[Question #2006] Worried about std

46 months ago
So I had an oral encounter which was my first sexual encounter about 3 months ago which was both she performed on me and I performed on her for few minutes. About two days later I got a cold sore on my lips and so did she but I get cold sores at least once a year. Than about a week later after I ate sandwich I got a back stomach ache, which I threw up later. The next few days my stomach felt very bloated full of gas. Than later following weak my penile head or feels like pee tube would tingle and burn once in a while. Also had some inner thighs soreness with that. So it's been over 3 and penile tingling still happens, not all the the time but from time to time, it's just really erritating. My testicles get sore from time to time especially I noticed when I ejaculate. So I'm just really worried and asking for some help. I've heard it could be ghonnorea. So please get back at me 
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
Welcome to our Forum.  I will try to help.  The exposures you describe were very, low risk for any STI.  First, most persons do not have STIs and even when they do, most exposures to infected persons do not lead to infection.  Oral sex (either receiving or giving) only relatively rarely leads to infection.  When it does, the most common problems from receipt of oral sex are either gonorrhea of non-gonococcal urethritis NGU) caused by mouth organisms introduced in to the urethra during sex.  Both of these problems are most often symptomatic and the symptoms you describe are not suggestive of any STI.

The symptoms you describe are typical of those which occur when persons begin to worry about STIs and focus their attention on their genitals. In doing this they tend to notice sensations that they otherwise overlook and the symptoms they describe are genital itching or tingling. Further these symptoms of genitally focused anxiety, unlike those of STIs, tend to come and go.  The symptoms of STIs do not come and go.

My advice is for you to not worry and to put this behind you without concern. If you feel you must you could have a urine test and throat swab test for gonorrhea and chlamydia.  Personally, I feel that you do not need to tested at all.  I hope these comments are helpful.  EWH

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46 months ago
What are the chances of getting hiv or genital herpes thru my encounter? Also can drinking alcohol more than usual make make my mind trigger the symptoms?
Edward W. Hook M.D.
Edward W. Hook M.D.
46 months ago
There are no proven cases in which someone has gotten HIV from receipt of oral sex.  The encounter you described was zero risk.

As for genital herpes,, genital herpes due to HSV-2. Is virtually never acquired from receipt of oral sex.  Further, persons who already have HSV-1, the virus that causes cold sores, do not  get reinfected at other (genital) sites and thus, since you already get cold sores, I would not worry about genital herpes either.

Finally, there is no evidence that alcohol biologically changes the risk for acquisition of any STI, including HIV.  EWH
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46 months ago
Alright thank you 
45 months ago
So I got another cold sore this past weekend, it's my third time this year. Could it be related to any stds because I usually don't get them that much usually about one per year. Or could it just be because of stress? Also can high intake of caffeine and alcohol cause them?
Edward W. Hook M.D.
Edward W. Hook M.D.
45 months ago
There are certainly anecdotal reports of increased physical or mental stress increasing the likelihood of recurrences of oral herpes (cold sores).  Increased alcohol and/or caffeine might have similar effects.  None of this however suggests that you acquired an STI of any sort from the exposure you have described. 

Our Forum Guidelines allow up to three replies to a client’s questions.  This will be my third and therefore final reply and the thread will be closed in a few hours.  I hope my comments and the information I have provided has been helpful.  EWH


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