[Question #11439] Irritation and pregnant fiance. Cont from yesterday.

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14 months ago
Hi. I'm back. Although my tests at 15 days and 24 days were negative for Chlamydia, Gonorrhea and Trich, I still feel this irritation. I had unprotected sex with my fiance 4 times since the oral exposure on May 5th. Last night after sex and ejacluatuing, my urethra looked really irritated and red. Today we had our 21 week ultrasound and the doctor said one of the babies kidneys has a little bit of swelling in the part that collects urine, they said it's usually a collection of built up urine but they want to monitor it. The term is Fetal Urinary Tract Dilation. It's common in about 5% of babies, but usually found in males, we are having a girl. I know you don't specialize in babies, but do you think I could have given her something and it's not really Fetal Tract Dilation? Could I have some other sort of infection or bacteria causing the irritation and gave it to her? Could it be NGU? I did put hand sanitizer on my penis right after the oral. It doesn't feel normal. What should I do?
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14 months ago
She also just complained of a sore throat! She gave me oral last night. wtf! Is this a coincidence? She has allergies from pollen this week too but idk if that causes it. Ugh please help! Is this herpes!? I got test at Day 24 for that too and i was negative
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14 months ago
Actually herpes was not tested. Just gonorrhea, chlamydia, trich HIV and syphilis
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H. Hunter Handsfield, MD
14 months ago
Welcome back. I'm sorry you found it necessary, but I understand.

First and perhaps most important, whatever you have -- i.e. the explanation for your possibly inflamed meatus and your wife's sore throat -- are entirely related to the sexual exposure you had about 4 weeks ago. The timing simply is not consistent -- but I have some advice about it below about respiratory viruses, especially adenovirus. Equally important, there is no STD (and to my knowledge no respiratory virus) that possibly has any connection with the possible urinary tracts anomalies of one of your growing babies.

Have you or your wife had other cold symptoms? Sore throat prior to your wife's current symptoms? Conjunctivitis (pink-eye)? Sneezing or cough? Some common cold viruses, especially a few types of adenovirus, are readily transmitted to the urethra by oral sex. Among all men with nongonococcal urethritis (NGU), 2-4% are caused by adenovirus, and one of the highlights is meatitits -- inflammation of the meatus, i.e. penile opening, with redness and swelling, but generally little or no urethral discharge. Usually acquired as a respiratory infection, although respiratory symptoms may be absent. Hence the possible connection between your penile discomfort and your wife's sore throat.

Adenovirus and all other causes of sexually acquired urethral infection cause obvious symptoms within 7-10 days, maybe rarely two weeks -- but there is no chance this originated with the sexual exposure a few weeks ago. Most likely this is entirely between you and your wife. And I will stress again that this has absolutely nothing to do with the possible urinary tract dilation in one of the babies. (And no, there is no possibility an ultrasound could confuse that finding with any other condition -- at least none I can think of, although you could ask your wife's obstetrician about how confident they are of the diagnosis).

Like most viruses, there is no treatment for adenovirus or other respiratory viruses. If my guess about the cause is correct, your symptoms and your wife's undoubtedly will clear up on their own in a few days. Please discuss all this with your doctor; you need not mention the sexual exposure 4 weeks ago.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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14 months ago
You remember my post from yesterday right? You just said “are entirely related to the sexual exposure you had about 4 weeks ago”. Did you mean aren’t? She’s had allergies the last few weeks to do the bad pollen. Not really much coughing and sneezing. What about HSV 1 and 2? Should I get tested for that? You’re telling me none of this has to do with the unprotected oral sex that I got? Or the hand sanitizer that I put on my penis?
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H. Hunter Handsfield, MD
14 months ago
Should be "entirely UNrelated" -- sorry for the typo!

Herpes from the exposure would have started to cause symptoms within a few days, and urethral herpes almost always is accompanied by typical external genital blisters and sores. (Only HSV1 is acquired by oral sex, not HSV2.)

"You’re telling me none of this has to do with the unprotected oral sex that I got?" Correct. How many times and in what different words do you need to hear it?

Hand sanitizer might cause urethral irritation, but the discomfort would begin immediately (within a few minutes) and would not last more than a day or so. It is not a possible explanation of your current symptoms.

You cannot expect a conclusive diagnosis from this or any other online forum. I can say nothing more about possible causes etc. See a doctor, ideally a urologist, if your urethral/penile symptoms continue.
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14 months ago
Sorry if I’m being a pain, I’m panicking. Should I do further testing then? Urethra swab? Sorry for being redundant, just to confirm you think there is nothing infectious I’m passing onto my fiance? 
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H. Hunter Handsfield, MD
14 months ago
You're "panicking"??? After the repeated, comprehensive, science based evaluation and advice you have had? Not to mention all the negative test results? Did you even read my replies in both threads?

And as I said above, I'm not going to repeat the advice you already have received. I haven't changed my mind! If you remain concerned, go back and read every line of both threads. The answers are there.

That concludes this thread. Please note the forum does not permit repeated questions on the same topic or exposure. This being your second, will have to be your last; future questions about this exposure, your symptoms, and your various concerns about these topics will 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.

Thank you for your understanding. I do hope the two discussions have helped, or will finally do so if you go back and read them again. Good luck to you, and best wishes for a successful pregnancy and fatherhood.

 

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