[Question #11672] Protected Oral and Masturbation

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12 months ago
Hello Doctors, 
I am worried about the events below: 
I met with a female sex worker ( I am a male with a penis). The female sex worker began to touch herself and with the same hand (I would assume she had her vaginal secretions still on her hand after touching herself started to touch and masturbate my penis after touching herself).I believe she touched the opening of my penis with her same hand also. This lasted about 15 mins. 
She then put a condom on me and started to perform oral sex on my penis  for about 10-15 mins. I believe the condom was on properly the entire time.
I will be taking a gonorrhoea and chlamydia test on Saturday which will be the 14 day mark. Would you recommend any other testing. I am in a long term relationship and do not want to give anything to my partner. 

Please help! 



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Edward W. Hook M.D.
12 months ago
Welcome to our forum. Thank you for your confidence in our service. I’ll be glad to come at. First, the bottom line – the encounter you describe was entirely no risk for acquisition of any STI.

To elaborate, receipt of masturbation, even when a partner has genital secretions on their hands, is classified as an entirely no risk for acquisition of STI‘s including HIV by the WHO, the CDC, and experts in the field including us. There is no need for concern or testing following Receipt of masturbation even if a partner happens to be infected. Similarly, condoms are highly affective for preventing STI. The major STI acquired from receipt of unprotected oral sex are gonorrhea and non-urethritis. Condoms worn throughout an encounter are entirely protective against these problems. 

Regarding testing, I see no medical reason for testing, although testing is certainly personal decision. With regard to the testing that you receive at this time or in the future, testing for gonorrhea, chlamydia, or NGU are conclusive anytime more than 3 to 5 days following and encounter. There is no reason to wait 10 to 14 days before testing.

I hope this information is helpful to you. If any part of my comments are unclear, please don’t hesitate to use your up to to follow ups for clarification. EWH.
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12 months ago
Hi doctor and thank you for your quick response. 
I just have some follow up questions. Around day 9 I started to experience frequent urination more than i usually go, and also a slight burning sensation when I urinate. I am not sure if this is related to nerves or symptoms of an STI. As mentioned above I will be completing a Urine Test for gonorrhoea and chlamydia this coming Saturday, 14 days post exposure. 
Secondly my encounter put me at no risk for HIV correct?
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Edward W. Hook M.D.
12 months ago
Urinary frequency is not a sign of STI but can be associated with anxiety.  As far as the burning you report, we find that when persons are worried and looking for symptoms they tend to notice otherwise normal sensations.  This may be the case for you.  I am confident that your tests will show that you were not infected.  EWH---
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12 months ago
Hi Doctor, 
The post 14 day urine test for Chlamydia and Gonorrhea both came back negative. I however am having to still  frequently urinate still  and have irritation in my Urethra which won’t go away. I have a few questions still: 
1. Would my urine test for Gonorrhea/Chlamydia also pick up NGU?
2. What could be causing my issues with frequent urination and pain in my Urethra as my tests are negative for both Gonorrhea/Chlamydia after 14 days after exposure? 
3. Will Nitrofurantoin (100mg) kill anything related to NGU, or a bladder infection? I ask because I can get this prescription over the counter here. 
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Edward W. Hook M.D.
12 months ago
Thanks for the follow-up information.  As I mentioned, urinary frequency is not a sign of STI but can be a sign of anxiety and looking for symptoms related to an infection.  

1. Would my urine test for Gonorrhea/Chlamydia also pick up NGU?
No.  NGU is picked up by showing abnormal numbers of white blood cells in urine.  The exposures you describe however are NO RISK events for NGU.  

2. What could be causing my issues with frequent urination and pain in my Urethra as my tests are negative for both Gonorrhea/Chlamydia after 14 days after exposure? 
See my comments above.  Another possibility is the chronic pelvic pain syndrome (CPPS) which is not an STI and is well described on the internet.    I really think you have nothing to worry about. If you are continuing to have symptoms, you might go see a urologist.  

3. Will Nitrofurantoin (100mg) kill anything related to NGU, or a bladder infection? I ask because I can get this prescription over the counter here. 
Nitrofurantoin is not a recommended therapy for NGU although it might have some activity.  It hasnot been studies.

As you know, we provide up to 3 responses to each client's questions.  This is my 3rd response.  Thus, this thread will be closed shortly without additional responses.  You do not have an STI. There should be no need to return to the Forum.  EWH
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