[Question #2598] Risk factor help please

43 months ago
This is my story doctor. 

My wife and I were separated for a short time. During this time she saw no other people. I on the other hand saw 5 different escorts over a 3 or 4 Months timeframe. 

The only activities that I engaged in with all of these women was unprotected oral sex, with ejaculation in their mouth. There was no anal or vaginal sex of any kind. 

A few weeks back my wife and I reconnected right before she was to go on a vacation to an island with her girlfriends. The day before she left for her vacation she and I had unprotected vaginal sex with a little bit of oral sex as well. Toward the end of her 10 day-trip she told me that her vagina started hurting, and she was experiencing discharge. She thought that she Maybe had a yeast infection. A few days later which was yesterday she decided to go to her doctor and check to see what the issue was with her vagina pain and her discharge, and also just to play it safe She asked for an STD panel as well. I do not know what std's were a part of this panel. 

Long story long, today she received a phone call from her doctor telling her that it was not a yeast infection, and that all the other results were still pending and we will probably know them either tomorrow or after the weekend on Monday. Once She  received this phone call today she became very suspicious that I have I May Have passed her some kind of sexually transmitted disease. 

It's worth note that I have not had any symptoms whatsoever in any of my escapades. No issues urinating, no discharge of any kind no discomfort of any kind, so in the absence of these symptoms I assume that I was fine. 

As we are waiting for these results both of us are Very much on Edge. I told her that I also had not seen anybody during our time apart because I assumed that the sexual actions that I was taking would for the most part be safe, based on my readings of doctor hook and doctor HHH on the med help website. 

I don't know what's causing this pain of this discharge, and at 1st I was 
43 months ago
Sorry, that was the end of my story, might have hit the word limit.  Anyways I am terrified.
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Welcome to the Forum.  I'll be glad to comment.  The issues in play here are not just about possible STIs which, based on what you tell me, are unlikely, but also about trust and if needbe, how to regain it.  Don't know if trust issues were operative in your separation or not.  Nor do I know if you have told your wife you "dated" while separated.  Either way, considering this, you might offer to get tested, telling her you want her to be confident in you.  I anticipate that tests will be negative but it might help you to get through this tough period.

Hard to know what went on with her and her health care provider when she was seen.  It is possible she developed bacterial vaginosis which, currently, is not considered an STI but can cause the sorts of symptoms you describe for her.

Hope this helps.  Feel free to provide more detail or seek clarification.  EWH
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43 months ago
so you think this is not an STD infection that she has?  The guilt/experience is a whole different issue, I just assumed in the absence of any symptoms I was STD free.

we still dont have the results, and are very anxious.  Obviously if the test comes back negative for everything I won't say anything and will never go down this path again...But the thought of a possible infection seems realistic to her.

You still believe the test will be negative?
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
A substantial amount of town has passed since your low risk extra marital exposures and you are asymptomatic.  Thus is is very unlikely that you have an STI or that your wife's symptoms are related to an STI she may have had.  Thus I agree with your assumption and anticipate that you do not have an STI.

I agree with your plan to wait for results.  If somehow she has an STI, I would remind you that she spent 10 days on an island with her girlfriends. Not accusing but.... 

Just wait for the test results. Please let us know what they show.   EWH
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43 months ago
Chlamydia, gonorrhea, bacterial vaginosis, and trichomoniasis all negative.   Sigh of relief, but we still don't know what it is.  

Thanks for your input Dr.  Hopefully what she has is nothing serious.  Lesson here learned.
43 months ago
Does that rule out all STDs possible, considering my exposure?
Edward W. Hook M.D.
Edward W. Hook M.D.
43 months ago
Final answers.  I'm not sure why you are worried.  Your risk for STI remains quite low, based both on the types of exposure you report (receipt of oral sex) and the absence of symptoms.  At least theoretically, you could have an STI.  Every exposure does not lead to infection.  The only way to be sure would be to test.  Having given you the theoretical answer, for the reasons I've mentioned I really do not think you should worry and do not have a medical reason for testing.

This is my third and therefore, as per Forum guidelines, final answer.  The thread will be closed without further replies in a few hours.  EWH
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