Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Positive RECTAL CHLAMYDIA with anal sex. Reason?

Resolved Question:

Hi, my name is David. I'm a 32 year old, gay male. Within the past year, I've dated 4 guys. However, the only sexual activity I engaged in was oral sex (mostly on the receiving end). Last week, I went to the Gay and Lesbian Center in Los Angeles, Ca to get tested for HIV and STDs. I was tested specifically for chlamydia, gonorrhrea and syphlils. For the chlamydia test, they swabed my thoat, made me urinate in a cup and take a swab of my rectum. All the results came out negative, except for the rectal test. I was found positive for rectal chlamydia. However, I've never engaged in any anal sex. Although, it's possible that one of the guys I dated may have rubbed his gentital near my rectum (without a condom). No anal sex took place. However, that's the only contact that I could think.

At any rate, the clinic treated me with a one-time dose of antibiotics and wants me to come back and re-test within 3 weeks, providing that I avoid all sexual activity.

I'm just wondering how I could have tested positive for rectal chalmydia. I'm always very careful. Should I have anything to worry about? HIV and everything else was negative.

Thank you for your time.

Also, I never had any symptoms or anything. It might also be worth noting, that I swabed my rectum to get the sample, and then placed the sample in a test tube solution and broke off the end of the swab before sealing the tube with the cap. I would have felt more comfortable if the clinic had collected the sample from my rectum because I didn't think that I gave enough of a sample. They told me to place the swab an inch into my rectum, but I couldn't do this. I just did my best to swab around the rectum. 

Category: Family Physician-GP

Ask Your Own Question

Category: HIV- AIDS Specialist
 19 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I am Dr. Jay and I am pleased to assist you.
Do you have any previous history of unprotected intercourse?
Yes, since you never had anal sex in the past one year, you should have tested negative for chlamydia. Now the only way this could have happened is if the guy who touched your anus with his penis, could have had precum that came in contact with the anus and he transmitted the infection to you.
When it comes to other infections though, since there was no unprotected intercourse, you should not worry.
Moreover. both chlamydia and gonorrhoea if diagnosed early, can be treated easily.
Please feel free to discuss further,
Dr. Jay


Patient replied :

Hi Dr. Jay,
Thank you so much for the reply. To answer your question, I've never had any previous history of unprotected intercourse. The most risky thing I've engaged in is oral sex without a condom, but no semen has ever been in my mouth and swallowed. I realize oral sex definitely carries risk, and I need to be more careful. I was just really surprised at the positive rectal chlamydia result, but after what you explained to me, it's definitely a possibly that the guy I was seeing could have touched my anus with his penis. At any rate, I go back to the clinic on March 19th to get retested. I just got insurance through my job, so I couldn't get in to see a primary care physician until April, and I was just worried. But, you've really given me some peace of mind, and I thank you again.
David Miller


Hello David,
I am glad I could give you some peace of mind.
You seem to know all the right methods of avoiding getting any STD and that is something a lot of people are not aware about.
Regarding chlamydia, the infection can be treated easily and does not recur.
Hope this consultation was beneficial,
Regards.


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news