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    Ask Dr. Gian   ....but read this first

HERPES

SYPHILIS

HPV

FUNGUS

HIV

HEPATITIS

MOLLUSCUM

VAGINITIS
 GONORRHEA CHLAMYDIA

FOLLICULITIS

MISCELLANEA

CHLAMYDIA

 

Dr. Gian,

Several years ago, just prior to revealing a rash on his penis, my husband struggled at asking me if I could in some way have a vaginal rash-which I did not have.  A disease was the furtherest thing from my mind as I am still my husband's virgin and I was truly naive to sexually transmitted diseases of any kind.  Since my husband sweats a lot from sports, yard work, etc., I dismissed his concerns thinking that a few good baths and clean dry clothes would cure his problem.  Within a two-week time frame, however, I came down with a terrible itch which followed with a rash and discomfort so I went to my doctor.  To the best of my memory, they did some sort of swab test and I waited a long time; That was followed up by a urine sample (same visit)  and a great deal later, my doctor came in with the news that the lab work showed me to have Chlamydia. 
 
I listened carefully though I did not know what Chlamydia was and I could never quite get over the looks on my doctor's and nurse's face as they were talking to me.  Yet, neither called it an STD nor did they discuss anything except that it was highly contagious and that my husband either already had a rash (which I told him was true) or would get one so, I not only filled my prescription but had one called in for my husband.  I had once had a yeast infection and thought that maybe these were related.  Also, I trusted my husband and just figured the rash came as some sensitive skin reaction to any number of things.  In the back of my mind, I kept trying to remember what my doctor diagnosed and why they had such puzzled looks on their faces so, even months later, I dug up my medical statement to see what the term was and it's definition.  
 
When I did, I was not only surprised but think I went into some form of denial, etc.  Weeks and months went by as my mind replayed some very (suspicious) concerns I had experienced the prior year and needless to say, I could not forget my husband's remarks when I told him about his prescription for "our rash."  He just kept telling me that I probably picked up a disease or infection from one of the ball-park restrooms (where he coached all summer).  When I thought about it more, I couldn't help thinking about him having revealed the infection first (two weeks earlier than me) so why was it "my" disease, I wondered.  After I confronted him about Chlamydia, he just kept telling me that I probably had it but didn't know it.  In addition to all that and some months earlier, I had received my first and only (prank) phone call from another woman who told me that she was having sex with my husband and that if I did not have his children, she would be with him; she added that I was a "bitch" and did not deserve my husband.  Of course, that sticks in my mind even after all these years since I am a Sunday school teacher and both my husband and I are (were) practicing Christians.  I can't tell you how many different kinds of hurt I was (and still often) am dealing with.  I'll never know who that woman was and, of course, my husband expects me to believe that it was just a prank phone call.  I cannot help but connect the two.   
 
Although I handled the phone call adequately, and there were never other calls, I have had to come to terms with the fact that Chlamydia is sexually transmitted and that since I have never been with another (man) that my husband must have been unfaithful to me.  As a matter of fact, he travels (on his job) quite regularly and I know of a couple of women who've made passes at him though we are married.  Needless to say, he claims innocence in all this but after many years of marriage, I have many reasons to doubt him.  After quite a bit of anguish over all this, I have asked three different doctors (we moved three times over the past 10 years), a gynecologist, a therapist and a nurse about sexually transmitted diseases.  Each have basically agreed upon one thing:  That one of us picked it up from another person who had the disease.  That's infidelity since it can't be me!  So, now...I am faced with a husband who basically blames me for something he did and expects me to believe that I have to have picked it up from a toilet seat.  I asked him to go to a therapist with me so that he could hear strait from their mouths what I have been told.  He says he does not need to hear what they have to say...that he has done nothing wrong.  He also tells me that even though the disease has to spread sexually - some "one" person had to be the first to get it and he asks:  Where did that first person get it from?    And of course, that means the "one" first person did not get it from another.  Right?  So, my question is, how did Chlamydia originate?  How did the first person get it?  Also, is there any way I can prove to him...that he's owes me more than an apology.  Isn't there an explanation in order?  Please give me your opinions/advice, I am interested in knowing what you have to say and would certainly appreciate it.   Thank you. 

Hi,

Please allow me the following: " either Adam or Eve must have gotten form a toilet seat in the Garden of Eden!"

It seems to me that you are trying to answer the question “Has my husband been faithful?" with answers to other questions like:" Who started it? Are we going to make it? Who is going to clean up?". Or even worse:" which comes first…. the chicken, the egg or me asking the question?"

This is self delusion through reason, my dear friend, and the downfall of us being rational animals. You see, we can justify anything by confusing contexts and arguing in one area with relations valid in another area.

Let go, the answer to your question we'll come to you spontaneously when you cease the debate within yourself. You have already found out that "Chlamydia is not...a flower", the rest will appear also by itself.

 A big hug to you.

 Dr. Gian

 

From:
Sent:
To:
drgian@stdweb.com
Subject: RE: Chlamydia

Dear Dr Gian,

                   Hi! I work in the healthcare field and I and I know quiet alot about STDs. I have a very serious concern, however: my sixteen year old niece has been staying with me and my six year old son for about two weeks now, and had been diagnosed w/ chlamydia about three days ago. I am aware that this bacteria is spread sexually, orally, and from hand to eye, etc.. but what I am unsure about is she had recently taken a bath and used my towel and previously used my sons towel to dry off (unbeknown to me). With her having a vaginal discharge could it be possible for the infection to spread to me or my child if her vaginal secretions come in contact with our genitals. I ask this also because I don't know if this type of bacteria can live outside of the human body. Can it be spread from being in the tub with someone who has a discharge because my goofy son jumped in the tub with her the night before she went to the DRs. Could I get it if she leaves behind discharge on my toliet seat? These are questions I cann't quite seem to get a straight answer to. I myself am going to the Drs this week to get checked out but my main concern is my little boy. I don't want to look stupid and make an appointment for him if there isn't a chance that he could have it. I also don't want him subjected to any STD tests at age six but you know what if I have to I will. My child means the world to me and I will do anything to ensure his health. I would greatly appriciate your advice and thank you for taking the time to read my email and answer my off the wall questions.


Hi,

The operating elements in answering your specific question are: 1) vaginal secretions or bodily fluids containing Chlamydia. 2)type and length of the contact  3 )mucosal surface.
Chlamydia was once thought to be a virus because this organism seems to be an obligate intracellular parasite that exclusively infects humans and it cannot synthesize its own ATP or grow on artificial medium. Therefore its life outside cells is very short and depends on the bacterial cells load and on the number of mucosal cellular debris present in the vaginal or other bodily fluids secretions being deposited on the outside by an infected person. Now the “outside” environment must be the closest possible to the “inside” one as far as temperature, humidity, presence of nutrients, etc. A wet towel, for example,  may be a better survival environment that a very hot tub or a toilet seat. Finally there must be not a skin but a mucosal contact for the transfer and colonization of bacteria which attach to specific cell receptors present on the eye, throat or genitalia mucosa. So as you see it is practically impossible to get Chlamydia from a toilet seat or a hot tub and like. The scenario of a towel being used to wipe one’s vaginal secretions and immediately after being used to wipe another’s eyes is….a pretty creepy one!
In conclusion I think you are having a responsible, although some what exaggerated, concern especially in regards to your little boy.

I hope this helps.

In good health,

Dr. Gian

 

From:
Sent:
To:
drgian@stdweb.com
Subject: RE: Chlamydia

Thank you very, very much for your time and answers

 

 

From:
Sent:
To:
drgian@stdweb.com
Subject:

dear doctor,
i was treated for chlamydia 1 year ago dec. i am not sure how long i had this.
i have read quite a bit that you can indeed become infertile from this std.
i just went and had my yearly and they found a high wbc in my swab culture.
i know i have to wait for the results about two weeks. my question is is i have two kids now and i would love to have at least one more. how high are the chances of no conception after contracting this particuliar std.
thank you so much for your time and response to this matter. i greatly appreciate it.


Hi,
your concern applies only to cases of PID ( Pelvic Inflammatory Disease) caused by Chlamydia or Gonorrhea. This occurs only when the infection is poorly treated or undiagnosed especially in women. PID can scar and block the fallopian tubes and prevent fertilized eggs from reaching the uterus. If fertilized eggs develop in the tubes, this is called an ectopic pregnancy -- a dangerous situation that requires emergency surgery.
In men, Chlamydia can also cause sterility. It can spread from the urethra to the testicles where a condition called epididymitis (inflammation of a duct in the testicles) can develop.
I doubt that this is your situation.

Be well

Dr. Gian

 

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Please remember that the purpose of  these conversations with Dr. Gian  is  that of  information and education only, and that STDWeB.com, its staff  and Dr. Gian  are not engaged through this forum in rendering legal or medical advice or professional services. The information provided is of the general type  only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a health or legal problem, you should consult your own health care provider or your attorney