[Question #1184] Tric

48 months ago
Hey Doctors, I posted on Monday about a possible STD.   It's listed as worried exposer. Dr Hansfield answered my question.   Been reading on the internet that Tric can be spread even when using protection.    I've still got a little tingling and I'm really worried.   No ad primal discharged.  The tingling comes and goes.   Could this be still my aniexty.   I took mess to cover most everything but Tric.   Thank you.  
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago

Welcome back to the Forum.  As you probably know, Dr. Handsfield and I answer questions interchangeably and today I Happened to pick up your post.  In preparing to address your concerns, I reviewed your earlier interaction with Dr. Handsfield and agree with all that he has said including his congratulations for using a condom for your genital-genital contact.  Condoms are the most effective means of preventing STI transmission we have and when the fact that you used a condom, along with the facts that most commercial sex workers do not have STIs and that even without protection, most single exposures to an infected person make it most unlikely that you were infected.  Further, trich is not acquired through performance of oral sex and an infected partner.  In contrast, one of the most common manifestations of genitally-focused anxiety is tingling and as you suggest, I suspect this is the origin of the sensation you are experiencing.

Non-sexual transmission is spoken of but has rarely been proven.  My suspicion is that you do not have trich (and I say this with great confidence) and I would urge you not to worry.  I would also strongly recommend that you stop searching the internet for information about possible STIs as much of what is said there is incorrect and misleading. If you must have the confidence of a negative test for trich, there are several commercially available nucleic acid amplification tests (NAATs) that can be performed on voided urine.  If you do seek and get such testing, I am confident that it will be negative and personally I see no reason for you to seek testing at all. 

I hope these comments are helpful.  EWH


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48 months ago
Thanks for your reply!  I did use a condom and I think it was ok.  I'm almost certain.   How often to condoms break?   Wouldn't you know if one did break?   I contacted the girl again yesterday and she assured me again that she was clean and the condom was good and for me to relax.   I guess I'm worried that she would probably tell me that anyway.   Sorry for the rambling!    
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago
Condoms break less than 1% of the time they are used.  Condoms do not "leak", when they break, they break wide open, leaving no doubt that they have broken.  Actually, most people tell the truth and there is no reason that your partner has no reason not to tell you that the has an STI at this time.  I agree with her- time for you to relax and move forward.  EWH
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48 months ago
Thank you.   Last question, is it true that men usually don't show symptoms for TRIC.   If they do hold long before and what are the symptoms.  Thanks!
Edward W. Hook M.D.
Edward W. Hook M.D.
48 months ago

Many men, perhaps as many as 40 0r 50% do not notice symptoms of trichomoniasis.  this fact does not change my opinion or advice- you are most unlikely to have acquired trich from the events you describe.

As you now, we provide up to three replies per client question.  Thus this thread will be closed in the next few hours.  Again, I urge you to do your best to not worry further.  EWH

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