[Question #9825] Cocci in Urethral Discharge Examination
 |
28 months ago
|
A girl gave me oral sex about 2 years ago and about a month ago I had body to body massage in which I think penetration might have accidentally occurred as the oil on both our bodies made it very slippery. I made a check up and the urethral discharge examination had cocci bacteria present. Is this an STI? Do I need to get any medication for it? I am married and have had sexual encounters with my wife after the above mentioned encounters, so is my wife infected and does she need to get medication?
 |
Edward W. Hook M.D.
28 months ago
|
Welcome to our Forum. Thanks for your questions. I'll be glad to comment but additional information will help me to do so. Bacteria are described in terms of their shape and how they become stained with a stain called "Gram stain". Cocci are round bacteria and can be normal or abnormal. Cocci which stain negatively are called "gram negative cocci" and when associated with a symptomatic urethral (penile) discharge could be gonorrhea. I can provide more information if you could provide the following information.
It is unlikely that you were infected from receiving oral sex two years ago and are still infected.
---1. How were you tested? Was there visible discharge from your penis and if so, was it clear or yellow?
2. Was the material that was tested taken from the outside of your penis or was the swab inserted into your penis?
3. Did the health care provider who tested you say that the "cocci" were negative or positive (positive would be normal and not need treatment, negative could be gonorrhea and should probably be treated)
4. You you have any symptoms at this time?
This information will help me to answer your questions. EWH
|
28 months ago
|
Thank you for your reply
1. I was tested with a swab that was inserted in my penis. At the time of the test and even now there is no visible discharge from my penis
2. The swab was inserted in my penis
3. It only says “Cocci” but I just called the lab and they said it’s positive because if it’s negative they specify the microb in the field
4. I do not have symptoms at the moment. But after the massage I had in which I gave the girl oral I had itching around my anus which has now almost stopped. The same Urethral Discharge Examination mentions Scanty Growth of Candida. So I’m assuming the itching is from the Candida and not the Cocci
|
Edward W. Hook M.D.
28 months ago
|
Thank you for the additional information. I would classify your recent encounter as low risk as most massuese's/commercial sex workers do not have STIs, because even when they do, most single exposures do not lead to infection, and because you cannot be sure there was penetration during your massage. The addition information that you provide suggests that gram positive cocci were detected from the swab- gram positive cocci are normal inside the penis are do not suggest and STI. Thus I see no need for you to seek treatment.
I agree with the itching was due to Candida, if anything. EWH
--- |
28 months ago
|
Is candida an STI and is it transmittable to my wife?
|
Edward W. Hook M.D.
28 months ago
|
No, Candida is normally present on the body and does not usually need treatment. Since most people have Candida on their bodies, there is no need to treat it if detected.
We provide up to three response to each client's questions. This is my 3rd response. This thread will be closed shortly. EWH
--- |
28 months ago
|
One last question, I have taken 2 tablets of 200 mg doxycycline one yesterday and one today. Shall I stop it or continue the course
|
Edward W. Hook M.D.
28 months ago
|
You have started. I would complete the course.
This now ends this thread which will be closed shortly. Take care. EWH
---