[Question #967] Gonorrhea/NGU from Oral?

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94 months ago
Hello Doctors,

Thank you so much for providing this service. I have so much respect for the work you do.

About a week ago I received oral sex from another male for a brief period of time (no more than 5 minutes cumulative over the course of us hanging out for several hours). I also did not ejaculate in his mouth. About 2 days ago I started feeling a mild discomfort in my pelvic/bladder area. It's not a burning sensation but feels like irritation and the last time I felt this discomfort was when I was passing a kidney stone. The discomfort comes and goes and sometimes based on if I am sitting, standing or laying it will come and go. I have not noticed any discharge during urination or in the mornings but the opening of my urethra seems more swollen than usual. I do not have any discomfort when I urinate but sometimes afterwards I will feel like I have to go again.

Could this be Gonorrhea or NGU?

I am still newer to the MSM world and always make sure to ask (twice in most instances) about my partner's sexual health and make sure to observe if there are any noticeable signs of infection/illness, but this has me quite freaked out.

I started taking Augmentin (875MG 2x a day) for an ear infection today; if I did have Gonorrhea or NGU would this be sufficient in treating it?

Again, thank you so much for the service you provide.
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Edward W. Hook M.D.
94 months ago

Welcome to the Forum.  I will be happy to comment.  The symptoms you describe do not sound like those of an STI such as gonorrhea of NGU.  Not only are the types of symptoms you describe atypical for STI but STI symptoms do not typically come and go.  A kidney stone might do such things, as well as cause some irritation of your urethral meatus (the opening of the urethra).

As you know, gonorrhea or NGU can occur following receipt of oral sex but it is not especially common.  If you choose to have your symptoms evaluated, adding STI testing is easily added to the urine tests which might be done to start the evaluation the possibility of a kidney stone.

Augmentin might have some effect on gonorrhea but the effect would not be reliable. Many strains of gonorrhea and much NGU is resistant to this drug.

I hope these comments are helpful.  If you do choose to go get checked out, please let me know what your doctors say.  Take care.  EWH