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Avatar universal

Chlamydia worries

I have been experiencing light pain in the testicles and abdominal pain for the last 3 months and I am concern that I could have chlamydia (or some other STD). I have seen my doctor but because he is my family doctor I did not dare to ask to be check for chlamydia. Also for what I have read in here I think I would be at low risk of catching it. The risk I was exposed to were: 1 unprotected oral sex (receiving) nearly 1 year ago and about 4 months ago a sex worker rubbed the tip of my penis with her vaginal fluids for about 3 seconds before I told her to stop. I never had unprotected sex otherwise.

I had a urine test (non chlamydia specific) and everything was normal. There was no Leukocytes.
I also had an ultrasound scan. the scrotum was normal. No problem with the epididymis, Testes size is normal too. I never had any discharge neither.

From the test, I concluded that if I had chlamydia there would be leukocytes in urine or if the pain was due to a chlamydia infection it would have shown on the scan either as an inflammation of the epididymis or the testes. But I am not a doctor and I really don't have a clue if this reasoning is correct or completely wrong. am I wrong and do I have reasons to be concern?

Your help will be greatly appreciated. Thanks.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Chlamydial eye infections are very rare with the exception of a problem common in the tropics called trachoma which is spead by flies which land on people's eyes.  Otherwise eye infections on the very, very few occasions they have occurred were either lab experiments or the result of direct inoculation of genital secretions into the eye during sex.  EWH
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Avatar universal
also I assume the reasoning is also valid for other std than chlamydia?
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Avatar universal
very helpful. Thank you very much for your help!

if I may also ask an unrelated question, as I was reading the forum I read that mutual masturbation and touching with fluids was very low risk but I also learned the existence of eye chlamydia. I couldn't help wondering how does chlamydia gets to the eye if it is not likely to be transferred through hand contact?
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum. I'll be pleased to comment and hope that I can reassure you that you do not need to worry that your abdominal and testicular discomforts might be due to chlamydia.  There are many reasons that I say this.  Some of them include:

1.  The exposures you describe are very low risk.  Neither of the activities you describe are associated with any meaningful risk for chlamydial infection.

2.  You are correct that if you had chlamydia causing your testicular pain, the ultrasound would have shown inflammation of the testis.

3.  Chlamydia almost never causes abdominal pain of any sort in men.  

4.  You have not had a penile discharge or leukocytes in your urine.  One or both might be expected with chlamydia.

I really see no reason to test.  At the same time however, you should not hesitate to speak with your doctor about your concerns.  you need not tell him that our encounters were with sex workers and family doctors should always be willing and able to provide such service and advice while respecting their clients' confidence- that's part of medical ethics.  

Either way however, I urge you not to worry about chlamydia related to the exposures you have described above. I hope my comments are helpful to you. EWH
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