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third_shift

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A urine sample is good for chlamydia and gonorrhoea at the genital site, and that is the main thing it is for. It does not tell you anything about the throat or the rectum, and it does not cover HIV or syphilis, which need blood.

So whether you got a lesser version depends entirely on where you have had sex.

They are testing different sites, so they are not really in conflict. A positive at one site and a negative at another usually means the infection is at the first site and not the second.

They will treat on the positive. A negative elsewhere does not cancel it out.

Adding one explanation the others did not cover: irritation and inflammation in the urethra can carry on for a while after the infection itself is dealt with, so persistent discomfort is not automatically persistent infection.

That is not a reason to sit at home with it. It is a reason to go back and let them work out which of the possibilities it is, because the answers are genuinely different. Whatever you do, do not take leftover antibiotics from a previous course to see if it helps.

One thing not to skip when you tell a partner: where the virus is matters more than which number it is. HSV-1 is extremely common orally, and oral to genital transmission is exactly how a lot of genital HSV-1 happens in the first place. Worth both of you understanding that rather than focusing on the label.

Worth saying because people spiral into cleaning as a way of feeling in control. Treat yourself properly, treat partners, do a normal hot wash, bag what you cannot wash. Everything past that is anxiety rather than hygiene.

Something that reframed this for me: HPV is extraordinarily common and most sexually active adults encounter it at some point. Framing it as something you might give him, rather than something both of you are already living in the same world as, puts more weight on you than the biology does.

The one that catches people out is that the lowest risk activities are not zero risk for the skin transmitted infections, and the highest risk ones are not certainties either. It is a gradient, not a switch.

Probably not. A test of cure is not routine for uncomplicated genital chlamydia in most guidelines, because cure rates are high and testing too early picks up dead organism and causes confusion.

It is recommended in specific situations: pregnancy, rectal infection, doubt about whether the course was completed, or symptoms that persist.

Viewing 8 replies - 1 through 8 (of 8 total)

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