[Question #2762] Unkown STD/ Parasite

43 months ago
I will keep this brief as possible. I had a sexual encounter unprotected vaginal sex with a woman of unkown status over 7 years ago (roughly around Jan. 2010). Symptoms that followed were: testicle aching, severe headaches in back of head, rectal discharge, extreme muscle twitching/muscle aches, flu like symptoms. I tested negative for all STD's i.e. Ghon, chlamydia, syph, hep, ebv, hiv all out to one year post exposure. Never received an actual diagnosis despite visiting many doctors regarding issues. My concern is that I have since married and had two boys (2014,2016) and wife tested negative for all std's and blood work all came back fine at time of pregnancies. Is there anything that I could have infected her with that would have affected my boys? Is there any truth to this unkown virus/parasite that some people are claiming that could've gone undetected? If someone can please provide some knowledge/ insight on my situation I would greatly appreciate it.
43 months ago
The reason I'm asking is  I feel that these symptoms never actually went away in there entirety. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Welcome to the forum. Thanks for your question.

There is no evidence that any "unknown" STD exists, certainly none known that could cause your symptoms. Your comments suggest that there may be online buzz about some unknown or unexplained STD. If so, I am entirely unaware of it. But I am confident there is no such things. All your symptoms are what physicians call "nonspecific". That means they do not point to any particular cause; and that similar symptoms can occur in many conditions. In this case, literally innumerable conditions. Headache, gential area aching, twitching, muscle aching, "flu like" symptoms, and so on occur in all humans from time to time. 

There's really no logical reason to assume an associatio of your symptoms with the sexual exposure on your mind. Think about all the other human activities in which you participated around the same time -- say in the several weeks before and after the Jan 2010 sexual event. You probably socialized with friends and co-workers. You ate many different foods. You likely at out at various restaurants. You may have been exposed to toxins in the air or the environment. There is no reason to attribute your symptoms to the sexual event than to any of these other things. And of course most nonspecific symptoms like this simply have no defined cause:  they just happen.
About two of your symptoms:  genital area aching is perhaps the most common symptom of what I call genitally focused anxiety. It is extremely common in men who are worried about possible consequences of a regretted sexual experience. Anal discharge can be due to STDs, but only if the rectum is exposed, i.e. with direct penile penetration. A little mucus from time to time from the anus/rectum usually isn't abnormal.

I would advise you to take reassurance from the negative STD tests you and your wife have had. For sure there is no STD that could possibly have any effect on your children's health. 

I hope this information is helpful and reassuring. Let me know if anything isnt' clear.

HHH, MD


---
43 months ago
Dr. H,

Thank you for your reply. I had pretty much moved on from this encounter after the multiple negative std tests, bloodwork etc...  but these symptoms came on rather strong at the time and I had never felt them before this exposure and I had no reason to feel guilty about it at the time either.  I am a pretty level headed person and know that these symptoms had to have resulted from this sexual event. I was 23 years old and in college working with the university wellness center on my symptoms and nobody was able to diagnose the exact cause even though they did find an infection present in my urine but were unable to determine what exactly it was and did prescribe me doxycycline for it at that time. The reason I am back on here looking for reassurance is that I'm not ever sure these symptoms went away in there entirety or if I just accepted them as my new "normal". I have not been sick or gone to the dr sick due to being sick or any other reason except for routine check up and all has been fine. Now that my kids have been born I feel they are possibly dealing with some neurological issues and it brought me back to this night 7 years ago and the possibility that I passed something to them that has caused these issues since I felt something had attacked my nervous system back in 2010.  I saw some similar issues that people seemed to be dealing with while on medhelp and they started a website which is 

http://unknownstd.freeforums.net/thread/2/unknown-mystery-virus-infectious-disease?page=312

I just needed to hear from an expert such as yourself about this to get a little reassurance so I can move on. 

Thanks again Doc
43 months ago
Surely if there were in fact so many people dealing with these issues they would have been able to diagnose it by now? Have you ever had any experience with someone dealing with issues such as these that could not be diagnosed?
43 months ago
I live in Texas just FYI 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Thanks for the clarification of the setting, your psychological context, etc. But this information doesn't change my opinion or advice. Be clear that I'm not saying you symptoms reflect anxiety, regret or any other emotion about that particular sexual exposure. As I noted above, a hundred other environmental and interpersonal events happened about the same time -- i.e. the events of normal life. People get unexplained symptoms all the time -- my only point is that timing alone is a very poor basis for assuming an association with any particular event.

On quick glance at the forum you linked to, it is exactly reminiscent of the sorts of things that are attributed to several conditions of unknown cause, such as chronic fatigue syndrome, fibromyalgia, and primary pschological issues such as depression. As best I understand, such problems are no more commonly attributed to sexual exposures than to other unknown events. As a broad generalization, just about the worst evidence for an association of unexplained symptoms with particular exposures -- sexual, environmental, or whatever -- is personal testimony by affected persons. Such websites can give the impression of a common and obvious association, where in fact no association exists at all. The far greater number of people without such symptoms of course don't participate, so virtually by definition you're seeing a highly skewed sample of those persons who have made the same mistake implied above, i.e. assuming association with a particular event simply because of timing.

It is impossible to prove a negative association, but the evidence simply doesn't exist that some sort of unknown STD is somehow responsible for symptoms like these.

---
43 months ago
Dr. H,

Thanks for your insight regarding the link that I posted. I had diagnosed myself back than with HIV and wouldn't let it go despite testing way beyond the window period and actually not believing I was HIV free until i tested negative at one year post exposure. I met with several Dr's and clinics regarding the issues I was having and never received a clear diagnosis for the symptoms I was experiencing. The symptoms subsided and I decided to move on with my life and have not had any issues since. Now that I have a wife (who has never experienced these symptoms) and kids that I am concerned about, I have regressed back to 2010 and my doubts about the cause of my issues. I got caught op googling symptoms once again  and found the link that I sent to you and low and behold here we are. I actually reached out to you back in 2010 on the website "Medhelp" and you had assured me back than that I was not at risk of infecting my future wife with anything regarding the exposure. Now my mind is going on other "infectious diseases" that I could have contracted and passed on to her that could have gone undetected. I wanna thank you for your responses back in 2010 as well as now. I will continue to work on putting this behind me.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
43 months ago
Thanks for the additional information. Nice to "see" you again after all these years.

I remain confident that no infectious disease explains your symptoms and that there is no risk for your wife or kids, either by personal contact or transmission in the household.

That concludes this thread. I hope the discussion has been helpful.

---