[Question #10974] Help one last time

Avatar photo
18 months ago
Hello Drs,I am sure you can review my previous posts- I had one more incident with this same man 3 years ago January 2021. We used a condom I believe for most of vaginal sex. I was drinking, so I don’t remember for sure if there was a few seconds without.  I performed oral on him.  I got tested vaginally at 6 & 14 days and oral test at 10 days- all neg.  4 months later negative for syphilis and HIV.  I had a baby with my husband 2 years ago - no complications and very healthy baby. During that post-partum journey I had horrible mastitis and was on azithro and doxy on and off for a few months.  I am prone to external itching and my dr has had me use miconazole externally a couple of times. During my pregnancy I had an external yeast infection which cleared up with this treatment.  In April 2022 I had a routine HPV test and tested positive - I was negative back in 2018 prior to my first incident with this man (we’ve been together maybe 4 times total in the last 5 years and I tested each time).  I have been with my husband 14 years so I’m thinking the HPV was from the other man.   I am trying so hard to put this behind me and truly was at peace trusting that the tests were conclusive.  Admittedly I have posted on another forum where Dr Handsfield did reassure me that they were almost 100% conclusive.  What brings me here- my husband  masturbated yesterday and had brown blood in his semen and then yellowish semen after that. It freaked him out and me too.  Then, we had sex and the semen was normal. Dr Handsfield said on another forum that it was not consistent with these STI. Google suggests it could be. He also suggested I get tested rectally. I thought I was safe with my results and now I’m so anxious I could puke.  Have we been reinfecting for 3 years and he finally is showing symptoms? Is this because of me or can I be at peace? 
Avatar photo
Edward W. Hook M.D.
18 months ago
Welcome back to the Forum.  I have reviewed your earlier interactions 4 years ago with Dr. Handsfield and me.  We can build on those discussions.

Your tests after your last encounters with your occasional partner have proven that you did not get any STIs from him.  I can assure you of this.  As for the HPV, clients regularly ask where they got their HPV infections from and the answer is that there is simply no way to no.  Your positive test could have be from an infection acquired long ago, or more recent.  Irrespective, as long as you get your regular GYN follow-ups this infection should have no serious consequences for you.

The appearance of blood in ejaculate (semen) has a medical term- hematospermia (blood in the sperm).  There have been several careful studies of this and there is NO association of hematospermia with STIs despite the misinformation that you have seen on the internet.  On most occasions hematospermia is a transient phenomenon which occurs once or a few times and then goes away.  I anticipate that this is what your husband experienced.  Should the problem persist, then he should be checked by a urologist.  In the meantime however, I would not worry about it being caused by an STI.

I hope this information will help you.  Please do not worry that this is a result of your encounters with your occasional partner.  EWH
---
Avatar photo
18 months ago
Thank you so much Dr.  This reassurance brings me a lot more peace of mind.  To confirm, you do not think more testing is necessary for me? 

And for my husband, thank you for the clarification around blood in semen.  It was also yellowish this week too  - do you think that is unrelated to STI and more likely related to the blood?  He hasn’t complained of any other symptoms like burning while urinating or pain or discharge.  I agree if it continues to be an issues, he should talk to his dr. 

I am in therapy and working on myself.  I adore my family and my husband - I truly pray this can all be behind me. 

Thank you Dr.  
Avatar photo
Edward W. Hook M.D.
18 months ago
You are correct. I do not see a need for additional testing for you.

Your husbands, discolored ejaculate they reflect the presence of blood as I mentioned above.  I would not be worried that he has an STI.

EWH
---
Avatar photo
17 months ago
Hello Dr,
It has been a couple of weeks & no reoccurrence of my husbands blood/discolored sperm.   
I thought I would take advantage of the one follow up I still have.

I am hoping to have another baby.  I am sure it is my anxiety, but I’m so fearful that I’ll be pregnant and test positive during pregnancy which would be catastrophic.  I also want the opportunity to approach a pregnancy relaxed, at peace, and enjoying the blessing.  Also, my previous pregnancy was smooth and baby was healthy, thank God. 

As I mentioned earlier, Dr Handsfield mentioned the possibility of rectal testing and then possible reinfection of the vagina.  I never thought to test there of course and I have never been tested there by my dr.  What are the chances that something could be missed? No anal and we mostly used a condom except for maybe a few seconds from what I recall. 

What are the chances my husband and I could be giving it back and forth for over three years?  He has had zero symptoms and I have had itching sometimes, but that was also postpartum and external itching. 

Are there other things I should be concerned about as far as STI? Hep C? 

Again, just wanted to finalize all my lingering questions.  Hoping to be able to close this chapter, forgive myself & hope for a healthy future pregnancy should that be in the cards for my family.

Thank you so much Dr!


Avatar photo
Edward W. Hook M.D.
17 months ago
It your circumstances I would not feel the need for rectal tasting at this time.  This recommendation is based both on your previous tests and the time which has elapsed.  There is virtually no chance that you and your husband have been passing. Infection back-and-forth for a period of three years. This is a needless concern.

I would not be worried about other STI at all. FYI, hepatitis C is almost never sexually transmitted and it’s not a concern at all. Should you get pregnant? You would be screened as part of routine prenatal testing. I am confident that should this occur, your tests would be negative. 

Please don’t worry. It’s time to put these concerns behind you and move forward. I wish you the best. EWH 
---