[Question #11324] Possibly infecting my woman??

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15 months ago
Hello docs,

I previously asked a question where I made a stupid errors of visiting an escort twice. In one of the visit the condom slipped half way towards the end which worried me and dr. HHH suggested I don't need to test for any STI since I am safe and I can resume unprotected sex with my woman. 

As suggested I continued having sex with her for the last two weeks. However in the last 4 days, my woman is having frequent urination (sometimes every 10 mins). I read online that frequent urination can be a sign or trig or chlamydia. So i am very very nervous! I have burning, itching, and tingling sensations and sometimes dull pain on my penis, testicles and around my genitalia as well. 
1. Do you think she got something from me? Any sti?? Should I get tested now?

I dont think she had real intercourse before me as well, so 
2.what are the chances she gets cancerous hpv from me? She told me she only "made out" with guys but not intercourse. Do you think she should start pap smear soon?

Thank you again.
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15 months ago
If I may add. I have hard time ejaculating as well. The sex feels a little different and little itchy and uncomfortable (not pain but scratching feeling down there). I didn't ejaculate for a week now. And I saw the escort about two weeks ago (the lastest encounter) and three weeks ago for the first encounter.
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H. Hunter Handsfield, MD
15 months ago
Welcome back, but I'm sorry you found it necessary. I reviewed your two previous threads and there is nothing in these additional questions that changes my opinions and advice.

1) It is true that chlamydia can cause urinary frequency and urgency, but that's a rare cause; by far the most common cause of such symptoms in women is a non-sexually acquired urinary tract infection. And virtually all women have a UTI from time to time. In addition, sex itself can trigger UTI -- not because an infection is transmitted, but because sex can massage normal genital bacteria into the urethra. And UTIs are especially common in women soon after their first sexual experiences. (This even has a name: UTI in newly sexually active women sometimes are called "honeymoon" infections.) She should contact her doctor for likely treatment for a presumed UTI and diagnostic tests for it, such as urinalysis and urine culture. You need not say anything to her about your extramarital adventures.

As for your own symptoms, they are very typical for genitally focused anxiety -- making you more aware of minor symptoms or normal body sensations that you otherwise would ignore or not notice. Of course you are free to be tested for STDs if you wish:  as I stated in one or both of your previous discussions, sometimes testing is a good idea simply for reassurance. Consider a urine test for gonorrhea and chlamydia if you remain nervous about it. (This does not mean I believe there is any possibility you are infected. I do not.)

2) We discussed HPV last time. There is very little chance she has acquired HPV from you, and nobody ever needs HPV testing or a Pap smear just because of the symptoms she has or because of her sexual risks. She should follow standard guidelines for Pap smears -- if in the US, that means once very three years from age 21 to 29 and then every 5 years. This is all that is needed for lifelong protection against cervical cancer. If she's never had a Pap smear and is over age 21, she could start now -- but there is no hurry at all, regardless of your sexual risks. It's entirely up to her. You don't need to say anything about it.

The symptoms you describe in your follow-up comment also suggest anxiety. No STI causes such symptoms.

I hope these comments are helpful.

HHH, MD
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15 months ago
Thank you for your assurance Dr. HHH. 
Like you said, I may get tested just for the peace of mind as well! Thanks again!
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15 months ago
One more question before you close it....she just had a Brazilian wax today and what are the chances of her catcahing sti hypothetically assuming I had it? 
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15 months ago
Catching* 

Her pores will be open for 24-48 hours.

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H. Hunter Handsfield, MD
15 months ago
There is no evidence that waxing treatments, or anything else that might open skin pores, makes someone more susceptible to STIDs. It doesn't happen.

As you expected, that concludes this thread. I hope the discussion has been helpful. Please note the forum policy against repeated questions on the same topic. This being your third, it will have to be your last; future questions about this exposure and your resulting STI concerns may receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 

Best wishes and stay safe.
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