Are STD Tests Done 12 Weeks Post Exposure Conclusive?
Question: I continue to experience physical symptoms even after all STD testing came back negative following unprotected sex 14 weeks ago with someone I only knew for a couple of days when I was away from home on business. I had tests for Hep A, B and C, HSV 1 and 2, HIV, Syphilis, gonorrhea, Trich (at 3 weeks only) and chlamydia at 3, 6, 9 and 12 weeks after exposure.
Symptoms include discolored urine especially when not diluted and some of what feels like kidney discomfort or maybe liver too. Also consistent tingling in the groin and thighs. I was also experiencing notable discomfort with frequent feeling to want to urinate and some minor burning sensations on the penis but never did I have any burning sensations while urinating nor did I observe and discharge from my penis. The frequent urge to urinate has subsided considerable in the last week to ten days.
I should mention that my PCP doctor thinks this is psychosomatic because I've been married for a long time and I have kids at home. I am very ashamed of my conduct considering my family situation and I pretty much slipped into a depressive state immediately following this incident. My doctore first tried Zanex to help with anxiety but he quickly put me on Zoloft.
I'd like to know how much faith I can put in the STD tests. If it isn't an STI then what could it be? It's just very difficult for me to not feel like my body is fighting some sort of infection. Thank you for your assistance.
Symptoms include discolored urine especially when not diluted and some of what feels like kidney discomfort or maybe liver too. Also consistent tingling in the groin and thighs. I was also experiencing notable discomfort with frequent feeling to want to urinate and some minor burning sensations on the penis but never did I have any burning sensations while urinating nor did I observe and discharge from my penis. The frequent urge to urinate has subsided considerable in the last week to ten days.
I should mention that my PCP doctor thinks this is psychosomatic because I've been married for a long time and I have kids at home. I am very ashamed of my conduct considering my family situation and I pretty much slipped into a depressive state immediately following this incident. My doctore first tried Zanex to help with anxiety but he quickly put me on Zoloft.
I'd like to know how much faith I can put in the STD tests. If it isn't an STI then what could it be? It's just very difficult for me to not feel like my body is fighting some sort of infection. Thank you for your assistance.
Brief Answer:
Don't be worried as I don't feel it's any STD.
Detailed Answer:
Dear Sir,
Thanks for posting your query to HCM .
As I understand you are concern about STD but don't need to be worried as your all test for STD found negative there is least chances of any such disease .
Further your clinical feature also do not suggest such kind any illness .
Urinary complaints could be due to some infection for which you need to undergo -
1. microscopic examination of urine
2. Ultra sound examination of KUB
3. complete blood count
This all test will help us making diagnosis and suggest further treatment plan .
Thanks . Feel free to contact further
Don't be worried as I don't feel it's any STD.
Detailed Answer:
Dear Sir,
Thanks for posting your query to HCM .
As I understand you are concern about STD but don't need to be worried as your all test for STD found negative there is least chances of any such disease .
Further your clinical feature also do not suggest such kind any illness .
Urinary complaints could be due to some infection for which you need to undergo -
1. microscopic examination of urine
2. Ultra sound examination of KUB
3. complete blood count
This all test will help us making diagnosis and suggest further treatment plan .
Thanks . Feel free to contact further
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
1. I'm submitting my full blood work test results to you from back in the middle of September which was 2-3 weeks after exposure. I've also had two urinalysis tests at the recommendation of both my PCP and urologist in September and October. Everything in those urine samples was negative. Two of these results came back in the "High" range at the time.
2. Should I have any concerns about sexual transmission of anything to my wife?
Thank you for your assistance doctor:
CBC With Differential/Platelet
Test Name Result Reference Range
WBC 6.9 3.4-10.8 x10E3/uL
RBC 5.10 4.14-5.80 x10E6/uL
Hemoglobin 16.2 12.6-17.7 g/dL
Hematocrit 47.3 37.5-51.0 %
MCV 93 79-97 fL
MCH 31.8 26.6-33.0 pg
MCHC 34.2 31.5-35.7 g/dL
RDW 13.7 12.3-15.4 %
Platelets 262 150-379 x10E3/uL
Neutrophils 67 %
Lymphs 25 %
Monocytes 6 %
Eos 2 %
Basos 0 %
Neutrophils (Absolute) 4.5 1.4-7.0 x10E3/uL
Lymphs (Absolute) 1.7 0.7-3.1 x10E3/uL
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL
Eos (Absolute) 0.2 0.0-0.4 x10E3/uL
1 of 2
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Immature Granulocytes 0 %
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Comp. Metabolic Panel (14)
Glucose, Serum 100 HIGH 65-99 mg/dL
BUN 12 6-24 mg/dL
Creatinine, Serum 0.99 0.76-1.27 mg/dL
eGFR If NonAfricn Am 92 >59 mL/min/1.73
eGFR If Africn Am 106 >59 mL/min/1.73
BUN/Creatinine Ratio 12 9-20
Sodium, Serum 142 134-144 mmol/L
Potassium, Serum 4.4 3.5-5.2 mmol/L
Chloride, Serum 100 97-108 mmol/L
Carbon Dioxide, Total 23 18-29 mmol/L
Calcium, Serum 9.6 8.7-10.2 mg/dL
Protein, Total, Serum 7.4 6.0-8.5 g/dL
Albumin, Serum 4.8 3.5-5.5 g/dL
Globulin, Total 2.6 1.5-4.5 g/dL
A/G Ratio 1.8 1.1-2.5
Bilirubin, Total 1.1 0.0-1.2 mg/dL
Alkaline Phosphatase, S 123 HIGH 39-117 IU/L
AST (SGOT) 27 0-40 IU/L
ALT (SGPT) 44 0-44 IU/L
Urinalysis, Routine
Specific Gravity 1.015 1.005-1.030 01
pH 6.0 5.0-7.5
Urine-Color Yellow Yellow
Appearance Clear Clear
WBC Esterase Negative Negative
Protein Negative Negative/Trace
Glucose Negative Negative
Ketones Negative Negative
Occult Blood Negative Negative
Bilirubin Negative Negative
Urobilinogen,Semi-Qn 0.2 0.2-1.0 mg/dL
Nitrite, Urine Negative Negative
Microscopic Examination Comment
Microscopic not indicated and not performed.
Trich vag by NAA
Trich vag by NAA Negative Negative
2. Should I have any concerns about sexual transmission of anything to my wife?
Thank you for your assistance doctor:
CBC With Differential/Platelet
Test Name Result Reference Range
WBC 6.9 3.4-10.8 x10E3/uL
RBC 5.10 4.14-5.80 x10E6/uL
Hemoglobin 16.2 12.6-17.7 g/dL
Hematocrit 47.3 37.5-51.0 %
MCV 93 79-97 fL
MCH 31.8 26.6-33.0 pg
MCHC 34.2 31.5-35.7 g/dL
RDW 13.7 12.3-15.4 %
Platelets 262 150-379 x10E3/uL
Neutrophils 67 %
Lymphs 25 %
Monocytes 6 %
Eos 2 %
Basos 0 %
Neutrophils (Absolute) 4.5 1.4-7.0 x10E3/uL
Lymphs (Absolute) 1.7 0.7-3.1 x10E3/uL
Monocytes(Absolute) 0.4 0.1-0.9 x10E3/uL
Eos (Absolute) 0.2 0.0-0.4 x10E3/uL
1 of 2
Baso (Absolute) 0.0 0.0-0.2 x10E3/uL
Immature Granulocytes 0 %
Immature Grans (Abs) 0.0 0.0-0.1 x10E3/uL
Comp. Metabolic Panel (14)
Glucose, Serum 100 HIGH 65-99 mg/dL
BUN 12 6-24 mg/dL
Creatinine, Serum 0.99 0.76-1.27 mg/dL
eGFR If NonAfricn Am 92 >59 mL/min/1.73
eGFR If Africn Am 106 >59 mL/min/1.73
BUN/Creatinine Ratio 12 9-20
Sodium, Serum 142 134-144 mmol/L
Potassium, Serum 4.4 3.5-5.2 mmol/L
Chloride, Serum 100 97-108 mmol/L
Carbon Dioxide, Total 23 18-29 mmol/L
Calcium, Serum 9.6 8.7-10.2 mg/dL
Protein, Total, Serum 7.4 6.0-8.5 g/dL
Albumin, Serum 4.8 3.5-5.5 g/dL
Globulin, Total 2.6 1.5-4.5 g/dL
A/G Ratio 1.8 1.1-2.5
Bilirubin, Total 1.1 0.0-1.2 mg/dL
Alkaline Phosphatase, S 123 HIGH 39-117 IU/L
AST (SGOT) 27 0-40 IU/L
ALT (SGPT) 44 0-44 IU/L
Urinalysis, Routine
Specific Gravity 1.015 1.005-1.030 01
pH 6.0 5.0-7.5
Urine-Color Yellow Yellow
Appearance Clear Clear
WBC Esterase Negative Negative
Protein Negative Negative/Trace
Glucose Negative Negative
Ketones Negative Negative
Occult Blood Negative Negative
Bilirubin Negative Negative
Urobilinogen,Semi-Qn 0.2 0.2-1.0 mg/dL
Nitrite, Urine Negative Negative
Microscopic Examination Comment
Microscopic not indicated and not performed.
Trich vag by NAA
Trich vag by NAA Negative Negative
Brief Answer:
No need to be worried as no infectious etiology is suggestive .
Detailed Answer:
dear sir
I have gone through all of your investigation report and didn't find any test suggestive of infectious etiology of your problem .
so don't be worried as it could be some other allergic or inflammatory response of body .
as per your complaint and history it do not cause any harm to your wife .
further you need to take opinion of dermatologist .
thanks .
No need to be worried as no infectious etiology is suggestive .
Detailed Answer:
dear sir
I have gone through all of your investigation report and didn't find any test suggestive of infectious etiology of your problem .
so don't be worried as it could be some other allergic or inflammatory response of body .
as per your complaint and history it do not cause any harm to your wife .
further you need to take opinion of dermatologist .
thanks .
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar