[Question #14020] Oral Sex Symptoms
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1 months ago
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Hello, I have some concerns on my recent exposure from 2 different women within the span of 5-7 days. First woman I received oral sex from was on May 7-8th and she gave me oral with dentures in her mouth. I did not know they were dentures until she told me afterwards. She went down on me about 2 times with dentures. She then took her dentures out and gave me oral with no teeth. I’m concerned because she told me that she is into the BDSM life style and into the poly or swinger life style. I assume she has a lot of partners but i can’t prove that. She also told me that she has a lot of medical issues and was recently hospitalized 3 months ago for having 4 infections at once with one of them being strep and the medication from strep caused throat and mouth to break out in multiple sores. I asked her if those sores are fully healed and she said yes. She also said she is clean of all STD’s. The second woman which was on May 10th late at night had gave me oral.
Two days ago on May 13th, I started to feel a sharp pain on the tip of my penis, inside of my urethra. Felt like it was inflamed and a slight burn when peeing. Two days later as of right now it has gotten worse and the tip of my penis is red and looks swollen around the urethra hole a little bit. Burns a good amount to pee. Also feel burning sensation in my inner thighs and lower stomach but not sure because of high anxiety. What does that sound like to you guys? What was the risks? This is all within 5-7 days from last both exposures. Thank you
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Edward W. Hook M.D.
1 months ago
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Welcome back to the Forum. These questions resemble your recent interactions with Terri and Dr. Handsfield on the same topic (receipt of oral sex)'. On your more interaction the Dr. Handsfield he replied "Overall, herpes is the most common cause of genital ulcers (sores), especially when the same thing happens repeatedly. As Terri probably said last time (I didn't read that thread in detail), your response this time should have been to see a doctor or clinic immediately for HSV testing of the lesion within a few days of onset, preferably within 2-3 days. If and when it happens again, that is what you should do. In the meantime, as Terri definitely recommended, you consider following her advice about arranging for an HSV Western blot test -- the ultimate gold standard for HSV blood tests. This and the other episode don't sound typical for herpes, so my guess is that either a swab test early during an outbreak or a WB blood test will be negative. But until these are done, you'll never know for sure whether or not you have genital herpes. Anyway, as discuss in other forum questions you have posted, hand-genital contact simply is not a risk for either herpes or syphilis. And your description this time and previously do not fit at all with syphilis."
Much of what Dr. Handsfield has said is relevant to your current symptoms. That your partner had dentures does not increase risk. It's not clear to me whether or not there are visible sores at the tip of your penis or not. If there are, HSV remains a possible diagnosis. So is non-chlamydial NGU which may also occur following receipt of oral sex and results from the introduction of a partner's oral bacteria into the urethra. The time line is about right for both HSV and NGU. NGU following receipt of oral sex does not lead to complications and is not a threat to partners' health. Treatment is generally not necessary although treatment (with doxycycline twice daily for 7 days) accelerated resolution. At this time I'd suggest-
1. Did you get the HSV blood test Terri recommended. Of late a blood test available from LabCorp has had improved performance with fewer falsely positive results. If you tested and were/are positive that does not necessarily mean your current symptoms are due to herpes but it would provide useful information nontheless.
2. If it appears there are lesions present, a herpes PCR SWAB test will be helpful in telling whether the present inflammation is herpes or not.
A urinalysis looking for white blood cells will be helpful as well, particularly for making a diagnosis of NGU.
I hope this information, much of which is repetitive, is useful. EWH
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1 months ago
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Thanks a lot for all of your feedback. I tried going to the local clinic earlier today and get tested for both Gonorrhea and Chlamydia but apparently they are closed early at 12:30pm on Friday. I will have to go on Monday morning for testing. I also ordered a urinalysis from Quest Diagnostic, so I’m going there tomorrow morning to do that.
I did notice a small lesion on the top inner left part of my urethra, it’s hard to see but it either looks swollen or like a small opening. Should I go get that swabbed at the urgent care? will be able to go tomorrow. I’m really hoping it’s not genital Hsv-1 but if it is then how long will it take for these symptoms to go away completely? It still burns to pee and it’s pretty uncomfortable. Still have the slight swelling and redness on the tip of my penis. My anxiety is very high right now and a little worried so I’m also having hot flashes like I have a fever, but I checked my temperature and I’m running a little higher than normal, but no fever. Could just be my high anxiety. I’ll find out If I have Gonorrhea and Chlamydia by next week and possible NGU by next week.
Any other STDs I should be worried about from these 2 encounters? Sorry for all of the questions. Thank you
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Edward W. Hook M.D.
1 months ago
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You have not said whether or not you had a blood test for HSV. That makes it difficult to provide advice.
A herpes swab, tested but PCR would help to rule out herpes. Urgent care should be able to do this. Urgent care should also be able to provide a urinalysis and urine test for gonorrhea or chlamydia.
One follow up remaining. EWH
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1 months ago
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I apologize about that. I have not had a blood test for HSV in a couple of years which was negative back then. I go through Quest diagnostic for all of my blood work.
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Edward W. Hook M.D.
1 months ago
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Final answer. At present the LabCorp. Blood test for herpes provides the most accurate results for HSV infection other than the Western blot.
End of thread. EWH
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1 months ago
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Hello, just wanted to give you a follow up. Went to the urgent care on Friday night. They swabbed my urethra and took urine. I came in with a 100.3 temperature and was wondering on what would cause that? It only lasted for around 12 hours off and on with mild body aches. They also gave me a shot of Ceftriaxone and gave me Doxycycline 100mg for 7 days. I’m currently waiting on my results for the HSV swab PCR from Quest Diagnostic. My Gonnorrea and Claumydia results came back negative. And my urinalysis came back normal except for small amount of blood, trace protein, trace ketones. WBC were not ttested. Does this sound like a bad cause of NGU? I’m still having burning while pee but it’s gotten a little better and my penis tip is still a little red. On Sunday I also had a temp of 99.6 for a few hours off and on and then I went back to normal. And can I still have sexual contact right now? Thank you
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Edward W. Hook M.D.
1 months ago
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Your tests prove that you do not have gonorrhea or chlamydia and if this was NGU your urine test would have shown white blood cells (if they tested for blood, protein and ketones, they also test for WBCs). If your herpes PCR test is negative, it's very unlikely that your symptoms (which have also lasted longer than is typical for herpes) then you need to set aside your concerns of STIs. I suspect that your current symptoms are coincidental.
If your penile symptoms continue to trouble you, I would encourage you to see a urologist, having shown that you do not have an STI.
Thread should have ended previously, closing it now. EWH
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