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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Protected Sex Lead To Transmission Of STDs?

I haven't been sexually active since the middle of 2007. I had a one night stand this last weekend. I was protected. I used a condom correctly.

I recently went to the doctor and she asked what I had. I told her that I ate the food in Mexico. I had a very large consumption of alcohol. And a large intake of salt.

I have no PUS or Discharge of anykind. She diagnosed it as Epididymitis. Now, I am looking it up, and it says that there are three ways I could have gotten this. Chlamydia, Gonorrhea, and E. Coli. I had tenderness only in the epididymis...

Should I be worried about an STD? The only unprotected person I was ever with was my girlfriend from 2005-2007.
Fri, 16 Jan 2015
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

Gonorrhea and chlamydia are common STD's that may be complicated by epididymitis.
The involvement of epididymus is unlikely to be an STD in your case because your recent sexual encounter was a protected one.
Moreover, I don't think this has anything to do with your girlfriend because it is very unlikely for gonococcal or chlamydial infection to persist for that long without any symptoms.
The only other possible route is through blood stream i.e hematogenous. E. Coli or Staph aureus can both spread via the hematogenous route to involve the epididymus.
A course of a broad spectrum oral antibiotic preferably a third generation cephalosporin e.g ceftriaxone would be enough to take care of the involvement.

Regards
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Can Protected Sex Lead To Transmission Of STDs?

Hello. Thank you for writing to us at healthcaremagic Gonorrhea and chlamydia are common STD s that may be complicated by epididymitis. The involvement of epididymus is unlikely to be an STD in your case because your recent sexual encounter was a protected one. Moreover, I don t think this has anything to do with your girlfriend because it is very unlikely for gonococcal or chlamydial infection to persist for that long without any symptoms. The only other possible route is through blood stream i.e hematogenous. E. Coli or Staph aureus can both spread via the hematogenous route to involve the epididymus. A course of a broad spectrum oral antibiotic preferably a third generation cephalosporin e.g ceftriaxone would be enough to take care of the involvement. Regards