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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fever And Body Ache After Unprotected Intercourse?

I am a bi sexual male that had unprotected penetrative sex (receiver) almost 4 weeks ago. Two days after the encounter, I developed flu-like symptoms, i.e. fever, body aches, etc. I also had watery diarrhea. Since it is flu season, I just suspected the flu. Symptoms continued for 3 days and I developed runny nose, sore throat, and a dry, non-productive cough. I decided to go to the doctor just in case it as developing into something more severe. My primary care physician was booked so I went to a local urgent care. The dr there determined that I had what looked like the flu but they had run out of swabs to check for sure. Dr also said I had what appeared to be upper respiratory infection. I did not mention anything about unprotected sex and frankly did not consider a STI. Dr prescribed a z pack (I don t remember the dosage but it was 2 pills the first day, followed by one pill for 3 additional days) and some cough meds. I started to feel better in a couple of days but the upper respiratory infection didn t seem to be getting better. At that point, I decided to go to my PCP. He checked me (again I did not mention STI) and gave me a shot of Rocephin (1000 mg) and started me on 1500/day amoxil for sinus/upper respiratory infection (I still have 3 days of amoxil to take). Two days later, I got a text from my sexual partner that he had tested positive for gonorrhea but negative for chlamydia. I have been doing research online and since I have had both antibiotics typically administered to treat gonorrhea, should I still go get tested now or wait until I finish the dosage of amoxil and be tested to make sure that the bacteria has been eradicated. I read online on a doctor s forum that testing would be unnecessary at this point since I had all the antibiotics normally administered plus some and that the antibiotics I am still taking could affect the test results. Also, when I do get the screening (I will be tested just to ensure that everything is clear) since I was a receiver of anal penetration, should I have an anal swab done instead of urine test. I am concerned that there would be no trace of the bacteria in my urine stream since I did not do the penetration. Thanks for your help.
Thu, 31 May 2018
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Infectious Diseases Specialist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I think that your above mentioned symptoms could be related to the upper respiratory infection. The treatment you have done with Rocephin and Azithromycin are the first choice to treat gonorrhea and chlamydia even if you had it. So, based on this fact I think it is not necessary to get tested for STD but if you insist you can do an anal swab for gonorrhea and chlamydia.

I hope my answer helps you.

Regards.
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What Causes Fever And Body Ache After Unprotected Intercourse?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I think that your above mentioned symptoms could be related to the upper respiratory infection. The treatment you have done with Rocephin and Azithromycin are the first choice to treat gonorrhea and chlamydia even if you had it. So, based on this fact I think it is not necessary to get tested for STD but if you insist you can do an anal swab for gonorrhea and chlamydia. I hope my answer helps you. Regards.