Suggest Treatment For Cough And Itching In Throat After Oral Sex

Posted on Mon, 1 Feb 2016

Question: I performed oral sex on a lady five years ago. I stopped seeing her after a month. About that time I had an cough and itch in my throat for about four or five days that went away. Over the last five years I had have had small bouts of arthritis in my back and arms however I never though much about it until now.
About five months ago I started having a bad cough and thick phlegm. My Dr. Said it was allergies. I have never had allergies. I've been feeling really tired and have a few strange sores under my ears, legs and face. My. Dr. Said it as focullities and gave me doxycycline 100mg for a week. I wake up in the middle of the night feeling really sick but can work thru it. My neck is very stiff. The lady I met a few months after the First Lady now has a cough, runny nose and is tired.
Is it possible that I aquired oral Gonorrea five years ago, gave it to my new lady during the last five yeas and now we are having symptoms.
When this started five months ago I tested negative for oral and genital Gonorrea, syphliss negative, hiv negative. I have never had any symptoms in my penis. From what I have read when you have systemic Gonorrea you will test negative for oral and genital Gonorrea and the only way to know is by clinical symptoms.
Is it possible I gave my new lady Gonorrea through kissing or coitus during the last five years. We have been monogamous.

Answered by Dr. Sankaranantham Murugan (1 hour later)

Brief Answer:
Unlikely be due to Gonorrhea.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
Oral sex carries a less risk for STD/HIV. Especially oral sex with a lady caries a remote possibility for Gonorrheal pharyngitis. Because Gonorrhea in female manifests with cervicitis and not as vaginitis or vulvovaginitis. So gonorrheal oral infection through a oral sex with a lady was quite unusual. Incubation period for Gonorrhea is 3-5 days. If there was, it would have manifested within 5 days. Dissemination of Gonorrhea and producing systemic manifestations is rare nowadays and we had not come across any such cases in the recent decade.
From such disseminated infection one can not transmit the infection to his partner through kissing or vaginal intercourse as the infection would not pesrsist by this time without local manifestations especially when the culture for gonorrhea from these sites were negative.
Cough, Irritation of throat are very common symptoms for anybody in the absence of any STD/HIV.
So your fear for Gonorrhea is baseless and just ignore the same and consult your physican and foolow his/her guidance and get well.
Dr S.Murugan

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sankaranantham Murugan (18 hours later)

Thank you for your reply.
My last question.
If a man has oral Gonorrea can he pass it to a woman's vagina through oral sex on her?

Answered by Dr. Sankaranantham Murugan (5 hours later)

Brief Answer:
Gonorrhea through oral sex is remote in a woman.

Detailed Answer:
Hi,
Welcome back.
It is quite unlikely.
In Oral gonorrhea the site of infection is not lips, tongue, cheek or palate. Pharynx is the site of infection. Gonococcus can not be viable in saliva for more than few seconds.
Similarly Gonococcus can not affect vulva or vagina. Only the endocervix in a case of adult can be invoved due to Gonococcus. So Gonorrhea acquired through oral sex in an adult women is quite unlikely.
Dr S.Murugan

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar