STIs: Transmission, Recurrence, and Safe Practices for Gay Men

Q: STIs: Transmission, Recurrence, and Safe Practices for Gay Men

Hello： Based on your description, if both parties have been tested multiple times with no infections, in the case of a monogamous relationship, protection may not be necessary, but it is important to maintain cleanliness. <br>Wishing you good health.

Transmission and Recurrence of Sexually Transmitted Infection Viruses

Hello Doctor, I would like to ask you a question.
I am a gay man (I am a virgin), and I had unprotected sexual intercourse last year in July and December, during which I contracted gonorrhea (which I have since treated with injections and have recovered).
My boyfriend went to the infectious disease department for examination and physical examination and showed no symptoms.
This year, we have both been continuously monitored (with tests every three months, all negative).
Recently, the reports came back negative for both of us (normal).
Considering environmental factors and the incubation period, is it possible to contract a sexually transmitted infection (STI) from unprotected sexual intercourse if both of us have tested negative? Can gonorrhea recur? I have asked doctors, and they mentioned that a virus cannot appear out of nowhere, so I would like to inquire about health education regarding this matter.
Thank you.

Xiansheng, 20~29 year old female. Ask Date: 2021/09/28

Dr. Du Shixi reply Urology

Hello: Based on your description, if both parties have been tested multiple times with no infections, in the case of a monogamous relationship, protection may not be necessary, but it is important to maintain cleanliness.
Wishing you good health.

Reply Date: 2021/09/28

More Info

Understanding sexually transmitted infections (STIs) is crucial, especially for gay men who may face unique challenges and risks. Your situation highlights several important aspects of STI transmission, recurrence, and safe practices.

Firstly, regarding your question about the possibility of contracting STIs through unprotected sex, even if both partners have tested negative, it is essential to understand that STIs can be transmitted through various means. While both you and your boyfriend have tested negative for STIs, the risk of transmission during unprotected sex exists if either partner has an undetected infection or if one of you engages in sexual activities with other partners who may carry STIs.
STIs like gonorrhea (which you mentioned having previously) can be asymptomatic in some individuals, meaning that a person can carry the infection without showing any symptoms. This is particularly relevant in the context of your boyfriend's situation, where he has not exhibited any symptoms but has not been tested for STIs recently. Regular testing is crucial, especially if either partner has other sexual partners. The Centers for Disease Control and Prevention (CDC) recommends that sexually active gay men get tested for STIs at least once a year, or more frequently if they have multiple partners or engage in high-risk behaviors.

As for the recurrence of gonorrhea, it is indeed possible to get reinfected after treatment. Gonorrhea does not provide immunity, so if you engage in unprotected sex with an infected partner after treatment, you can contract the infection again. Therefore, practicing safe sex by using condoms consistently and correctly is one of the most effective ways to reduce the risk of STIs, including gonorrhea.

In terms of safe practices, here are some recommendations:
1. Use Condoms: Always use condoms during anal and oral sex. This significantly reduces the risk of STI transmission. Ensure that the condom is put on correctly and used throughout the entire sexual encounter.

2. Regular Testing: Both partners should commit to regular STI screenings, especially if they have multiple partners or engage in unprotected sex. This helps in early detection and treatment of any infections.

3. Communication: Open and honest communication with your partner(s) about sexual health, testing history, and any potential risks is vital. Discussing boundaries and safe practices can help both partners feel more secure.

4. Limit Partners: Reducing the number of sexual partners can lower the risk of exposure to STIs. If you choose to have multiple partners, ensure that you practice safe sex with each of them.

5. Vaccination: Vaccines are available for certain STIs, such as hepatitis A and B, and human papillomavirus (HPV). Consider discussing vaccination options with your healthcare provider.

6. Avoid Substance Use: Avoiding excessive alcohol or drug use can help you make safer choices regarding sexual encounters.

In conclusion, while both you and your boyfriend have tested negative for STIs, it is crucial to continue practicing safe sex and maintain open communication about sexual health. Regular testing, using condoms, and being aware of the risks associated with unprotected sex are essential steps in preventing STIs. If you have further concerns or questions, consider consulting a healthcare professional who specializes in sexual health for personalized advice and support.

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