[Question #10200] Business trip Oral sex risk
25 months ago
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Dear Experts
Thankyou for your work here.
Recently I was in Vietnam on a business trip, and after a night of heavy drinking I went with some of my colleagues in Vietnam for a massage. I should of course know better but during the massage whilst I was not completely, the massage girl started to preform unprotect oral sex on me, when I finally came to my sense and got her to stop after around 1 or at most 2 minutes. This occurred 7 days ago and I am now back in Australia and apart from feeling our winter at the moment I am concerned about the situation, given I am in a long term relationship.
AS of today I have not had any burning, pain or discharge from my penis, nothing out of the ordinary although I have been noticing much more sensation from the area and feel as if I need to urinate more often than normal, although not too frequently.
I understand some risks such as HIV etc are not a concern but should I be concerned or should i just move on and go on with life as normal.
your advice would be appreciated.
J
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Edward W. Hook M.D.
25 months ago
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Welcome to our forum. Thanks for your questions. I’ll be glad to provide some information.
Receipt of oral sex, as you point out, is not a risk factor for acquisition of HIV. On the other hand, while most single exposures to infected partners (and you do not know that your partner was infected) do not result in infection, other STI’s, most commonly gonorrhea, can be acquired by receiving oral sex. Most people who acquire gonorrhea from oral sex become symptomatic within 3 to 5 days of their exposure. In your case the absence of symptoms at this time is good news and makes it quite unlikely that you acquired any STI from the exposure that you described. If you want to be 100% confident that you did not acquire Gonorrhea however, a urine test at this time will provide you with reliable and accurate information. If you decide to test, I am confident that the test will show that you were not infected.
FYI acquisition other STI‘s such as chlamydia are quite uncommon following receipt of oral sex and are not a meaningful concern in your situation.
I suspect that since you returned from your business trip, you have been on the lookout for any signs or symptoms of STI. When individuals do this, there is a well described tendency to notice otherwise normal sensations which would be overlooked if you were not looking for symptoms. This may explain the symptoms that you mention. Urinary frequency is not a sign of STI although it may indicate anxiety.
I hope this information is helpful to you. Personally, in your situation, I would not bother to test however, if you wish to be 100% confident, a urine test for gonorrhea (chlamydia tests are typically done at the same time) will rule out any possibility of infection. EWH.
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24 months ago
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Dear Dr. Hook
Thank you for your prompt reply.
Now at day 10 I feel my need to urinate Lessing although i still feel sensations like needing to urinate shortly more often than I would normally. there remain no obvious discharge and when urinating there is a sensation, but it is not discomforting. Taking your feedback into mind its possibly a normal sensation that i am more aware of currently, would you agree, as i assume any related pain due to an infection would be quite painful.
Regards
J
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Edward W. Hook M.D.
24 months ago
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Thank you for your reply. I wish you I could tell you that the discomfort associated with an STI is excruciating, but that is not the case. Personal perceptions of pain vary from person to person. Most persons with STI’s however are certainly aware of discomfort, and it is there all the time, not intermittently.
I remain, confident that you did not have an STI, including HIV. Testing, of course would resolve any concerns you might have entirely. EWH.
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24 months ago
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Dr Hook
Thankyou for your response, FYI I have now been for testing and am awaiting results if you can endulge one last set of questions it would be appreciated, and I can promise you these are my last.
My current symptoms consist of discomfort in the testicles as well as some sensations akin to needing to urinate, no discharge nor buying sensation in fact urination appears to clear the discomfort for a short time. Are these symptoms suggestive on any STI from my exposure or potential something else.
Finally I see lots of articles regarding gonorrhea that is restitution to treatment, given my potential exposure was in Vietnam is it possible to be exposed to an untreatable strain.
Regards
J
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Edward W. Hook M.D.
24 months ago
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Thank you for your follow up information. Intermittent testicular discomfort of the sort that you describe is another of the symptoms which anxious individuals tend to notice following an encounter they have come to regret. I suspect this is the case for you as well. Alternatively, persons, receiving oral sex cam have a partners mouth bacteria introduced into the penile urethra during oral sex to cause irritation. This syndrome is called nonchlamydial nongonococcal urethritis. It is not known to cause complications, nor to be transmitted to sexual partners. It typically resolves without therapy although therapy can hasten resolution. This may be what you are experiencing.
I anticipate that your tests will be negative proving that you do not have an STI.
As you know, we provide up to three responses to each client’s questions. As this is my third response, this thread would typically be closed at this time without further responses, however I will leave it open so that you can post your test results if you choose. Posting of test results is appreciated by both those of us who answer questions on the forum as well as others who come to the form for information. Any follow up statements or questions which do not include your test results will not be answered.
I remain confident this is not an STI. Please don’t worry. I anticipate your test results will prove that you were not infected. Take care EWH.
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24 months ago
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As expected, my complete STI test set returned a clear result, re the NGU should I be concerned about giving this to my partner as last weekend we had unprotected vaginal and oral intercourse.
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Edward W. Hook M.D.
24 months ago
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Final response. Glad to hear, but not surprised that your tests were negative. I would not be concerned that you have given anything to your partner.
This completes this thread. I hope that the information I have provided has been helpful EWH
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