until I read about those stds not commonly in routine screening and my anxiety gets the best of me. I would like to ask why testing for Mgen and trich is not recommended if asymptomatic ? And so I shouldn’t be worried about ngu ? 
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Edward W. Hook M.D.
54 months ago
Good questions.  In both instances my recommendation is impacted by the fact that you are asymptomatic.  NGU is typically symptomatic and non-chlamydial NGU typically does not require treatment.  As for M. Genitalium, understanding is still evolving as to its role in in situations other than NGU and once again the CDC does not recommend testing for asymptomatic persons.  EWH ---
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54 months ago
I have 2 more questions dr I never really had symptoms since then the only symptom I would can think of is some frequent urinating, would that be something I should be concerned about ? No pain or burning. This incident happens while I was with my gf and since I’ve had unprotected sex with her should I be worried about passing anything to her ?
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Edward W. Hook M.D.
54 months ago

Please don't overthink this. Urinary frequency is not a typical sign of STIs in men although it is a sign of anxiety.  Once again, I urge you to worry and to move forward with your current relationship without concern.  Please don't worry. 

As this is my 3rd response, as per Forum Guidelines this thread will be closed shortly without further responses.   Take care.  EWH

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