Throat Pain: Could It Be a Sexually Transmitted Infection? - Otolaryngology

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Sore throat (possibly caused by a sexually transmitted infection)


Hello, Dr.
Zheng! I've started experiencing a bit of throat inflammation over the past few days, feeling slightly swollen, but it's not severe enough to cause difficulty swallowing.
There's a slight sensation of something being stuck when I swallow.
Suddenly, yesterday my girlfriend told me she has gonorrhea! I was shocked because I performed oral sex on her a few days ago.
I quickly went to see a doctor and started taking antibiotics to prevent infection, as the risk of transmission is quite high! Now that I'm on antibiotics, if my throat pain is caused by a sexually transmitted infection, will the antibiotics also help treat my throat? I am allergic to anti-inflammatory medications and usually take aspirin.
I'm very worried about what to do, especially since I'm abroad.
P.S.
Thank you!

Ted, 30~39 year old female. Ask Date: 2016/03/03

Dr. Zheng Jueyi reply Otolaryngology


Hello: Antibiotics are effective for infections, but if throat pain persists without improvement, it is advisable to seek medical evaluation.
Wishing you safety and health.
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare, Dr.
Cheng Jue-Yi.

Reply Date: 2016/03/03

More Info


It's understandable to feel anxious about throat pain, especially after learning that your girlfriend has gonorrhea. Let's break down your concerns and provide some clarity on the situation.

First, throat pain can indeed be caused by a variety of factors, including viral infections, bacterial infections, allergies, or irritants. In the context of sexually transmitted infections (STIs), oral sex can lead to the transmission of certain infections, including gonorrhea and chlamydia. Gonorrhea can infect the throat, leading to symptoms such as sore throat, difficulty swallowing, and swelling. However, many individuals with gonococcal pharyngitis (throat gonorrhea) may be asymptomatic, meaning they do not exhibit noticeable symptoms.

Given that you performed oral sex on your girlfriend, there is a possibility of exposure to gonorrhea, especially if she was infected at the time. The fact that you are experiencing throat discomfort could potentially be related to this exposure. However, it is also important to consider other causes of throat pain, such as viral infections (like the common cold), which are prevalent and can cause similar symptoms.

You mentioned that you have started taking antibiotics after consulting a doctor. This is a proactive step, as antibiotics are effective against bacterial infections, including gonorrhea. However, it's crucial to ensure that the antibiotic prescribed is appropriate for treating gonorrhea, as not all antibiotics are effective against this particular infection. Commonly used antibiotics for gonorrhea include ceftriaxone and azithromycin. If your doctor prescribed a different antibiotic, it may not be effective against gonorrhea.

Regarding your concern about throat pain being treated with antibiotics, if your throat pain is indeed caused by a bacterial infection, the antibiotics should help alleviate the symptoms. However, if the pain persists or worsens, it is important to follow up with your healthcare provider for further evaluation. They may need to perform a throat swab to test for gonorrhea or other infections if they suspect that the antibiotics are not effectively treating the underlying cause.

As for your allergy to anti-inflammatory medications, it is essential to communicate this with your healthcare provider. They can recommend alternative pain relief options that are safe for you. Over-the-counter pain relievers like acetaminophen (Tylenol) may be suitable for managing pain and discomfort without triggering your allergy.

In summary, while your throat pain could potentially be related to exposure to gonorrhea, it is essential to consider other possible causes as well. Continuing your antibiotic treatment as prescribed is crucial, and if symptoms do not improve or if you have any concerns, do not hesitate to seek further medical advice. Additionally, it is advisable to have your girlfriend treated for her gonorrhea to prevent reinfection and further transmission. Regular STI screenings and open communication with sexual partners about sexual health are vital for maintaining overall health and well-being.

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