Q. I have sore throat and weight loss. Do I need to test again for STD?

Hello,

Welcome to icliniq.com.

I have noted your concern and I have viewed the attachments (attachment removed to protect patient identity).

Receiving unprotected oral sex though much less of a risk as compared to unprotected vaginal or anal sex, is still not entirely safe. There is a possibility of acquiring herpes simplex infection, gonorrhea and chlamydia through oral sex though HIV (human immunodeficiency virus) has a negligible risk unless the person performing oral sex has oral sores or bleeding gums. As far as testing is concerned HIV has been convincingly ruled out in you at six weeks. Even CDC (centers for disease control and prevention) says a negative HIV combo test (antibody and P24 antigen test) is conclusive at six weeks. Though your HSV (herpes simplex virus), IgG (immunoglobulin G), and IgM (immunoglobulin M) are negative at six weeks a 12 to 16-week negative HSV, IgG would be more reliable as IgG may sometimes appear later. A negative IgM is not very reliable in ruling out HSV as it is short lasting even though it appears quite early. Chlamydia has been adequately ruled out. Gonorrhea is mostly symptomatic in males. So, if you still do not have any symptoms of gonococcal urethritis like pus discharge from the urethra and burning on micturition, it suggests that you do not have gonorrhea.

So to summarize, you just need to repeat HSV IgG at 12 to 16 weeks. Rest all the STDs (sexually transmitted diseases) have been ruled out. HCV (hepatitis C virus) and HBV (hepatitis B virus) is not a risk through oral sex. I hope this helps.

Thanks and regards.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Sushil Kakkar

Experience: 21 + Yrs

Dermatology

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