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Can Chlamydia And Gonorrhea Be Contracted Through Non-penetrative Sexual Activity?

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Posted on Thu, 12 Mar 2015
Question: Stupidly I licked the clitoris and anal area (no insertion of either) of a sex worker who told me she was 'clean'. A few days later I had a slight earache and sore throat. I had read that chlamydia and gonorrhea are possible to catch orally. I have no symptoms, lesions, swelling, spots or anything on my tongue or throat but have been extremely scared that I have exposed myself. What are the real odds of infection in the events described? Should I seek testing and how possible would it be to spread to another partner when performing oral sex on her if I was infected?
doctor
Answered by Dr. Sheetal Verma (48 minutes later)
Brief Answer:
Get tested for definitive diagnosis.

Detailed Answer:
Thanks for your query at HCM.
I understand your concern and situation.

I went through your query. Firstly it is very much possible that your infection is not a STD it could be viral infection of throat caused by common viruses such as rhinovirus, Respiratory syncytial virus, influenza virus, para influenza virus, etc. The symptoms are self limiting and you just need to rule out group b strep throat infection. For that you can get tested for complete haemogram and throat swab examination for gram staining microscopy and culture sensitivity test for aerobic and anaerobic bacteria along with ASO test. If positive then you will need to take antibiotics.Meanwhile you do not need to take antibiotics as they only lead to resistant bacterial stains and do not help in speedy recovery. You can take nasal decongestant, analgaesics( Tylenol) and antihistamines like cetrizine if required. Do chlorhexidine gargle for one minute 3-4 times a day. I hope this will be only needed. Get your throat and ear examination done from otolaryngologist if symptoms do not improve to rule out bacterial infections which require prescription of antibiotics. Now coming to your fear regarding STD. Yes we cannot completely rule it out. Chlamydia and gonorrhea can be transmitted through vaginal, anal or oral sexual contact.Symptoms of these infections of the throat include redness, swelling of the tonsils, or white spots on the tonsils. If two weeks have passed suspected exposure you can get tested by culture or rapid tests available. If you have infection then it is very rare to transmit the infection to others by kissing as only few investigators have found such infection. Also get tested for hepatitis B, syphilis, and HIV. Repeated testing may be done if desired, 3-4. In future practice barrier methods during intercourse and limit new sexual partners. The antibiotics like azithromycin are treatment of choice for such infection.
I hope I answered your query.
You can take a follow-up query.
If no clarifications then you can close the discussion and rate the answer.
Wishing you best of health.
Dr. Sheetal Verma
Infectious diseases Specialist
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Sheetal Verma (33 minutes later)
Thank you for your reply. I did forget to mention that it has been 17 days since the interaction the original ear/sore throat was roughly two days after the contact and lasted only a few days. No symptoms or sore throat in roughly 14 days now.
doctor
Answered by Dr. Sheetal Verma (8 hours later)
Brief Answer:
Get the tests done to be on safer side.

Detailed Answer:
Hi again.
I still believe it could be a possible viral infection. But to be on the safer side I suggest get the test done to clear doubts. Don't worry as antibiotics cures them effectively.
Take care.
:)
Best of health.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Sheetal Verma

Infectious Diseases Specialist

Practicing since :2001

Answered : 635 Questions

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Can Chlamydia And Gonorrhea Be Contracted Through Non-penetrative Sexual Activity?

Brief Answer: Get tested for definitive diagnosis. Detailed Answer: Thanks for your query at HCM. I understand your concern and situation. I went through your query. Firstly it is very much possible that your infection is not a STD it could be viral infection of throat caused by common viruses such as rhinovirus, Respiratory syncytial virus, influenza virus, para influenza virus, etc. The symptoms are self limiting and you just need to rule out group b strep throat infection. For that you can get tested for complete haemogram and throat swab examination for gram staining microscopy and culture sensitivity test for aerobic and anaerobic bacteria along with ASO test. If positive then you will need to take antibiotics.Meanwhile you do not need to take antibiotics as they only lead to resistant bacterial stains and do not help in speedy recovery. You can take nasal decongestant, analgaesics( Tylenol) and antihistamines like cetrizine if required. Do chlorhexidine gargle for one minute 3-4 times a day. I hope this will be only needed. Get your throat and ear examination done from otolaryngologist if symptoms do not improve to rule out bacterial infections which require prescription of antibiotics. Now coming to your fear regarding STD. Yes we cannot completely rule it out. Chlamydia and gonorrhea can be transmitted through vaginal, anal or oral sexual contact.Symptoms of these infections of the throat include redness, swelling of the tonsils, or white spots on the tonsils. If two weeks have passed suspected exposure you can get tested by culture or rapid tests available. If you have infection then it is very rare to transmit the infection to others by kissing as only few investigators have found such infection. Also get tested for hepatitis B, syphilis, and HIV. Repeated testing may be done if desired, 3-4. In future practice barrier methods during intercourse and limit new sexual partners. The antibiotics like azithromycin are treatment of choice for such infection. I hope I answered your query. You can take a follow-up query. If no clarifications then you can close the discussion and rate the answer. Wishing you best of health. Dr. Sheetal Verma Infectious diseases Specialist