1. Where can I get a throat/oral swab with accurate and reliable results if my gynecologist won’t do it?

2. Only 4 days passed since my deep and prolonged kissing session, how much time has to pass for reliable results?

The second part to my post is that my gynecologist ordered a full STD panel today. My last STD Panel was in May of this year. Everything was negative back then except HSV1 and HSV2. After going through such a traumatic experience and repeating the IgG tests over and over again I finally learned I had a false positive when I got the western blot! My doctor however thinks HIV, Heb B and C, Syphilis weren’t conclusive though negative in May. That’s because I tested at 32 days after my last sex encounter so she ordered me to repeat them today but I didn’t want to do the blood test I only gave a urine sample for Trich, gonorrhea, and Chlamydia. I am too scared to deal with the results of my STD panel that I chickened out and didn’t get my blood drawn. To clarify I have only had one sex partner my whole life, I have not had any sex encounters since April of this year. I’ve only had open mouth kissing encounters with a new guy as I described in my recent question 9270 but no other sexual acts. My previous partner that I was with, a male, whom I had sex with. He was my only partner that I’ve wver had and we only had very limited sex encounters and to my knowledge he gets tested regularly and he doesn’t have anything (to my knowledge but not sure). My questions then are

1. Should I follow her advice and go back tomorrow and get my blood drawn for HIV, Hep B and C, and Syphilis? She also included the IgG test for HSV1 and H

Four days after an exposure test for gonorrhea and chlamydia, taken from the appropriate site, will provide conclusive evidence is the whether you’re infected at that site or not. Overall, the likelihood that you acquired infection through the encounter you describe is very, very low.

I respectfully disagree with your doctor regarding the need for additional blood tests. While a very small proportion of infections would not be detected at 32 days, nearly all would be.  Unless you have been engaged in particular high-risk encounters in the interval, my advice would be to accept the results and consider whether or not you really need another blood test. If you do you do a blood test, I anticipate that you will find the results are unchanged from you earlier test, showing that you do not have active treatable STI’s and perhaps that you continue to have false positive blood test for herpes.   You’ll have to decide whether or not you want to have additional blood tests but I see a little reason for doing this.

I’m sorry to have to disagree with your doctor and her opinions. Some of the information you appear to have heard from her however is incorrect. I hope my perspective is helpful. EWH

Thank you so much! Your perspective is helpful for sure that’s why I came back here after the guidance I received today from my doctor.

My plan forward is to try to get a throat swab if I can, but I am not going to stress about it at this point. 

I personally do not want to be tested again for HIV, Heb B/C, Syphilis and certainly not HSV2 IgG tests. I don’t want to deal with the anxiety if I don’t have to unless you see any benefit to repeating these tests. I personally consider my risk low because I’ve only been with one sex partner my whole life, we’ve had maybe 3 sex encounters partially protected (intercourse was protected). He is a male who has had female partners only. He does get tested regularly. In fact he got his STD panel after mine, and he was negative. 

The only thing I can think of that would drive me to test again is that my previous sex partner was lying about his negative results or sexual history or the recent kissing encounter I had with the new guy could have posed a risk for acquiring oral STI. I believe both scenarios are unlikely but I could be wrong. Based on this info I shared, do you see any need/benefit to retest? 

I really see no reason for further blood tests.  I might add that if yu are here in North America, I suspect that you have received the hepatitis B vaccine which will protect you from that infection, that your risk for HIV is virtually zero from the events you describe, and that hepatis C is not sexually transmitted with the very rare exception of in receptive rectal intercourse.  You do not need further testing for HSV, either- don't put yourself through it.  I would not re-test if I were you

EWH

I am in North America and I have been vaccinated against Hep B. I just have a couple of questions:

What about my risk for syphilis? I did have unprotected genital to genital contact with my previous partner but again I’m not aware he is positive for any STD and I tested at 4 weeks not 6.

Do urine samples provide accurate results for gonorrhea/Chlamydia/Trich as blood tests?

Those are my last questions. Thank you

Your risk for syphilis from the exposures you describe is low.  Most syphilis in the U.S. (about 3/3) occur among men who have other men as sex partners, thus your risk for having been exposed is low.  In addition, the majority of sexual exposures to partners with syphilis do not result infection.  Further, the six week "window" for syphilis testing is overly conservative.  I urge you not to worry further about syphilis.

Blood tests are not useful for detection of gonorrhea, chlamydia or trichomonas.  Specimens must be taken from the site of infection to accurately detect these infections.  Urine would detect vaginal and cervical infections but, as I mentioned above, not infections of the throat.

EWH

This will complete this thread.  I hope you will be able to stop worrying.  EWH