Uncertain Symptoms After Unprotected Oral Sex: Seeking Guidance

Q: Uncertain Symptoms After Unprotected Oral Sex: Seeking Guidance

Hello： 1) Asymptomatic with normal urinalysis, it is rarely considered an infection issue. <br>2) No significant problems (as there are no symptoms). <br>3) Drink plenty of water, engage in moderate exercise, and it may be necessary to observe for a few days. <br>Maintain a light

I'm not sure if I have gonorrhea or something else..?

Unprotected sexual activity occurred with oral sex performed by a female, but intercourse was protected with a condom.
From February 10 to February 14, medication was taken for 5 days (Cefixime, Doxycycline, Uropyridine-Urob, Butylscopolamine-Buscopan taken twice daily).
On February 15 and 16, medication was paused for a day and a half due to the New Year.
From February 16 to February 18, the same medications were continued for another 3 days.
On February 19, a urine test was conducted at the hospital, and no medication was prescribed.
The doctor stated there was no inflammation or special conditions and only prescribed a topical ointment.
On February 19, at a urology clinic, a urine test showed no white blood cells, and medication for gonorrhea was prescribed.
I have been taking medication for a total of 7 days (Cephalosporin capsules and Uroprin taken after each meal).
Current condition: 1.
Occasionally, there is a burning sensation at the urethral opening, sometimes it is absent, and there is occasional itching.
2.
No unusual discharge.
3.
Sometimes experiencing frequent urination and a feeling of incomplete bladder emptying.
4.
Occasional bloating and pain in the lower abdomen, slightly to the left.
I would like to ask the doctor: 1.
Given the absence of purulent discharge, can gonorrhea and chlamydia infections be ruled out? 2.
Is it serious to have paused medication for a day and a half during the New Year? 3.
My current situation is quite awkward, and I am unsure of the next steps...
I kindly request your advice and an assessment of what condition I might have, as I still feel strange after taking medication for such a long time...
Thank you very much.

Panghuang de ren, 40~49 year old female. Ask Date: 2021/02/26

Dr. Du Shixi reply Urology

Hello: 1) Asymptomatic with normal urinalysis, it is rarely considered an infection issue.
2) No significant problems (as there are no symptoms).
3) Drink plenty of water, engage in moderate exercise, and it may be necessary to observe for a few days.
Maintain a light diet, and avoid alcohol and spicy foods.
Wishing you good health.

Reply Date: 2021/02/26

More Info

When it comes to concerns about sexually transmitted infections (STIs) following unprotected oral sex, it's important to approach the situation with a clear understanding of the risks involved and the steps you can take to address your symptoms and health concerns.

1. Risk of STIs: Engaging in unprotected oral sex does carry a risk of transmitting STIs, including gonorrhea, chlamydia, syphilis, and even HIV, although the latter is less common through oral sex compared to vaginal or anal intercourse. The symptoms you describe, such as burning at the urethral opening, occasional itching, and discomfort in the lower abdomen, can be indicative of an infection, but they are not definitive signs of any specific STI. The absence of purulent discharge does not completely rule out infections like gonorrhea or chlamydia, as some individuals may be asymptomatic or present with atypical symptoms.

2. Discontinuation of Medication: Stopping your medication for a day and a half during the treatment period may not significantly impact the overall effectiveness of the treatment, but it is always best to follow the prescribed regimen closely. If you have concerns about the effectiveness of the treatment, it’s advisable to consult your healthcare provider for further evaluation.

3. Current Symptoms: The symptoms you are experiencing could be related to a number of factors, including a possible STI, a urinary tract infection (UTI), or even a non-infectious cause such as irritation from medications or hygiene products. The burning sensation, frequency of urination, and discomfort could suggest a UTI or prostatitis, especially if you have a history of urinary issues.

4. Next Steps: Given your ongoing symptoms and the complexity of your situation, it is crucial to continue seeking medical advice. Here are some recommendations:
- Follow-Up Testing: Consider returning to your healthcare provider for further testing, including a urine culture, to rule out any bacterial infections. You may also want to discuss the possibility of testing for other STIs, including HIV, if you have not already done so.

- Communication with Partners: If you are diagnosed with an STI, it is important to inform any sexual partners so they can also get tested and treated if necessary.

- Safe Practices: Moving forward, it is advisable to practice safer sex by using condoms consistently to reduce the risk of STIs. This includes oral, vaginal, and anal sex.

5. Mental Health Considerations: The anxiety and uncertainty surrounding potential STIs can be overwhelming. It may be beneficial to speak with a mental health professional or a support group to help manage the stress and anxiety associated with your health concerns.

In conclusion, while your symptoms may not definitively indicate an STI, it is essential to continue monitoring your health and seek further medical evaluation. Open communication with healthcare providers and partners, along with practicing safe sex, will help you manage your sexual health more effectively. Remember, early detection and treatment are key to maintaining good health and preventing complications.

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