Oral sex and some symptoms

[Mehme]

Hi there. I need your help guys. Four days ago, my partner was ejaculated my mouth during an oral sex. I asked him about his sex life and learned that he had unprotected sex with sex workers many times before. He also said he recently had gonorrhea  and was cured. I currently have a mild fever and fatigue. I also have a pain in my lower back and a mild abdominal pain. What are my risks? Should I get tested? I really need your help. Thanks in advance.

[auntiejessi]

If you have oral gonorrhea, you wouldn't have lower back pain, but that aside, I'd sure test.

The risks from oral sex are lower than with vaginal or anal sex, but I'd want to make sure he was actually cured,  and that I didn't get anything. Also, if you are continuing to have sex with him, I'd ask him to test.

Make sure that they do an oral swab gonorrhea test for you, and not just a genital test. That's really important. If you've done more with him - vaginal or anal sex - make sure to get tested for that.

Do you know how recent "recent" is?

[Mehme]

Thank you so much for your quick response. I am a gay. I did nothing but oral sex with him. Absolutely nothing more! That was my first and last time with him. I don't know exactly how recent is but I guess it was two or three months ago.

[auntiejessi]

He probably was cured, but I'd still want to test to be sure. Let us know what happens.

And you're welcome. :)

[Mehme]

I will let you know :) Thank you for your kindness, too.

[Mehme]

Hi again, I am sorry to keep you busy. It has been 9 days since my exposure. I wasn't too worried until yesterday but some new symptoms appeared. I still have a fever,  fatigue and stomachache. Besides, I have muscle and joint pain (esp. on my knees, wrist and ankle). I also have a sore on the back side of my tongue that came out today. I have a burning sensation in my eyes (my eyes are red). I just gave an oral to my partner and he ejaculated my mouth. What could these symptoms be? I hope it is not HIV. Sorry for my English and thanks in advance for your help. I really need your ideas

[auntiejessi]

HIV is not a risk from oral sex. It just isn't.

If you have a fever, have you seen a doctor? A sore on the back of the tongue is likely a canker sore, not an STD, but see your doctor. Maybe you have covid or something.

You can get a throat swab to see if you have oral gonorrhea now. Is there some reason you haven't done this? Go get checked. If you have a fever, you need to see your doctor.

[Mehme]

I had covid before and it was completely different. I don’t know what this is but I am going to see my doctor tomorrow. In any case, it is nice to hear that it isn’t HIV.  Thank you so much for your patience, auntiejessi. I am really grateful.

[auntiejessi]

Each variant has different symptoms, but in any case, this isn't HIV.

I hope you feel better!

[Mehme]

Hi auntiejessie, I got tested for syphillis, hepatitis and HIV on the 10th day of my exposure but the doctor said it was too early to be sure of my status. I couldn’t get tested for gonorrhea but she decided to start an antibiotic treatment for it. She also said that i could be infected with HIV and this made me a little sad at that moment although you said it was impossible to get HIV with oral sex.  I actually want to get your ideas about testing. When should I get tested for hepatitis and syphillis for an accurate result?

[Mehme]

Can somebody help me please?  This is the 14th day of my exposure. I still have fever, sores on my tongue, severe joint/muscle aches stomach ache and diarrhea despite the antibiotic treatment. What could this be? Which tests should I get and when to have accurate results? I need your guidance. Doctors here don’t really care.

[GuitarRox]

It was already stated that the one test you need is an oral gonorrhea test.  Have that and then discuss.  Until then, there is nothing to discuss.  No risk for HIV and other tests you have, you were given a pretty clear answer to all of this to just have the oral swab to rule out oral gonorrhea (don't do genital swab, ORAL only).  You also saw your doctor in person as you said you were?  That is who you need to work with.

[Mehme]

Thank you very much for your response, GuitarRox. Yes, I saw my doctor and told her about the situation. She said it was not possible oral swab to be done at that clinic (just genital). She decided to start a treatment (clarithromycin and ceftriaxone) for gonorrhea (without testing and diagnosis). I hope it works if I have oral gonorrhea. Sorry to bother you. I am just worried.

[auntiejessi]

Clarithromycin has a lot of side effects.

https://www.mayoclinic.org/drugs-supplements/clarithromycin-oral-route/side-effects/drg-20067672

Check with your doctor immediately if any of the following side effects occur:

Less common
Chills
cough
fever
hoarseness
lower back or side pain
painful or difficult urination

Rare
Fever with or without chills
itching, skin rash
nausea
severe stomach cramps and pain
stomach tenderness
unusual bleeding or bruising
vomiting
watery and severe diarrhea, which may also be bloody
yellow eyes or skin

Mild diarrhea is also listed as a side effect. Contact your doctor.

Was the ceftriaxone a shot?

https://medlineplus.gov/druginfo/meds/a685032.html

Diarrhea is listed as a side effect, as is "stomach tenderness, pain or bloating", "a return of fever, sore throat, chills, or other signs of infection", and "bloody, or watery stools, stomach cramps, or fever during treatment or for up to two or more months after stopping treatment".

Again, contact your doctor.

[Mehme]

I had all the symptoms before clarithromycin except diarrhea.  Just a diarrhea started after clarithromycin and it is not so severe. Should I still contact my doctor? Btw, yes. Ceftriaxone was a shot.

[auntiejessi]

It's up to you. It's been 4 days since you started the treatment? You could give it a few days, and then contact your doctor if you want, or contact them now.

[Mehme]

Ceftriaxone treatment lasted 3 days (2 grams daily, 6 grams in total) and today is the fifth day of clarithromycin. There are still two pills.

[auntiejessi]

WOW you got way over treated.

The WHO treatment protocol for gonorrhea is Ceftriaxone 250 mg shot as a single dose plus azithromycin 1 g orally as a single dose.

No wonder you don't feel well. You've taken a LOT of antibiotics.

[Mehme]

It is really too much. “ The WHO treatment protocol for gonorrhea is Ceftriaxone 250 mg shot as a single dose plus azithromycin 1 g orally as a single dose.” I read this on the net but I could do nothing but do what was recommended to me.

[auntiejessi]

You can always, always ask your doctor about your treatment, and why they are choosing what they do. It's too late now, obviously, but for the future, your doctor is not an authority figure. You're a team.

[Mehme]

You are absolutely right, auntiejessi. Thank you. It is ridiculous but I sometimes come across some doctors who say “Do it yourself, in you know better”, when I question their treatment methods. What an inferiority complex!!! This makes me mad, so I avoid questioning.

[auntiejessi]

A lot of them do have complexes, but advocate for yourself. It's your body.

Hang in there. :)

[Mehme]

I will try to do my best. I am going to see my doctor tomorrow and I will ask her about the treatment. I still have severe muscle pains on my back and legs and a headache (I’ve never experienced something like this before) And I have a severe fatigue. I mean I still feel sick. I know I should use azithromycin with ceftriaxone  for gonorrhea but she prescribed me clarithromycin. So, this is a wrong treatment for gonorrhea. I don’t know what to do with those ignorant doctors.

[auntiejessi]

That could be from the meds, so ask about it. The chances of you having gonorrhea in the first place was really quite low, so try not to worry about that.

Good luck!