Do I Need Further Testing for Urinary Issues After Negative Results? - Urology

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Urinary issues?


Hello Doctor, I am the questioner with ID 176781.
I previously tested negative for Chlamydia IgA, and I have never had any blisters or ulcers on my genitals.
Do I need to go to a hospital or testing facility for further examination?

Guai Guai De, 20~29 year old female. Ask Date: 2021/12/18

Dr. Li Xinyi reply Urology


If you have these symptoms and feel something is off, it is advisable to get a blood test to check for a herpes simplex virus infection, as the initial herpes infection may have occurred at a very young age, and subsequent recurrences may not present noticeable symptoms.
Additionally, consider undergoing a kidney ultrasound to check for any issues related to kidney stones.

Reply Date: 2021/12/18

More Info


When it comes to urinary issues and the need for further testing after receiving negative results, it is essential to consider several factors. Based on your previous negative test results for Chlamydia IGA and the absence of any visible symptoms such as blisters or ulcers on your genital area, it may seem that further testing is not immediately necessary. However, there are several aspects to consider before making a final decision.

Firstly, the absence of symptoms does not always guarantee that there are no underlying issues. Some sexually transmitted infections (STIs) can be asymptomatic, meaning that individuals may not exhibit any noticeable signs or symptoms despite being infected. For example, Chlamydia and Gonorrhea can often go unnoticed until complications arise. Therefore, if you have engaged in high-risk sexual behaviors or have had unprotected sex, it may be prudent to consider retesting, even if your previous results were negative.

Secondly, the type of test you underwent is also significant. Different tests have varying sensitivities and specificities. If the test was a rapid test or a less sensitive method, it might be worth discussing with your healthcare provider the possibility of a more comprehensive test. This could include a nucleic acid amplification test (NAAT), which is considered the gold standard for detecting Chlamydia and Gonorrhea.

Additionally, if you are experiencing any new symptoms, such as changes in urination (e.g., increased frequency, urgency, pain during urination), unusual discharge, or any other discomfort, it is crucial to seek medical attention. These symptoms could indicate a urinary tract infection (UTI) or another condition that may require treatment.

Moreover, if you have had sexual partners who have tested positive for STIs or if you have concerns about your sexual health, it is advisable to consult with a healthcare professional. They can provide personalized advice based on your medical history, risk factors, and any potential exposure to infections.

In summary, while your negative test results and lack of symptoms may suggest that further testing is not necessary, it is always best to err on the side of caution. Consulting with a healthcare provider can help you make an informed decision about whether additional testing is warranted. They can also provide guidance on safe sexual practices and preventive measures to protect your health in the future. Remember, maintaining open communication with your healthcare provider about your sexual health is vital for early detection and treatment of any potential issues.

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