[Question #10854] Male to male exposure Follow up
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19 months ago
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Doctor,
Well I’m scared now. Yesterday after our close out I noticed a tiny bit of pus on the inside of the tip of my penis. Very very small amount. I of course started checking and scanning multiple times before bed and decided to leave it be. Well upon waking just now. I went and looked again and there was a small amount of sticky like pus again in the side of the tip. This time slightly more.
Seeing that the oral sex I received was 20-30 seconds and a hand job. Is this an STD such as gonorrhea?
Based on everything I read here and on the med help forms that would be very unusual. However I have never seen this before on myself.
If this is gonorrhea or chlamydia, I am already on antibiotics. What further steps do I need to take? And I hate to ask about HIV but I need to. Also seeing tested yesterday will these tests be accurate if this is the case?
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19 months ago
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Sorry I should add there is some stinging when I pee occasionally. However as mentioned I have been inspecting and messing with the area. I do also have a history of Kidney stones and occasional have a stinging sensation when peeing
Again this has been my only sexual experience outside my relationship in quite along while
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Edward W. Hook M.D.
19 months ago
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Welcome back to the Forum. On this occasion I happened to pick up your follow-up questions and in preparing to respond I reviewed your earlier interactions with Dr. Handsfield. I agree completely with all that he said. Based on the treatment you received, you can be confident that the discharge you have seen, as well as the symptoms you have experienced are not due to gonorrhea, chlamydia or any other STI. From the sound of things you have been repeatedly carefully examining yourself. If so, you may be detecting normal penile secretions (all men have them but they typically go unnoticed because they are not looked for). Similarly, your heightened anxiety may be leading you to notice penile sensations which would otherwise not be noticed.
Alternatively, with receipt of oral sex, bacteria from your partner's mouth may have been introduced into your urethra causing irritation. This syndrome is called non-chlamydial nongonococcal urethritis and is a benign, self-limited process of no consequence to you or your sexual partners' health. It typically goes away without therapy although treatment with doxycycline may hasten resolution.
Either way, given the treatment you received, I would have no concerns about STIs. I suggest you stop examining yourself as this is likely to only be irritating and the repeated manipulation could make the irritation and discharge worse and to have confidence in the treatment you are taking. I hope this perspective is helpful. Please don't worry. EWH
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19 months ago
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Thank you Doc,
In regards to HIV. My understanding is that. There is a theoretical risk of an HIV infection from receiving oral sex however if there was an infection from the above mentioned STDs is it still a theoretical risk of acquiring HIV?
Having tested 24 hours post incidence what is a the likelihood that I tested too early?
If I were to retest would the treatment mask the results?
Lastly the amount of “discharge” has been the size do a pin drop wouldn’t the STDs that cause a discharge be more pronounced and larger in volume then an occasional pin drop?
Thank you for the responses, I am
Very aware of my anxiety troubles and this situation clearly show it’s time to go to therapy
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Edward W. Hook M.D.
19 months ago
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The risk of acquiring HIV is purely theoretical. There are NO proven cases of HIV which have been acquired from receipt of oral sex from and infected person, none at all. This is simply not a realistic concern. The presence or absence of another STI does not change this.
Testing at 24 hours is a bit early but still likely to provide accurate results. Further, the treatment you received eliminates any value of additional testing since if you were infected, it would have been cured with the treatment you received.
---Treatment would not mask the accuracy of your results.
The amount of discharge associated with the most common STIs, gonorrhea or chlamydia is highly variable, and, in some instances, infected persons are asymptomatic. A "pin drop" of discharge is more likely to represent normal genital secretions than an infectious process.
I think you are worrying more than you need to. EWH
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19 months ago
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Just received my oral and urine test results for gonorrhea and chlamydia
All came back, not detected.
My only thought as mentioned earlier is how quickly I tested
Doing quick math it was actually 36 hours post event. From what I’ve read that was a little early. How accurate would we say these results are with that time frame?
Additionally I Have found zero new symptoms. And the tiny amount of “discharge” appears to have stoped almost immediately as it began
( within one day )
Had an infection existed would the treatment need more time to stop a discharge symptom?
Lastly would it be advisable to request a second week of Doxy just as an insurance policy against syphilis? I see that the alternative treatment from a penicillin shot is two weeks of doxycycline instead of the one. Or is the combination of one week of doxycycline with ceftryaxone at this early of a potential intervention enough?
Again thank you for the help!
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Edward W. Hook M.D.
19 months ago
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As you know, we provide up to three responses to each set of questions. Thus this will be my final response. I doubt that your specimens were taken too soon to be accurate, particularly for gonorrhea which is the major concern here.
The response to antibiotic is typically rapid.
There is no need for a 2nd week of doxy. The medications you took would certainly prevent syphilis had you been exposed. I see no scientific reason for taking additional doxy.
Hope this helps. I strongly encourage you to move forward without concern.
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End of thread. EWH
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