[Question #13463] Leg Pain STI?

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3 months ago
Dr. In April I had protected oral sex at a massage parlor. The condom appeared to be in tact the entire time. Was more of a dental dam covering but was in place throughout.  Months later my wife was in a minor car accident. A week after the accident she complained of knee pain in back of knee. Ortho said nothing wrong structurally. She now is still having bad knee and ankle pain/swelling and is going to primary. I’m terrified I’ve passed on gonorrhea or something that would cause this. Is this a common std symptom, based on research I see it may be? I’ve had no symptoms that I’m aware of. 
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3 months ago
Sorry for additional context/questions. My wife has been told she’s anemic and I see that could also be an issue for leg pain, or possibly lymph node issues from the accident? She also recently had a UTI, which she went to the Dr for and was diagnosed with a UTI. They gave her specific antibiotics to help that, would that have shown any bacteria if STI was present?
Also I was taking amoxicillin for an ear infection at time of incident, would that prevent some risk of contracting anything?
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H. Hunter Handsfield, MD
3 months ago
Welcome to the forum.

You describe a zero risk event; there is no realistic chance you acquired any STD and even lower chance you infected your wife. And no reason at all to suspect her knee pain has anything to do with your sexual indiscretion several months ago. "Is this a common STD symptom...? No, it doesn't suggest any STD at all; much more likely it's related to the auto accident. This reminds me of a patient who might have been hit over the head with a baseball bat then wonders if his headache might be meningitis.

Anemia has a hundred different causes, and STD is not one of them for all practical purposes.

And whatever near zero risk of STD from your sexual exposure 6 months ago, the amoxicillin largely eliminated even that minimal risk.

All is well. There's no STD problem here in either you or your wife.

HHH, MD
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2 months ago
Thanks so much Dr. my wife had her urinalysis and blood work tests completed. All came back clear. One follow up question, I have been getting random testicle pain the last few days. Sometimes one side and then the other. Some days nothing at all. Could this just be anxiety related or something I should look into further? I know in reality I don’t anything really to worry about, but for some reason really struggling to kick the general anxiety. 
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H. Hunter Handsfield, MD
2 months ago
No STI causes "random testicle pain"; the on and off nature and shifting sides argue strongly against anything of importance. Only a psychological issue (like anxiety) is a likely cause -- and when someone suspects their own symptoms have a psychological origin, usually they are right

If you remain anxious -- whether or not related to a sexual decision you regret -- consider professional counseling. Anxiety never clears up simply by reassurance. Good luck with it.
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