[Question #13824] Oral risk
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5 days ago
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Hello. 55 yo male. Received unprotected oral sex from another man 9 days ago. I've read many of the questions you've answered and I am very worried about gonorrhea. I don't have any discharge, but after i pee (like 5-20 minutes), i can get irritation on my penis tip. The irritation can be mild to medium. Did a urine STD test yesterday, should have results in a few days. Not sure if my symptoms are more aligned with nerves and stress and increased focus on this area of my body, or is this delayed irritation after peeing is normal symptom of gonorrhea? Also, I had sex with my wife about 30 hours after my possible exposure. If I am positive for Gonorrhea is she at risk? She does now know about my encounter. Thanks in advance for answering my questions.
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H. Hunter Handsfield, MD
5 days ago
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Welcome; I'm happy to help. Thanks for your confidence in our services and for reviewing our replies to other questions similar to your own.
There is almost no chance you have gonorrhea. First, the chance of gonorrhea from any single exposure like yours probably is under one chance in several hundred or even lower. Second, gonorrhea almost always causes symptoms that begin within 4-5 days of exposure. (You don't say exactly when your symptoms began, but I have the impression it was later than 4-5 days, right?) Third, the symptoms are generally much more severe than what you describe: obvious pus dripping from the penis and staining underwear, and more severely painful urination than you describe. And to answer a specific question, no: "delayed irritation" after voiding doesn't fit; the urinary pain with gonorrhea is during urination. (As a measure of its occasional severity, in the great book about a paratroop division in WWII -- Band of Brothers -- a guy with gonorrhea complains of "pissing razor blades".)
Conceivably you have nongonococcal urethritis (NGU) which can be caused by normal oral bacteria -- i.e. not an STD in the usual sense. Such mild symptoms could be chlamydia, but that's so rarely acquired from oral exposure that it can pretty much be ignored. Finally, whenever someone suspects their own symptoms might have a psychological origin, usually they are right ("nerves and stress and increased focused..."on your genital area -- i.e. what I like to call genitally focused anxiety.
Yes, if you in fact acquired gonorrhea and even chlamydia, your wife is at risk. But probably nothing is wrong, i.e. you probably have no STD and your wife is in no danger of any infection. However, the way to know for certain is to be examined by a knowledgeable health care provider, and to have a urine gonorrhea/chlamydia test.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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4 days ago
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Thanks for your reply Dr. I appreciate it! Yes my symptoms showed up later than 4/5 days.
Today I was really good until tonight. Really sensitive after peeing. Wondering if it could be my urine that is causing irritation? Or too much peeing? I just hurts tonight.
I do get my test results weds/thursday. So we’ll see I guess.
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4 days ago
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results for Gon and Chlam both came back negative. stess level way down... wondering if its worth pursuing NGU testing? Thx.
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H. Hunter Handsfield, MD
3 days ago
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Glad to hear your tests were negative but of course not surprised.
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There is no test for NGU; the diagnosis is based only on symptoms plus professional examination to judge presence or absence of abnormal discharge.
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