[Question #10390] STD worried from protected intercourse
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23 months ago
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Hello. I am a man 37 years old in central Europe. Before 28 days i had fellatio and 2 minutes protected vaginal sex with a woman 34 years old a bit promiscuous. Four days ago we had sex again, only protected vaginal. No other act. After i finished i noticed some dried pink secretions with a bad smell, fishy i would say. She said she was not on her period or waiting to.
Next day i had kind of itchiness to testicles. I saved my pubic region so i could see if any skin changes happen. Three days after till today i feel some discomfort & mild pain on scrotum & penis, located at base left, the body and a bit at the tip of the penis. Kind of pressure feel of pain that goes away when i stand sometimes. Currently no discharge or pain during urinate neither pimples or blisters. My main concern is HSV2 which im afraid i contracted from last sex. What are your thoughts & evaluation of these? Thanks
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H. Hunter Handsfield, MD
23 months ago
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Welcome back to the forum. I'm happy to respond to this additional question, your third on the forum. But I'm a bit concerned that Dr. Hook's responses to your previous questions haven't had the benefit we would have hoped. Those discussions also concerned low risk exposures and apparent overthinking the risks of HIV.
It is apparent that you are well attuned to safe sex -- this exposure, like the others you described previously, was low risk. (Congratulations for using condoms!) It sounds like your partner could be at significant risk for STD, and fishy vaginal odor suggest an infection like bacterial vaginosis. However condoms work well. As for your symptoms, they are not typical for any STD, and certainly there is nothing that would suggest genital herpes -- which does not cause genital itching in absence of overt herpes lesions (blisters, open sores, etc). And upper "discomfort and mild pain" of scrotum, penis, etc are classical symptoms of genitally focused anxiety. While anxiety itself does not cause symptoms, it can greatly magnify minor symptoms or even normal sensations that otherwise would be ignored or not even noticed. These symptoms do not suggest any STD.
From medical and risk standpoints, I do not recommend testing of any kind. If you have a regular sex partner, you can safely continue your usual sexual practices without putting her at risk. However, sometimes testing is a good idea strictly for reassurance. If so, you could have a urine gonorrhea/chlamydia (results are valid any time more than 4-5 days after exposure), and blood tests for syphilis and HIV at 6 weeks. If you are tested, you can expect negative results for all of them. I recommend against herpes testing, however: your symptoms are not at all suggestive, and in persons without typical herpes symptoms, the blood tests are simply too unreliable, with a high risk of false positive results.
So do your best not to be worried. I hope these comments are helpful, but let me know if anything isn't clear.
HHH, MD
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23 months ago
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Thank you for your fast reply and comments.
I have to clarify that the dried secretions i saw were on the condom at the base of it. Some hours ago i started to have a backpain to my left side also. Would this symptom has anything to contribute to your medical opinion? I am trying my best to cope with the thought of it, i just panicked after the secretions and smell of her and think the worst.
I have tested before a month for HIV and HSV2 and both were negative. Should i suggest her to check a doctor and do you speculate that something serious is going on with her situation?
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H. Hunter Handsfield, MD
23 months ago
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No STD or HIV causes back pain. There is no rational basis for being "panicked".
I had the impression this was a casual partner, not someone in an ongoing relationship. If you are sufficiently close to her, you could ask (sensitively) if she has noticed vaginal odor and/or increased vaginal discharge. If so, it would be wise to be evaluated, including STD testing. However, I have no further advice for you -- I see no need for testing at this time, but you could do it for reassurance as I suggested above.
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23 months ago
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Hi again. I talked with the woman and she saw her gynaecologist prior this week. She stated that he saw nothing wrong but he took a sample for vaginal culture. During this week the girl had a day with fever of 37,8c and a mild throat. Yesterday the culture came back normal as she stated and doctor said it is fine. He advised her that probably the pink secretions were from her ovulation.
Now can the normal culture rule out herpes? Could the doctor exclude it by that? Also before 2 days a pimple like from razor bump appeared to my inner back thigh. Not pain or itchy but seems like a pastule with no fluid. Should i be worry?
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H. Hunter Handsfield, MD
23 months ago
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You should be 100% reassured by your partner's medical evaluation, which shows you were not exposed to any STD. You do not state (and perhaps your partner did not tell you) whether she was tested for herpes. In absence of a visible outbreak, it would be rare to do a herpes test. A "pimple like razor bump" on your thigh does not sound at all like herpes, and you were at little or no risk of herpes from the events described.
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That concludes this thread. I hope the discussion has been helpful. Do your best to go forward without further worry about this near zero risk sexual event. Best wishes.
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