Can STD Be Contracted Through Oral Sex?
I want to ask couple of questions regarding std testing and the results. I really appreciate and thank you for your patience in answering my questions. Im a male. My expsoure was i received oral sex from a female for 5 minutes maximum. Below are my questions
1) To test Chlamydia and Gonorrhoea i went a doctor. He ordered a test of Urine Complete analysis and Urine Culture. My urine Complete Analysis WBC and RBC are normal. My urine culture test says no bacteria found. Urine Gram Stain says Occasonal pus cells and epithelial cells found. Based on the above test result my doctor said i have no Chalmydia and Gonorrhoea infection. Is this test is ok for identifying Chlamydia and Gonorrhea? or i have to do PCR test? Because many website when i google says only PCR test is relaible for Chlamydia and Gonnorrhea infection.
2) I tested for herpes antibodies hsv1&2 igg. Non Specific antibdoy test. It came negative. Shall i move with this test results? When i google about herpes test it says that many hsv1 infections are missed in antibody testing. My test was by CLIA method. How accurate was this test? How the test misses HSV1 infection even if the infection is present in the body
3) STD testing done was after 1 year of exposure(16 months). I was tested for VDRL and it was negative. When i google about VDRL test it says VDRL test will not be accurate if you test after 1 year of exposure. Should i test Treponomal test?
Risk of STD:Gonorrhea,Syphilis and Chlamydia through oral sex is negligibl
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
The risk of STD/HIV as a receiver of oral sex from a female is very very low. Especially risk for Gonorrhea, Chlamydia and syphilis are negligible.
1. To rule out Chlamydia PCR is the test of choice. To rule out Gonorrhea, culture specific for Gonorrea is to be done. Not the routine culture and sensitive test. Absence of pus cells in urine excluded these possibilities.
2.Absence of HSV 1 and 2 IgG andibodies ruled out a past infection of HSV 1 and 2 and not the recent one (IgM for HSV within 3-6 months). This is very much reliable.
3. Specific treponemal test is necessary to confirm the syphilis only when VDRL is reactive. VDRL is more sensitive. In a nonreactive VDRL situation treponemal test is not necessary.
Dr S.Murugan
1) My WBC in Urine is 1-2 hpf. Is this rule out both Gonorrhea and Chalamydia infection? or i have to do PCR testing. Is there any chance if Chlamydia and Gonorrhea are present and WBC is missed in test or the infection does not produce WBC in urine?
2) You know Terri XXXXXXX from WESTOVERHEIGHT, USA says HSV1 antibody testing misses 1 out of 4 infection. Is it true? If yes when does the test misses the present infection.
3) For VDRL test some says that VDRL test turns negative after 1 year of initial infection? Is it true?
Sorry to ask you further clarification bcoz Googling adds worries who are already in worries about STDs. I made a big mistake of reading in internet without consulting a doctor.
Plz answer my above final questions.
Thanks a lot for your great service. Is it possible for me to visit your clinic once for consulting? If yes please give me the address. Im from XXXXXXX
Brief Answer:
Risk of STD:Gonorrhea,Syphilis and Chlamydia through oral sex is negligibl
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
The risk of STD/HIV as a receiver of oral sex from a female is very very low. Especially risk for Gonorrhea, Chlamydia and syphilis are negligible.
1. To rule out Chlamydia PCR is the test of choice. To rule out Gonorrhea, culture specific for Gonorrea is to be done. Not the routine culture and sensitive test. Absence of pus cells in urine excluded these possibilities.
2.Absence of HSV 1 and 2 IgG andibodies ruled out a past infection of HSV 1 and 2 and not the recent one (IgM for HSV within 3-6 months). This is very much reliable.
3. Specific treponemal test is necessary to confirm the syphilis only when VDRL is reactive. VDRL is more sensitive. In a nonreactive VDRL situation treponemal test is not necessary.
All the information available in website are not necessarily reliable.
Detailed Answer:
Hi,
Welcome back to HCM.
1.When the urine deposit cosisted only 1-2 pus cells/HPF, the possibility of Gonorrhea and Chlamydia can be ruled out. PCR test for Chlamydia is not necessary.
2. HSV 1 infection is not a STD. We used to go with IgG, IgM test for Herpes. These tests are reliable in our practice. No idea about Terri XXXXXXX and as a STD specialist, I don't have much occasions to have tests for HSV 1.
3. Spontaneous reversal of VDRL without treatment is unusaul. If sometimes, the individual exposed to Treponemicidal antibiotics for some other conditions,rare possibilty of spontaneous cure and subsequently a non-reactive VDRL is possible. Otherwise VDRL would unlikely to become non-reactive without any treatment.
Surfing over the net would create unnecessary tension. So avoid the same.
I am practizing at XXXXXXX and my address is available in HCM profile.
Dr S.Murugan