[Question #8959] Chlamydia in GI tract
37 months ago
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Dr hook recently calmed my fears from basically a no risk event for std via handjob. Other than that I have been in a committed relationship with my wife for almost 20 years. Besides each other we have each only had one other ( both unprotected ) drunken college one night stands. One of us apparently apparently pickup hpv during that time bc my wife just had a positive test but not worried about that etc I know it’s common. My main concern is Chlamydia being dormant between us for all these years. She has tested negative 3times ( during all 3 kids pregnancy ) then I test once also negative after the hand contact a few years back. But doing my research i see that it can sit in gi tract undetected for years and then possibly move to the vagina etc. is this something to be worried about? Could we have been infected from one of the one night stands and cleared it but stayed in gi tract undetected. We didn’t ever test back in those days and we never experience me symptoms etc. My wife has never tested positive and neither have I but she has never had it tested for anal. We have had anal sex a few times over the years. On one hand I see you state “new” Chlamydia infection in monogamous couples means someone cheated esp this long of time from but then some I see that you state this could be held in gi tract for years not self clearing and re-emerging in monogamous relationship. Is this common or a rare event. I know this is all recent data. But what are the odds for our situation for this to happen. With our little sexual experience outside each other the hpv was a shock so I assume we could have acquired chlamydia then as well and not none it? With my wife and I negative test over the years is it safe to say move on and this isn’t possible for us? And it safe to say we are free and clear of chlamydia from here on out ( obviously without either one of us stepping out ) I value your expert opinion and hope you can erase my fears.
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Edward W. Hook M.D.
37 months ago
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Welcome back to the Forum although I'm sorry you felt the need. Chlamydial ano-rectal infections are relatively common in persons regularly pursuing anal intercourse with multiple partners but the situation you describe really suggests that you have gone down a "what if" rabbit hole. Without therapy chlamydial infections resolve. This process takes up to 2-3 years. In your case, after years of monogamy and multiple tests this really sis not something that is productive to worry about. I urge you to accept that you are entirely free and clear of chlamydial infection and move forward without continuing concern. EWH---
37 months ago
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Thank you dr. Hook. I’m not trying to go down a rabbit hole here but my anxiety is getting the best of me on the what if etc. I just see where dr Handsfield ( recently) as advised a few couples who have tested positive for Chlamydia in their long term relationship. That the Gi tract can harbor the infection for many years and a woman could auto inculcate back to the vagina ( assuming she originally autoinculate from her vagina to anus back years ago )
Considering over the years she has had 3 test and I have had one (all negative). Would say their is zero chance we would have Chlamydia now. Dr Handsfield told someone on health tap that even with vagina swab it could be missed bc research suggest it might be in the Gi tract hidden and reinfect later etc. We took a 2 month break up in college when we both had our one night stands but that is the only other two people we have been with. That was 16 years ago. I would say that we are low risk BUT then again we got HPV from one of those one night stands.
Also she has taken antibiotics via IV before each csection not sure the name of them. And had a few sinus infections etc over the years where so took some as well
So all that being said what would you say the chances are 16yrs ago we picked up Chlamydia ( unknowingly) , cleared it in our genital tracts , but before doing so she got it in her Gi tract via auto inoculation or oral sex etc. , and it still there and we could one day get back into our genital tracts. Would say 1/1000 odds , 1/10,000 odds etc.
I have a really great wife and just don’t want something to come up “now” and then trying to convince it was from a long time ago ( bc that would be the truth ) …. Bc I would be willing to bet every gyno out there would suggest either false positive test or infidelity. But with this GI tract research it seems it could be in your gut for 80 years.
Would it not self clear in your gut? Does it resolve everywhere in body in 2 to 3 years including the gi tract .
Sorry I just need to here that this is just not possible from someone like you an expert. The internet can be so misleading and hard to distinguish facts etc.
Would really like to know if you were a betting man what odds you would put on this?
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Edward W. Hook M.D.
37 months ago
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I'm surprised to hear that you think Dr. Handsfield has suggested that GI tract chlamydial infection may persist for years. Could you provide me with the question number- I suspect you have mis- or over-interpreted what he said. Reports of chlamydia persistence in the GI tract are extraordinarily rare. In your case there is virtually NO chance that you or your wife have persistent chlamydial infection. If your looking for a number, I will say that the chances that either of you have persisting chlamydial infection is virtually zero- substantially less than a one in a million chance. EWH---
37 months ago
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Ps a lot of this came back up from recent hpv test. Even gyno said it could be new infection or old one so not necessarily infidelity had taken place. This lead me to research what is could pop up and that’s how I came up with this GI/chlamydia situation. But if a gyno tests you for chlamydia and it’s positive I don’t think they will say this could be from years ago. Although dr Handsfield has advised others it is possible?
37 months ago
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Question number 6999 and 7491
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Edward W. Hook M.D.
37 months ago
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I really think you are over thinking this a great deal. In Dr. Handfield's reply to 7491 his response was qualified and he said- "Question 6 shows you are aware of recent research about the possibility of chlamydia persistence in the GI tract, undetected with genital testing, then migrating to the rectum and from there reach the genital tract. This probably explains some apparently new infections in situations like yours. (This possibility is based primarily on animal research. Many animals have their own chlamydia species,, which most commonly inhabit the GI tract. How frequently this occurs in the most evolutionarily advanced mammal -- humans -- isn't clear.."
Thread 6999 was authored by me and I acknowledged animal data on GI tract chlamydial persistence and then stated that this thesis has not been supported by human research.
Bottom line, in the nearly two years since then there are NO data to suggest long term persistent GI tract chlamydial infection.
My answers and assessment are unchanged. You need to take a deep breath and relax. Worried about zombie chlamydial infections is just not a good use of your time. EWH
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37 months ago
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You are right I’m letting my anxiety get the best of me and coming up with something that would be unheard of in my case. Thanks for your time and I’m going to try and move on without fear of this. Thanks again
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Edward W. Hook M.D.
37 months ago
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You're welcome. This completes this thread. Please don't worry. Further, I urge you to stay off the internet, it will only mislead you. EWH---