[Question #13660] Update - still worried

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1 months ago
I lost my account info, and cannot post a clarification. I asked and you graciously answered Don't worry about it. I just want to make sure as I now have a light red rash under the skin of my penis (when I pull the skin back) and it is itchy.  

Does this change your thoughts at all?  Still no discharge of any fluid or and pain when peeing. 

Here is my original question:

18 days ago, a co-worker and I drank to much and ended up in bed together. We spent the night but did not have vaginal sex, though we were both naked. She did give me a hand job (both the night of and morning after) plus we had some Oral sex.  I (man) on her for maybe 30 seconds (I don't remember) and her on me (mostly tip), two times for maybe 10 seconds each time. 

Lots of kissing, rubbing, touching, etc. 

However, I would like confirmation as I went back to having sex with my wife. She said she is having some itchiness and D is-comfort that occurred shortly after after we had sex 3-4 days ago.  She does not think it is a yeast infection but due to her getting older and dryness (we are both mid 40s). I do not have any symptoms, no fluids, pain when peeing, nothing.
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1 months ago
It has been 21 days since the event. Should I be tested for anything?  Should I be worried?  What would you
Do?
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1 months ago
In case it I helpful, original question here

[Question #13652] Help please -worries

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H. Hunter Handsfield, MD
1 months ago
Here is my reply to your original question:

You describe a sexual event with little or no chance of STI transmission. Oral sex is not risk free but quite low risk for all infections. (Cunnilingus -- oral-vaginal contact -- comes close to zero risk.) And although you say nothing about your co-worker's sexual lifestyle, most likely she is at low risk. (Even if she has her own non-marital sexual experiences, if those are like this one, she is unlikely to have any important STI. As for your wife's symptoms, vaginal area itching is extremely common in entirely healthy women and is unlikely due to any STI. And she is exactly right about such symptoms becoming increasingly common as women age -- if the problem continues she might discuss it with her gyn, perhaps expecting to learn she's getting low on estrogen as she approaches menopause. Finally, your absence of symptoms also is reassuring -- despite "some discomfort" that you attribute to stress (probably correctly!).

From a medical/risk perspective, I see no need for either you or your wife to be tested for anything.

Now you describe a possible area of irritation of your penile skin. This symptom does not suggest any STI, and probably is unrelated to the semi sexual encounter you have described. And as you seem to realize, your wife's genital symptoms are very common in women -- often with nothing significant going on, although yeast infection is probably the most common cause of vaginal area itching in women. Her thought about sexual irritation related to aging (because of declining estrogen levels as menopause approaches) also is a reasonable one. There is nothing in any of this that fits with an STI, especially since the risk is very low (as discussed above) and because you have no symptoms of urethral infection.

If your wife's symptoms continue, she may wish to see her gynecologist. I still see no need for you to be tested for STIs or to tell your wife about the event 3 weeks ago.

HHH, MD
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