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Possibility of chlamydia or other infections after an unprotected sex - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
User :   I had a condom accident (broke) 3 days ago and then last night had sudden onset of fever (low-grade 99.9), sore throat, body aches and this morning, some blood and tissue in urine. I'm scared that I've got an std, is it too early for tests? I am female.     
Doctor :   Hello.
User :   hello
Doctor :   Let me read your query.
Doctor :   Do you have any other associated symptoms like pain during urination, burning sensation during urination?
User :   I have only had one UTI and it was years ago and didn't involve fever or body aches - considering how sudden this came on and how close to essentially unprotected sex, I am concerned.
User :   Not until this morning, but this morning I did have some pain and tingling during urination and a persistent feeling of urination -- about 24 hours after the lowgrade fever and sweats and sore throat set in.
Doctor :   Did you have oral sex?
User :   I did, yes
Doctor :   Was it protected?
User :   the oral sex was not protected, no. Vaginal sex was but the condom broke so there were a few moments of unprotected sex
Doctor :   Ok.
Doctor :   There are chances of STD's as you had a
Doctor :   unprotected oral sex.
User :   semen did not make contact with my mouth/throat, but there was unprotected oral not to completed
User :   in other words not completed in my mouth/throat -- but I can still be at risk, right?
User :   I am esp worried about Gonorrhea and chlamydia (and herpes and HIV most of all, of course)
Doctor :   There is a possibility of other body fluids entering your body.
User :   is it common to experience symptoms so quickly after (48 hrs)?
Doctor :   Some of them do present within 3 to 4 days.
User :   for which in particular is that most likely?
Doctor :   CHLAMYDIA most likely.
User :   oh. I'm scared because if I've been exposed to that, I may have been exposed to other things as well.
User :   and if I were to get tested on Thursday (4-5 days after), might that be too soon for the results to be accurate, or is that ok
Doctor :   You can go for the testing.
User :   ok
User :   is fever a symptom of chlamydia?
Doctor :   Most of the std will be detected within 1 to 2 weeks.
Doctor :   Yes.
User :   should I schedule another test 2 weeks after this week?
User :   (if insurance will cover it)
Doctor :   You can.
User :   is there anything else I should ask about in particular when I go to the Dr? Hepatitis, etc?
User :   And is there anything I can do in the meantime (or should avoid doing) to treat the symptoms until I go for the testing Thursday? thanks.
Doctor :   Nothing in particular.
Doctor :   Just tell all about the incident.
User :   ok
User :   do I need to worry about the blood in urine between now and thurs?
Doctor :   How times did you notice it?
User :   several times today - I noticed it first not in my urine but on the toilet tissue. Now, there are tiny bits of blood in my urine; it's continuing. I don't have as much pain urinating as I had this morning, however.
Doctor :   Is the blood bright red?
User :   yes, bright
Doctor :   Ok.
Doctor :   Do you have any pain while passing urine?
User :   not terrible pain, mostly a strange tingling and discomfort, a sense that I have to urinate frequently
Doctor :   Any pain in the lower abdomen?
User :   not so far
Doctor :   Ok.
Doctor :   Any pain while passing stools?
User :   No. I have not had much of an appetite yesterday or today so there has been minimal passing of stools (very minimal - maybe once)
Doctor :   Ok.
User :   I am concerned because I'm 34 and have never had unprotected sex before. I'm otherwise healthy and in good shape -- never get UTIs
Doctor :   It could probably be a case of UTI?
Doctor :   You have to get few examination/ lab test done for this.
User :   I have only had one before (years ago) and it was like this but no fever, no sore throat, etc. Maybe - I hate to think this - but is it possible that it's a UTI and something else, like chlamydia?
User :   Can I wait until my appointment Thurs to get them done, or should i have them done today?
Doctor :   chlamydia also causes UTI.
User :   oh
Doctor :   You can wait.
Doctor :   But it should be done as soon as possible.
User :   48 hours is ok?
Doctor :   Unless the symptoms increase.
User :   ok
Doctor :   Or you are feeling really uncomfortable.
User :   Could a UTI cause sore throat, aches and fever, is it possible that's what this is?
Doctor :   No.
Doctor :   It can cause body ache and fever.
User :   but not likely to be associated with headache or sore throat?
Doctor :   Sore throat due respiratory tract infection.
Doctor :   Yes.
User :   could it be the same infection, in my respiratory tract and UT? and if so, is it likely an std?
Doctor :   CHLAMYDIA can cause both UTI and RTI( respiratory tract infection).
User :   any others you are thinking that have similar symptoms? I will have the full range of lab tests.
Doctor :   Lot of other also cause UTI.
Doctor :   You can get a Urine analysis and Urine culture.
User :   ok
Doctor :   You can come to know about the cause.
User :   how?
Doctor :   Urine culture is a test to identify the organism in the urine.
User :   ok, thanks for this info
Doctor :   Is there anything else?

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