[Question #8028] Forgot to ask something. New thread

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49 months ago
Very sorry but I forgot to ask one more question so I made a new thread. 
1. Is the penis:anal rubbing mentioned in the previous thread(so I rubbed his anus with my penis and vice versa) with no penetration any risk for chlyamdia or gonnorhea. I remember reading that without penetration there is no risk for these 2 STDS. The person that I performed this with(male) had only one previous partner before who was also a male. 
I am lowkey worried about these STDs because years after this encounter, on a few occasions, I had anal pain. So there was a sensation where it felt like there was a golf ball in my rectum when I did physical exercise. Also on some occasions, I had some stinging pain on the outside of the rectum on a few occasions, however when I went to the doctors, they said they saw nothing abnormal there. I also had one day where it was very itchy. Only recently, I was also diagnosed with prostatis, but I'm not so sure this was the cause of this pain. Do any of these symptoms sound like from chlmydia or gonnorhea as it only started occurring years after this encounter. I thought this could've been psychologically induced as this issue has resulted in severe worry. As you can tell I'm quite a severe hypochondriac so I keep convincing myself that I have something wrong with me. Do you believe I am in the clear 

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H. Hunter Handsfield, MD
49 months ago
Welcome back, but sorry you found it necessary.

You correctly understand that gonorrhea and chlamydia transmission require penetration; external rubbing is risk free. None of your symptoms suggests either of these STDs, except that prostatitis is often a vague diagnosis and some of its symptoms (e.g. penile discharge, uncomfortable urination) also occur with gonorrhea or chlamydia. Certainly anal pain is not possible. In any case, if you had been infected a couple of years ago, the infection now is long gone:  the immune system clears both these infection within a few weeks or months; neither is carried for years, especially in males.

Could some or most of these symptoms be psychological? Yes, that's certainly possible. In addition, whenever someone suspects his or her own symptoms have a psychological origin, usually s/he is correct.

Syphilis can be transmitted by genital or genital-anal contact, without penetration, and I would recommend a syphilis blood test if you haven't had one. If that has been done and negative, then for sure you are "in the clear" for STDs on account of the exposures you have described.

HHH, MD
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49 months ago
Thank you for your reply
What I meant was anal chlmydia and gonnorhea and not in the penis. I was worried from the rubbing of my partners penis on my anus. Despite it being anal chlmydia and gonnohrea, this is still cleared by the immune system and still not transmitted without penetration right? I have been tested for these 2 but only via an urine test so it didn't test for the rectum.
2. Is anal pain still not a symptom of anal chlmydia and gonnorhea? 
3. Yeh I was thinking it was psychological as I had been thinking about this issue for a while and was constantly under high stress from this issue. As I am a severe hypochondriac, I keep thinking about the what if this happened and I forgot about it e.g. what if he penetrated slightly but I didn't notice etc and it drives me crazy!
4. I heard that untreated c
hlmydia and gonnorhea can cause infertility so that's the main reason I was very worried about it but if the immune system clears it up, it shouldn't lead to any problems right?
5. I have already done a blood test for syphilis and am in the clear.
Much appreciated 
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H. Hunter Handsfield, MD
49 months ago
1. Same answer. Rectal chlamydia or gonorrhea also would have been cleared by your immune system long ago.
2. Anal pain could occur, but has many causes other than STDs.
3. Such brief penetration would be slightly higher risk, but still very low; and anyway it doesn't matter since if you were infected, the infection is now gone.
4. Infertility due to gonorrhea or chlamydia only occurs with severe, painful genital infection -- very painful testicles (epididymitis). Rectal infection doesn't cause infertility. There is no chance you are now infertile on account of the exposures you have described.
5. I'm glad to hear your syphilis test was negative.

Please stop thinking about this and move on without worry. 
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49 months ago
Thank you Dr Handsfield for always replying so quickly!
Just curious but are the urine test for chlmydia and gonnorhea accurate. I remember I had to urinate in 2 different jars. Does it matter if I didn't follow the instructions  properly (something to do with fill this jar with your initial stream to a certain level(not sure if I filled it up too much or not enough etc) and the midstream in the other jar(might've mixed the cups up but I forgot) or will this lead to inaccurate results. I'm pretty sure I did but just in case I didn't, I'm just wondering if I should order another test. 
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H. Hunter Handsfield, MD
49 months ago

The urine tests are highly accurate, but only for urethral infection; they cannot detect rectal infection. Correct specimen collection makes little or no difference in test reliability. And how many times do I have to repeat that it is impossible you still have either gonorrhea or chlamydia two years after catching it? 

That completes the two follow-up exchanges included with each question and so ends this thread.

This should be your last question about your concerns related to the exposures described above. Repeat questions on the same topic are discouraged, especially when anxiety-driven, and are subject to being deleted without reply. Do your best to move on and drop this entire topic from your thinking. You're beating yourself up over nothing! However, I do hope the two discussions allow you to do so.
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