Welcome to the forum. Thanks for your question.
The advice from Dr. Gonzalez-Garcia, who also moderates MedHelp's international HIV/AIDS forum, is always reliable; we have neve disgreed at all in our advice and opinions on MedHelp. And from what you say, that is the case here.
I would agree that since your exposures were oral and anal, it was pointless to test the urethra or urine for gonorrhea and chlamydia (unless you have had other sexual activity in the past year that might have exposed your urethra). These organisms do not travel through the body, and infection can only exist (and be tested) at the anatomic site(s) exposed. That said, since your recent bottom exposure was condom-protected, there was little or any risk and additional tesitng may not be necessary except for reassurance purposes. But a gonorrhea test of the throat might be considered, given your unprotected oral exposure. (Chlamydia rarely infects the throat even if exposed, so chlamydia testing probably isn't needed.)
Your various symptoms are not typical for any STD. The combination of scrotal tingling, abdominal, and lower back pain are typical for genitally focused anxiety -- perhaps reflecting your emotions over a sexual decision you apparently regeret. In any case, based on the exposure you have described, you could not have acquired any STD involving the urethra, prostate, etc that could explain those symptoms.
You also were at little or no risk for syphilis, HIV, or hepatitis -- but in any case your negative test results are solid evidence you weren't infected with any of these.
Should you visit Freedom Health for additional testing, especially rectal and throat swabs for gonorrhea and a rectal chlamydia test? On the basis of this particular exposure, I would say it isn't necessary from a medical standpoint. However, negative test results might reassure you more than distant (online) expert advice from me and Dr. G-G. So it's really up to you. If in doubt, I would advise you visit Freedom Health (your local NHS GUM clinic also would be an option), go over the history and past test results with them, and then follow their advice about additional testing. (You could print out this thread as a framework for discussion with the clinician.)
In the meantime, I urge you not to worry. It is very unlikely you acquired any STD. Best wishes-- HHH, MD
Thank you for your reply and iam truely very sorry for offending you it was not my intenstion iam very thankful for all your advice on this matter and you have been a great help.
Use a little common sense. Of course "not detected" is the same as "negative".
This thread is over. Any more anxiety-driven comments that ignore my advice above will result in immediate deletion of the entire thread. This is not a hand-holding service for people who will not or cannot accept the advice and opinions they have been given. Any and all concerns should be directed to the doctor or clinic were you have been personally evaluated.
Hello doctor i wondor could you please advice me on my previous posts
Thank you
Hello doctor could you please please answer my last question as my anxiety levels are very high
Thank you again and sorry for being a pest
Got swap test done today samples taken from throat ,anus ,penis get results Monday
Got copy of duo test results it was worded Not Dedected is this the same as Negative?
Didnt get same gp docter as before because of short notice she told me that 33 days was good but needed to take 90 day test i thought the test i took was final and conclusive no more tests the doctor works as private and nhs and she says thats the guild lines iam now very worried again could you give me your advice please
Thank you very much
Testing for trichomonas will not be necessary.
Thank you very much for coming back to me as you said alot of it is anxiety fear stress i have never done anything like this in my entire life and this has scare me so much i just want to be 100% safe around my wife and daughter iam usually a very strong person but this has emotionly destroyed me i will get the tests done for my own piece of mind and hope theyre Negative and hope to god i can put this out of my mind and move on with my life never to do anything so stupid again and thank you so much for your advice and that of Dr Jose i mend no dis respect to him i just need somemore advice
Thank you again you have been a great help. One last thing should i test for other infections such trich or its like or is there no real need.thank you