[Question #12571] Gonorrhea risk
7 months ago
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Hello, I am a white 37 year old male. About 12 days ago I had an incident where a male masseuse put my penis in his mouth, this lasted for maybe a second or two and I pulled it out and explained I didn't want to do that. It maybe went in his mouth a couple of inches, as I was completely flaccid and not erect. Also, he briefly grabbed my testicles and penis prior, but only for a moment. It happened very fast and was over equally as fast. The massage finished up 10 minutes later (a very awkward and silent 10 minutes) and then I went straight home to the shower and scrubbed myself.
I guess my question is, more or less, what was I potentially exposed to here and is it worth getting tested? I have to assume that he does this frequently with clients considering how easy it happened with me. I let this instance go and forgot about it, swearing off massages for the foreseeable future. However, a few days ago my wife gave me a blowjob and then shortly after, my anxiety took hold and I started thinking about possible exposures and what if I now passed something along to her? I've had no other sexual contact with my wife since.
Regarding symptoms, I'm going to say there are none. I've been monitoring for pain/discomfort, discharge, and sores/lesions around my genitals - there is nothing so far. I do get the occasional tingle, itch, pressure around my penis. Also, I sometimes think my urethra may be more sensitive than before as I seemingly feel the warmth of my urine and ejaculate sometimes. But urinating is never painful, I think. How obvious would the symptoms be? I'm almost certain this is anxiety fueled and I'm reacting (maybe overreacting?) to every single sensation in that area. I've looked through similar questions on this forum and I'm fairly certain on how you'll respond. But still, I would like some additional peace of mind if possible.
Thanks in advance!
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H. Hunter Handsfield, MD
6 months ago
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Welcome to the forum. I'm happy to help.
Oral sex is low risk for STD -- a lot lower chance of infection than penetrating vaginal or anal sex. The very brief contact you describe with a partner's mouth was zero risk for all practice al purposes. And of course hand contact with your scrotum, penis, or anywhere on your body is absolutely risk free. Your wife is not possibly at risk for any STD on account of your massage experiences, either from oral or vaginal sex with you. The vague and mild genital symptoms you describe do not fit with any STD. Need, your description suggests you fully understand that they are due entirely to your anxieties over your regretted sexual decision nearly two weeks ago. That is, you simply are more aware of trivial symptoms or even normal body sensations that otherwise would not be bothersome and likely not even noticed.
If somehow I were in your situation, I would not be tested for anything and would be continuing all sexual practices with my wife with no worries at all. That said, some anxious persons are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) In that case, feel free to arrange for a urine gonorrhea/chlamydia test. If you do so, you definitely can expect negative results.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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6 months ago
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Thank you so much for your reply! This is the answer that I anticipated but wanted to ask regardless. Having said that, I'd like to follow up with some updates. I went ahead and was screened at the health clinic regardless, as you said I would. I did do this before your reply but would have afterwards anyway, just as you said. Anxiety is a hell of a thing... Secondly, my penis is definitely more sensitive right now, I'm not imagining this. During manual stimulation, I noticed that there is some sensitivity increase. There is a slight menthol-like sensation coming from my groin and anal region (no sexual activity occurred there). When I ejaculated, it felt normal at first but then had a slight burning feeling once completed. Given this information, does that change your opinion or is it possible that I have gave myself anxiety induced prostatitis?
Thanks again!
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H. Hunter Handsfield, MD
6 months ago
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I'm sure you're not imagining your increased penile sensitivity. But that doesn't mean it isn't anxiety related. The anxiety effect definitely increases pain, discomfort, and so on; I'm not saying your symptoms are "in your head", for example. In any case, there is no STI that possibly can cause such a symptom.
Anxiety cannot cause prostatitis. However, it definitely causes symptoms similar to the chronic pelvic pain syndrome (CPPS); google it for more information. The Wikipedia article is good and so is information from the Stanford University Dept of Urology. But in any case, there is no possibility of any infection from the exposure you are concerned about. Believe it!
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6 months ago
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Thank you Dr. Handsfield! You'll be happy to know that the gonorrhea and Chlamydia screens came back negative. My WBC is normal (even slightly lower than 2 weeks ago when I was tested for something else unrelated). Having said that, I'd like to ask one final question, since this is my last reply. I still feel a slight burning sensation after ejaculation, but briefly and not intense. Also the tip and surrounding skin are still somewhat sensitive - sometimes I believe I feel a pinching sensation up there. And, I feel there may be some urethra irritation as well as minor itching/tingling around the genitals. Everything is mild, not severe and there is still no discharge, pustules, or lesions. Is it possible that there is a trichomoniasis infection? Outside of the aforementioned encounter, I've never had penetrative sex with anyone other than my wife in 14 years. Other than trichomoniasis, can HSV mimic these symptoms. I appreciate your time and your help in alleviating my anxieties. As this is my last response, I will say thank you for your help, no matter how you reply. Best wishes!!
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H. Hunter Handsfield, MD
6 months ago
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No STI causes the sorts of symptoms you describe this time, including herpes. You name the actual symptoms of concern ("discharge, pustules, or lesions"). As before, these symptoms are most consistent with increased awareness of unimportant sensations on account of your worries about the situation. Please accept all I have said and move on without further worry. You can safely continue sex with your wife without any risk of any infection on account of your massage experiences a couple of weeks ago.
As you suspected, that concludes this thread. Thanks for the thanks; I'm glad to have helped. Best wishes and stay safe.
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