05.27.16 received unprotected fellatio from a CSW. Next morning took 500mg of cipro, 1 gm of azithromycin & 2gm of flagyl as prophylaxis. Should I get ceftriaxone IM today (05.30.16)? If so, should I re-take azithromycin @ the same time? What other precautions should I take not to spread dz to my wife? (virgin before we married). Also I had what appeared to be gross hematuria the same night I took the abx - could that have been from the abx?  (known kidney stone, no pain)

Welcome to the forum. Thanks for your question.---

Thank you much Dr. Handsfield. Understood. If, however, out of an abundance/unreasonable, caution, I want to be certain about the gonorrhea, should I get the ceftriaxone, having read that gonorrhea can be resistant to azithromycin? I am not so worried about getting gonorrhea myself, knowing it can be treated, but am mortified by the idea of giving it to my wife; and with this same concern in mind, is there a period of time by which abstaining from from unprotected sex with my wife I will know if I picked up other infections? (herpes, hpv, ngu)

Of course you're worried about your wife; that's always the main concern in situations like this. People typically don't care all that much if they get a treatable STD.---

Are there any bacterial NGU's ? And would I be covered for those as well? And to my earlier question, is a waiting period in order to see if I develop signs of HPV or herpes? Also, and you may not feel comfortable answering this, I'm wondering if it may have been false gross hematuria from flagyl? Or perhaps I should go see a urologist in any case, even though I already know I have a stone? Thank you so much for your time. I have read many of your posts (which means I probably shouldn't need to be asking you these questions) and I am very impressed with your expertise, conciseness and kindness. I find it both exciting and a little troubling  that experts in a particular field often give a much more useful understanding of medical problems than the general educational literature. 

What appeared to be gross hematuria occurred x 3, with decreasing amounts of blood, heavy in the beginning of the stream and then trailing off. No clots that I could see. 

You also were covered for NGU. You can assume no herpes if no symptoms within 10 days or so, but the chance of it is very low anyway. HPV is rarely if ever acquired by oral sex -- and takes up to a year for warts or other signs to appear.---