A male patient reached out to our iCliniq doctor seeking guidance on sexually transmitted diseases (STDs). He mentioned having an open wound on his hand that came into contact with sperm and was concerned whether Chlamydia and Gonorrhea could be detected in urine tests, given the site of communication was on his fingers rather than his sexual organs, and also inquired whether these organisms could migrate from his fingers to his sexual organs and be picked up by a urine test.
Our iCliniq doctor carefully reviewed the query and provided a comprehensive response. The doctor explained that STDs like Chlamydia or Gonorrhea are primarily transmitted through sexual activity with an infected person and not through blood. The doctor explained that these infections can spread through vaginal, oral, or anal sex. However, some other STDs, such as Hepatitis B, C, and HIV (human immunodeficiency virus), can be transmitted through blood by sharing syringes or equipment used for drug injections, body piercing equipment, or tattooing needles. Additionally, the doctor emphasized that Chlamydia and Gonorrhea could be passed from an infected mother to the baby during childbirth.
The doctor reassured the patient that Chlamydia and Gonorrhea would not transmit through skin contact or minor wounds. These infections require direct contact between mucous membranes and the secretions or semen of an infected person. Therefore, the patient's concern about acquiring Chlamydia and Gonorrhea through an open wound on his hand was unfounded.
To address the patient's worries about potential infection, the doctor recommended undergoing Chlamydia and Gonorrhea blood tests (PCRs - polymerase chain reaction) if the patient knew that the other person involved in the contact was infected. The doctor advised that these tests should be performed within one to three weeks after exposure to detect the infection accurately. The doctor also advised that if the patient was unsure but still had suspicions, he could undergo the test to gain peace of mind.
Furthermore, the doctor clarified that Chlamydia and Gonorrhea are tested using PCR from blood samples and swabs and would not appear in a urine test. As for the patient's concerns about potential genital infection due to migration from his fingers, the doctor assured him that such a scenario is highly unlikely, given that these infections require direct contact with the sexual organs' mucous membranes.
The patient expressed his gratitude for the detailed explanation and prompt reply provided by our iCliniq doctor, feeling content and reassured with the information received.