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Sexually Transmitted Infections

 

ID: 050103011

Science Topic

Sexually Transmitted Infections

Communicable Infections and Disease Spread Through Fisting

Education Center | Course ID: 050103011

Publication Details

Author: Finn Vortex

Published: DD Month YYYY

Updated: DD Month YYYY

Duration: NN Minutes

Executive Summary

Index of sexually transmitted infections that are common among fisters coupled with suggestions on decreasing the spread. General overview of the pathology of sexually transmitted infections, including prevention details and infection pathology. Etiquette and standard practices related to STIs.

This topic is under constant revision.

Additional STIs are added to the STI Index regularly. Bookmark and return for reference purposes on an as needed basis.

Protocols and Pathology sections are currently .

Content Development

The following material is under consideration in the development of this topic:

Objectives

Upon completing this course, the student will be able to:

  • Demonstrate... ...techniques
  • Give three reasons for...
  • Identify five...
  • List two alternatives...
  • Recite one etiquette protocol and one standard practice related to...

Note: Objectives should follow instructional design standards and be easily measurable with little ambiguity.

Supplemental Content

Blog Articles

  • Blog Article #1
  • Blog Article #2

F2 Promotional Materials

  • Thursday Erotica/Nuerotica:
  • Skills:
  • Protocols:
  • FWOTD:
    • Word #1
    • Word #2
    • Word #3
    • Word #4
    • Word #5
    • Word #6
    • Word #7

Outline (Proposed)

  • Pathology
  • Mechanisms of Transmission
  • Fisting
  • Bloodborne
  • Cross Contamination
  • Traditional Sexual Activies
  • Analingus (Eating Ass)
  • Oral Sex
  • Anal Sex
  • Treatment Modalities
  • Prevention
  • Curable
  • Manageable
  • Protocols
  • Etiquette
  • Disclose your STI Risk Profile
  • Test Before and After Events
  • Decrease/Eliminate Cross Contamination Behaviours
  • Standard Practices
  • Refrain from Play if Symptomatic
  • Follow Treatment Guidelines for Resuming Sexual Activity
  • Maintain PrEP or TaP Compliance
  • STI Index
  • Key
  • Index

Pathology

This section is still in its infancy, please come back again when it has matured.

Protocols

Protocols include standard practices and etiquette followed by the majority of the fisting community. Typically, these are things that new fisters pick up over time.

Etiquette

Etiquette refers to how you treat others in a specific fisting scenario. There are three etiquette guidelines related to sexually transmitted diseases.

1

Disclose your STI risk profile.

Etiquette Explained

Who: Top and Bottom

When: Prior to Session

What: Prerequisites

People typically do not use gloves when playing in a private residence or hotel room with a single partner or small group (less than five people). People may opt for gloves in larger groups, with depth play, or in venues with inadequate washing facilities.

Do not assume your partner follows these practices. Specify—before you meet—your preferences or your present needs that alter your preferences. For example, if you generally play without gloves but have a cut on your hand and need protection, you should inform your partner before scheduling a session.

Anecdotal Narrative

Man Texting
Figure 3-1: Glove Notification

Informing your partner regarding your play requirements prior to meeting can prevent awkward situations in a fisting session.

Edgar and I have a standing fist session on the first Thursday morning of every month. We've always played S2S, but this month, I had cut my finger and the wound was still healing. I would need to wear gloves.

We still on for Thursday?
Yep. I'm game! I cut my finger last week and it's still healing. Do you mind if I use gloves?
I'm glad you asked.
My hole doesn't really respond well to gloves. I can just top this time, or we can wait for another week or so.
I've never been one to turn down being the designated bottom. See you at 9:30!

We averted a crisis because I wasn't planning on cleaning out that day to allow him to be the designated bottom.

— FF Chronicles: 22.08.0400

2

Test prior to and after attending events.

Etiquette Explained

Who: Requestor

When: Throughout Session

What: Provisions

While BYOG (Bring Your Own Gloves) sounds reasonable, guys that only play S2S may not keep gloves in stock. The Provisions Matrix indicates that the responsibility falls upon the individual who requests gloves. This means a bottom who requires gloves will need to have several pairs of each size on hand, regardless of hosting or travelling for the session.

Anecdotal Narrative

Glove Dispensary
Figure 3-2: XS to XL

To ensure correct fit, the supply cabinet or bag should contain XS to XL size gloves.

Peter was a horse-hung-silver-fox-pocket-otter-gym-rat with no hang ups regarding masculinity. I had watched him top eager bottoms in his signature pink gloves for three days at Fist Fest. I knew his small hands would work wonders inside my hole. I approached him at breakfast on the final day of the event.

"Hey! You got any room on your dance card for me today?" I asked.

"Absolutely. I've been eyeing your hole for days" he responded and followed up with "I want to sink my elbow into you!"

"Great! Let's do this. But first, you gotta tell me what's the deal with the pink gloves?"

"I'm married to a non-fister. Obviously, we play separate; however, our agreement is that we wear protection when playing with others. Since most guys don't have XXL condoms or XS gloves, I provide my own." He continued, "I accidentally bought pink gloves several years ago, and it garnered so many comments that I've never bought any other color since."

"So, your condoms are pink, too?" I asked since I hadn't seen him topping with his cock.

"One could only hope that pink condoms would come in King size, but alas, you'll have to settle for transparent."

"So, I get both your hands and dick?"

"Both hands and dick? I'm not sure that's possible, but we can do jack-in-the-box. I've seen your hole, and I'm gonna jack-hammer the fuck out of you!"

We chatted a little more and sat up a play date for the afternoon. It was a great way to finish off the festival: pummeled in pink. The next time I ran out of gloves, I ordered pink replacements in honor of that epic event.

— FF Chronicles: 18.04.0275

3

Decrease/eliminate cross contamination behaviors.

Etiquette Explained

Who: Top and Bottom

When: Throughout Session

What: Consent

"It's the bottom's choice" is a common phrase you will hear when discussing glove etiquette. This would be true if gloves were always optional for both parties, but they are not. Sometimes, tops must wear gloves.

Neither party should be forced or harassed to fist in a manner with which they are not comfortable. Bottom's Choice should be replaced by Mutual Consent.

Anecdotal Narrative

Gloved Hands Embracing
Figure 3-3: Bidirectional Consent

Both parties need to agree on glove usage prior to meeting.

A few years ago, a dear friend invited me for Pride weekend at his home in Houston. He wanted to fist for the first time and asked if I would bottom for him.

Can you bring all the supplies and gear, including gloves?
I prefer S2S when bottoming, but I do have gloves that I suppose I can bring if necessary. :(
Thanks, I'm still on heavy immunosuppressants from my kidney transplant and am concerned about infection.
Fuck! I forgot about the transplant. Of course, we can wear gloves—your health is more important to me than any of my silly hang-ups. Sorry about being an ass. I hope you forgive me...
No worries, just get your ass down here. I'm excited to try this out!

— FF Chronicles: 15.06.0041

The Such FFun podcast discusses glove shaming and consent between partners in Season 2 | Episode 6 - (FF Tops):

Standard Practices

Standard Practices refers to common sense behaviors related to fisting activities. There are three standard practices related to sexually transmitted infections.

1

Refrain from play while symptomatic and/or contagious.

Practices Explained

Who: Top

When: Prior to Insertion

What: Hygiene

If you use gloves to prevent introducing microorganisms into the fist chute, then timing for donning gloves is critical.

Help the bottom get situated in the sling or fisting arena, then put your gloves on immediately before penetration.

Anecdotal Narrative

Contamination Gloves
Figure 3-4: Early Contamination

Helping a bottom into the stirrups after donning gloves is counterproductive. Gloves become contaminated prior to entering the hole.

Larry Shockey, the originator of FISTFEST, shares this piece of advice in his book, the Sacred Art of Fisting:

"I’ve seen lots of tops glove up, put the bottom’s feet into the stirrups, adjust the chains, arrange the papers on the floor, and then reach for the lube. NO! NO! NO! I’ve even had tops drop a glove on the floor and bend down to retrieve it to put it on. NO! Gloves are cheap. It’s easy to forget. Just throw away the contaminated glove and get a clean one."

— Sacred Art of Fisting, 2012

2

Follow treatment guidelines for resuming sexual activity.

Practices Explained

Who: Top

When: Throughout Session

What: Hygiene

Most venues are not built with post-fisting cleanup in mind. Sinks may be too shallow to wash. Soap may be unavailable. Faucets may have restricted water output.

Outdoor venues or semi-public areas usually lack proper cleanup facilities.

Bring and wear gloves when playing at these venues—especially if you are fisting more than one person.

Anecdotal Narrative

Eagle Bar Amsterdam has Limited Washrooms
Figure 3-5: Limited Facilities

Glove use decreases cleanup time and cross contamination of bottoms in venues with limited washing facilities.

I coordinated my first trip to Amsterdam to coincide with the Dirty Dicks monthly fisting party at the Amsterdam Eagle. I packed a small gear bag with lube, poppers, and gloves and headed to the venue to play.

The event did not disappoint. I bottomed for four different guys and topped six. Unfortunately, I only brought four pair of gloves. This led to a little predicament with Rene, my last bottom.

"I'd love to feel your guts when we are done with him" I told Rene as we alternated our hands in and out of Jon's gaping hole.

"Great, I'll go get ready" he replied and promptly disappeared to prep himself and lay claim to a sling.

Meanwhile, Jon had enough pummeling and called for a break-break. I cleaned him up and thanked him for the pleasure of playing inside him, S2S. Then I headed to the bathroom to clean up.

Although I hadn't noticed before (since I had worn gloves), the sink was incredibly shallow and the water only stayed on for a few seconds at a time. Jon was into width-play, so my arms were lube free, but it took ten minutes to completely wash just my hands. After finishing, I hustled out to the sling to delve into Rene's fagpit.

"I was beginning to think you had stood me up" Rene said as I approached.

"Yeah, I'm sorry. I didn't realize that cleaning up after Jon would take so much work. The sinks here are shallow and leave much to be desired."

"Well, my desire is for your hand and arm. And my hole, it is anything but shallow! Push it in."

The rest is history.

— FF Chronicles: 18.12.0323

3

Maintain PrEP or TaP compliance.

Etiquette Explained

Who: Top

When: Between Partners

What: Hygiene

If you are wearing gloves for hygienic reasons, you still need to wash your hands and lower forearms between partners.

Most gloves cover about about 2.5 centimeters (1 inch) up the wrist. The anal canal is that same length, if not a bit longer. This means that as a top playing with shallow bottoms, your wrist and lower forearm is still likely be exposed to lube. Any deeper play guarantees exposure unless you are wearing opera length gloves.

Washing the hands and forearms prevents transfering microorganisms into your bottom.

Anecdotal Narrative

Man Washing Arm
Figure 3-6: Full Arm Cleanse

While you may not need to scrub up to the shoulder, basic fisting typically exposes the lower forearm (above the glove line) to lube.

Erik and I had just wrapped up an intense fisting session where his small arms had slipped in past the elbow—a first for him. He had used both the right and left arms with depth play, but per my request, primarily played with the left arm.

After I said "OK, I'm done!", I asked him to hand me the paper towel roll.

"Oh, I'll clean you up good!" He said.

"I know you will, but it's not me that I'm worried about" I interupted. "Here, give me your arm."

I ripped three full squares of paper towels from the roll and laid them across my chest. Eric placed his arm on the squares, and I wrapped the edges around, covering his arm completely. I then carefully slid the towels down his arm until we passed the fingers.

"What's this for?" he asked.

"I find that if we don't squeegee the lube off now, your sink time will be 5-10 minutes clearing lube off your arm. And while it doesn't matter here with just the two of us and my deep sink, at events, you may not have the luxury of good washing facilities to clean up between bottoms. So when you wrap up with a deep bottom, always clean your arm first before starting on the bottom." I responded.

"Okay, I guess. I still don't understand why" he said, as he began wiping lube from my ass.

"You'll see in a few minutes."

Fast forward eight minutes. Eric is at the sink, scrubbing desparately on his right arm. Since the lube had already dried on this arm, we didn't squeegee it immediately after the session ended.

"I get your point! I've never had to spend this much time cleaning up because I've never had lube this high. The left arm was easy, but this right arm is taking forever."

"Can you imagine if you were playing with a group! High cleanup takes a while, so do what you can to minimize your efforts, but always - always - always respect your bottom and clean up your entire arm so he isn't exposed to contaminants from the last guy."

— FF Chronicles: 21.09.0524

The "degree of pathogenicity" refers to the extent to which a pathogen can cause disease. Pathogenicity is the ability of an organism to cause disease in a host. It encompasses a variety of factors, including the pathogen's ability to enter and survive in the host, evade the host's immune defenses, and cause damage to host tissues. Microorganisms vary widely in their degree of pathogenicity. Some pathogens are highly virulent, meaning they are very effective at causing disease, while others may be less virulent and cause milder infections. The degree of pathogenicity is influenced by various factors, including the specific characteristics of the pathogen, the host's immune response, and environmental conditions.

STI Index

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Index Key

Infections listed in the index below have this format and contain the following details:

Microorganism Name

General information about microorganism in narrative format.

C | M | R (Prognosis)

Code(DX)

Diagnostic Name

Organism Type

Medical Reference Sheet
  • Organism Type: Viral, fungal, bacterial, or protozoal organism
  • Common Names: Slang names for this STI
  • Pathogenicity: How easily is it spread? How sick will you get?
  • Prognosis: Is it curable? If not, manageable? And resistant?
  • Treatment Regimen: What I will be given to treat it
My Response and Responsibility
  • Symptoms: Signs and symptoms I might experience
  • Transmission Methods: How I probably got it and how I might spread it
  • Duration of Sexual Quaratine: Lenghth of time before I can fist again
STI Image
 

Special alerts or considerations for this type of infection.

Index of Infections

The following non-comprehensive list includes common sexually transmitted infections in the fisting community.

 

QUICK REFERENCE

All Sexually Transmitted Infections

Bacterial Infections

Viral Infections

Fungal Infections

Protozoal Infections

Lube Contamination

Sharing Lube

Cross Contamination

Lack of Hand Hygiene between Partners

Direct Contact

Touch, Frottage, Docking, Mutual Masturbation

Insertion

Anal Sex

Ingestion

Oral Routes: Cock Sucking and/or Rimming

Chlaymdia (Oral)

Oral (or pharyngeal) chlamydia is a disease caused by Chlamydia trachomatis bacteria. If you have this infection, you can spread it to others unknowingly by eating ass or sucking cock.

In a majority of men (including fisters), oral chlamydia is asymtomatic, meaning you have no observed symptoms. To prevent re-infection from your regulars, it important to get tested if you are notified that you are exposed. It is also important to notify your playmates if you have a positive diagnosis or were treated for exposure.

C

A56.4

Chlamydia

Bacteria

Medical Reference Sheet
  • Organism Type: Bacterial (Gram -)
  • Common Names: Chlamydia, the Clam, Gooey Stuff
  • Pathogenicity: Mild symptoms (if any) and relatively difficult to transmit
  • Prognosis: Easily curable
  • Treatment Regimen(s): Doxycycline 100 mg twice daily :: 7 days | Azythromycin 500 mg :: 1 day | Levofloxacin 200 mg once daily :: 7 days
My Response and Responsibility
  • Symptoms: Asymptomatic (none) OR any of the following: sore throat, fever, fatigue, mouth sores, and swollen tonsil or lymph nodes
  • Transmission Methods: (1) eating ass; (2) oral sex;
  • Duration of Sexual Quaratine: Seven days after starting antibiotics
STI Image
 

The CDC suggests that gay men that are sexually active with multiple partners test for orophyarngeal chlamydia every three to six months.[1]

Bisexual men that have multiple partners and eat pussy should test every three months because oral to vaginal transmission can occur. Your female partners can become infertile due to undiagnosed chlamydia infections.

Do not rely on your health care provider to suggest oral swabbing, especially if your provider is a rural provider (in metropolitan areas less than 250,000) or if he does not specialize in gay men's health or infectious disease. You must ask for this test specifically.

 
Frequently Asked Questions
Can I get oral chlamydia from fisting?

It is possible, but unlikely. Chlamydia can survive outside the body for about 2-3 hours in humid environments. For you to contract oral chlamydia, the inside of your mouth or throat must be in physical contact with an object that was exposed to chlamydia less than three hours prior. These objects might include: a toy, specifically a lubed-up toy, a dick, fingers, or a hand. Most websites only mention washing toys between partners to prevent chlamydia spread; it is unlikely that any of those websites consider activities that occur while fisting in their advice.

Can I get oral chlamydia from spit and spit play?

It is near impossible to transmit chlamydia via spit. The enzymes in spit almost always prevent transmission from the infected to uninfected.

Other bodily fluids, such as semen, pre-cum, or vaginal secretions can transmit chlamydia to the oral cavity. Tainted lube from rectal or genital chlamydia may also carry and transmit the bacteria from the infected area to the uninfected oral cavitiy.

Membrane to membrane exposure is the most viable route (mouth to hole, mouth to rosebud, mouth to prolapse, mouth to piss slit).

I sucked off my bottom while fisting him. Three days later, he informed me that his playmate prior to me was notified by a playmate about a potential genital and rectal infection from a playmate of another playmate who has a confirmed chlamydia infection. The fisting sessions in this chaing of guys occured all within a three week time span prior to my session with my buddy. Should I test and treat for exposure?

It depends. There are a lot of factors here. Since you are thrice-or-more removed from the original source, and since all those partners all played within potential transmissibility windows, it's possible to be infected.

You have three options:

  1. Quarantine for about 2-3 weeks and continuously inquire if anybody in the chain, other than the confirmed case, has since tested positive. The two-week quarantine is required because testing results prior to two weeks can report false negatives.
  2. Remain sexually active, but monitor for symptoms and test in two weeks. Keep a sex log with all your partners and their contact details for that time period. Do not have anonymous sex. Should you test positive in the next month, notify partners for them to get treated. Always remember to discuss STI status with your partners before playing.
  3. Get treated now. Sometimes your provider requires that you had direct contact with an infected person. You may have to distort the truth a little to get treatment now. Your quarantine will be much less if you take this approach.
Can I get oral chlamydia from fist nectar or from swallowing my partner's piss?

Yes to fist nectar. Fist nectar contains bodily fluids that will pass on chlamydia (usually precum and semen).

As far as urine is concerned, the data is unclear. Most websites indicate urine does not transmit chlamydia (so you won't catch it from a toilet seat); however, these same websites mention that contaminated piss spilled on somebody's hand (poor bathroom hygiene), or recent piss on a surface that comes in contact with your oral cavity can spread chlamydia to your mouth. As mentioned previously, author's of these websites aren't taking fisting nor other kink-related behaviors into consideration.

Will oral chlamydia clear up on its own?

Symptoms may disappear, but it will not clear up on its own without antibiotic treatment.

Why be vigilant?

It's human nature to deny the possibility of infection. Common excuses you may hear, or even say yourself include:

  • He didn't cum in my mouth.
  • I didn't suck his dick that long or eat his ass that much.
  • I swallowed his cum immediately so there was no time to infect my throat.
  • My sore throat is because his dick was so huge it bruised the fuck out of my mouth and throat.
  • My sore throat is due to cold—the weather or all that yelling I did at the football game.
  • I'm feeling fatigued and worn down because I drank a My body hates me because I just drank too much. I just stayed out too long or I'm super stressed. I don't show any symptoms even though my partner told me he has it. 7. HOW LONG DOES IT TAKE FOR ORAL CHLAMYDIA TO SHOW UP? Typically, it takes one to three weeks. If you are told by a partner that he has chlamydia, and you sucked his dick, ate his ass, or vice versa—don't sit around and wait for symptoms to show up. They may not (you might just be asymptomatic). Just schedule a test or treat immediately. 8. WHY DOES MY HEALTH CARE PROVIDER HAVE TO KNOW HOW MANY PARTNERS I'VE HAD AND WHAT TYPE OF SEX WE HAD? Your doctor is trying to identify high risk behavior in order to: provide education, eliminate other potential causes of your symptoms, assess the need to test for related conditions, and complete the necessary items for billing (so that the claim isn't denied, and the costs are passed down to you). Your provider is also part of the public health system and has an ethical duty to contribute to the reduction/eradication of STIs. 9. WHEN SHOULD I TEST? Typically, it requires a two-week period for chlamydia to show up on tests. Testing before that time may give false negatives. In the USA, if you have had a partner with confirmed Chlamydia, they usually treat you without waiting for test results. Additionally, if you are sexually active with multiple partners you should test every three months for oral chlamydia. 10. CAN I TEST AT HOME WITHOUT A DOCTOR? Yes. In the USA, you can buy tests, in other countries, at home tests may be available online or from the public health departments. Remember that it takes about two weeks from exposure for accurate testing results. 11. CAN I SPREAD ORAL CHLAMYDIA IF I'M ASYMPTOMATIC OR IN THE INCUBATION PERIOD? Yes and yes; however, it is highly unlikely that you will have spread it to others at the orgy where you contracted it. It needs some time to get established in your body first. 12. WHY DOES ANY OF THIS MATTER? First, long term infection with any disease increases the probability of other poor health outcomes. Second, the fisting ‘swimming pool’ is shallow. That is to say, we all play with each other with very few degrees of separation. One person in the pool that neglects his health and refuses testing and treatment can spread this disease to an entire community, and it can happen quickly. The CDC suggests that gay men that are sexually active with multiple partners test for oropharyngeal chlamydia every three to six months. Bisexual men have additional responsibilities. If they eat pussy, as in a chromosomal vagina, they should test every three months because oral to vaginal transmission can occur. Giving your female partners chlamydia can result in their infertility. 13. WHAT IF MY DOCTOR DOESN’T OFFER THE SWAB? Do not rely on your health care provider to suggest oral swabbing, especially if: your provider’s practice is in a metropolitan area less than 250,000, in the outer suburbia, in rural areas, or your provider does not specialize in gay men's health or infectious disease, or your provider isn’t exposed to many gay patients, or your provider thinks you are straight, or your provider doesn’t accurately know about your sex life and number of partners, or your provider is older than 65, or you have a horrible provider from the NHS, or your provider comes from a different culture that isn't aware of gay men's health issues (Mormons, for example). You should suggest the swab. Most STI clinics will have swabs available upon request. Most providers can send you out to labs that have the swabs available for testing. Do not assume that your provider will test these things with your annual physical. Request them.
    Can I get oral chlamydia from fisting alone?

    If you are a pervert with a big mouth (like me) and can take a fist in your mouth (like I long to do), especially one that has been in an ass just a few minutes previous, then maybe. Chlamydia can be transmitted via toys—so theoretically, a fist in your mouth could do the same.

    If your fist session did not involve sucking his dick or eating his ass or swallowing his load or spitting out his load because it tasted awful, then you are safe.

    Can I get oral chlamydia from spit play?

    No. Enzymes in saliva prevent transmission. It's usually semen, pre-cum or direct contact of mucosal membranes (such as tongue to hole [ass or piss slit]).

    I sucked my fisting bottom's dick while fisting him. His fist nectar was glorius. He called me a couple days later and told me that his playmate from the weekend had played with another dude who played with another dude who played with another dude who had a positive chlamydia test result. Should I test and treat?

    Depends. There are a lot factors here. Since you are thrice-or-more removed from the original source, and since all those partners all played within potential transmissibility windows, it's possible to be infected. You may want to go into quaratine for a few weeks and see if anybody higher up in the chain has tested positive. A two week quarantine will be sufficient time for any infection you acquired to incubate and show positive results. It's probably best to monitor for symptoms and avoid anonymous sex and keep a sex log for the next few weeks. Should you test positive in the next month, you can notifiy partners for them to get treated. Alternatively, you can just get treated. You may have to fudge the numbers with your doctor so that they consider you a public health risk and allow you to take meds to treat a possible infection.

    Can I get oral chlamydia from fist nectar or from swallowing his/her piss?

    Yes to fist nectar and probably no to straight up piss. Fist nectar contains bodily fluids that will pass on Chlamydia (usually piss, precum, semen). The risk for transmitting oral chlamydia from just urine during piss play while fisting is very very low, but not completely improbable.

    Will oral chlamydia clear up on its own?

    Symptoms may disappear, but it will not clear up on its own without treatment.

    What excuses may I conjure up to convince myself that I don't have chlamydia and don't need to test?

    You may try one of these:

    • He didn't cum in my mouth.
    • I didn't suck his dick that long or eat his ass that much.
    • I swallowed his cum, so it probably didn't infect my throat.
    • I just have a sore throat.
    • My body hates me because I just drank too much.
    • I just stayed out to long pr I'm super stressed.
    • I don't show any symptoms even though my partner told me he has it.
    How long does it take to show up?

    Typical 1 to 3 weeks. If you are told by a partner that he has chlamydia and you sucked his dick, ate his ass, or vice versa, don't sit around and wait for symptoms to show up. They may not. Just schedule a test.

    Why does my health care provider have to know how many partners I've had and what type of sex we had?

    Your doctor is trying to identify high risk behavior in order to: provide education, eliminate other potential causes, assess for testing for other conditions, and complete the necessary items for billing (so that the claim isn't denied and costs passed down to you). Your provider is also part of the public health system and has an ethical duty to contribute to the reduction of STIs and their complete eradication.

    When should I test?

    Typically, it requires a two week period for chlamydia to show up on tests.3 Testing before may give false positives. Testing after may give false negatives. In the USA, if you have a partner with Chlamydia, they usually treat you without waiting for test results.

    Can I test at home without a docter?

    Yes. In the USA, you can buy tests, in other countries, at home tests may be available from the public health departments. Remember that it takes about two weeks from exposure for accurate testing results.

    Can I spread chlamydia if I'm asymtomatic or in the incubation period?

    Yes and yes. It's unlikely you spread it to others at the orgy where you got it though.

 
Chlamydia References

1. Chlamydia - CDC Detailed Fact Sheet

2. Can Chlamyida Go Away on Its Own?

3. Are You Contagious During the Incubation Period of Chlamydia?

Shigellosis

Shigellosis is a disease caused by one of four shigella bacteria. In non-immunocompromised fisters, it will likely run its course within a few weeks. Most individuals that were symptomatic state that the symptoms are extremely unbearable.

C | R

A03

Shigellosis

Bacteria (Gram -)

Medical Reference Sheet
  • Organism Type: Bacterial (-)
  • Common Names: Shigella, the shits
  • Pathogenicity: Easy | Just ten organisms can colonize your gut
  • Prognosis: Curable after culture (due to extreme drug resistence [XDR])
  • Treatment Regimen: Non-EXR: Ciprofloxacin, Azithromycin, Ceftriaxone :: 7 days | XDR: IV Antibiotics :: 10 days
My Response and Responsibility
  • Symptoms: Asymptomatic, diarrhea, severe diarrhea, bloody diarrhea, tenesmus, extreme weight loss, stomach pain, seizure (due to electrolyte loss)
  • Transmission Methods: (1) eating ass; (2) sharing lube; (3) poor hand hygiene
  • Duration of Sexual Quaratine: Three weeks after exposure or three weeks after diarrhea stops, whichever is the longer
STI Image
 

The CDC has indicated that some strains of Shigella that are sexually transmitted have developed resistance to certain antibiotics[2], so it's important to follow your healthcare professional's recommendations and take the full course of prescribed antibiotics to ensure complete recovery and to prevent the spread of the infection to others.

This infection can be asymptomatic and is easily transmitted, so if you are notified by a parter of a possible exposure, get tested or refrain from sexual contact for three weeks.

To prevent extended infections, do not take lamotil or other anti-diarrheals.

Supplemental STI Resources