[Question #3351] Trying to move on

37 months ago
Regretfully, I visited an Asian massage parlor twice. The first of Dec and again Jan 1. 36 hours after the second visit I noticed some very small, red spots on the head my penis. This sent me spiraling into a panic as I’m married.
A couple days (Jan 5)after noticing the spots I started feeling...off. Mostly drained and light headed. And extremely stressed.  On Jan 9 I developed a very sore throat and could see white spots on my left tonsil. Went to quick clinic thinking it might be strep but test was neg. Doc called it tonsillitis and prescribed amoxicillin. The next morning (Jan 10) I got into a P. Parenthood clinic and explained everything. At this point I’m in a full panic thinking I have caught every STD, specifically herpes for some reason. They took urine sample and swabbed my throat (turns out they used an incorrect swab so that part of the test was void). Doc visually examined the spots on my penis and was not concerned.
Urine test was neg for Gon/Chl, sore throat lasted until the 14th. The spots/redness has come and gone, never itchy or painful. No blisters, sores or lesions. No pain at all during urination and no drip that I’ve noticed (uncircumcised). Started using Lotramin and after 4 weeks it seems the spots/redness are pretty much gone. Was concerned about asymptotic syphilis, not sure why. 
Last night it hit me that I had taken th first dose of amoxicillin 15 hours before I gave the urine sample. Would that affect the test? Can I still feel good about the neg test results there? Anything else I should still be worried about now 73 days and 48 days since encounters?
Thank you!
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Welcome to the forum.  I'll try to help.  You don't say much about your exposures (condom protected?, sites of exposure, etc.) but I don't see much to be worried about from what you've said.  The amoxicillin you took is unlikely to have affected your test results and the urine test do not require living organisms to be positive.  Your risk for Syphilis is quite low and there really is not much in your description to suggest that you had anything other than a run of the mill, most likely community acquired viral sore throat unrelated to the exposures you have described.  If I were you, I would not be worried and would be working to get through my guilt and move forward.

I hope this comment is helpful.  EWH
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37 months ago
Sorry about that, left out some important info. Both encounters consisted of unprotected oral (both ways) and protected vaginal intercourse.
Another thing I’ve noticed in the past few days is some very minor swelling of my foreskin. Again no pain whatsoever. 
I’m admittedly hyper aware and I know that doesn’t help. I really do want to put this behind me and it sounds like the urine test should have been reliable?

Thank you for all you provide on this site, it has been incredibly helpful to me!
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Thanks for the additional information.  If anything is strengthens my sense that all is OK here.  Transmission and acquisition of infection through oral sex is less likely to occur than in the context of unprotected genital exposure (and your genital exposure was protected).  I would believe your urine tests.  EWH
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37 months ago
Thanks again for the info, just wanted to follow up.
I went ahead and retested for Gon/Chl and also tested (RPR)for Syphilis since it had been 7 weeks since the last encounter. Gon/Chl were negative and RPR was “non reactive” which I took as negative.
This was all a great relief and reassurance that I didn’t contract anything.
But, I did want to ask if there is anything else I need to test/look out for? I am comfortable dismissing the sore throat as coincidence. The small spots/redness that was present on my penis for a few weeks were certainly something I’ve never seen before. That is mostly gone although I occassionaly see some faint redness that will show up for a few hours. I have also noticed occasional, very minor swelling of my foreskin. Again, none of this comes with any pain or irritation, no discharge or obvious lesions, sores or scabs. Just something I’ve never experienced before and want to be cautious.

Thank you!
Edward W. Hook M.D.
Edward W. Hook M.D.
37 months ago
Thanks for the follow-up.  I'm pleased (but not surprised) that your repeated tests for gonorrhea , chlamydia and syphilis have validated my assessment and advice.  (BTW, "non-reactive" in a syphilis blood test is negative).  there really is nothing more you need to look for and if anything, my advice would be to stop looking.  Hyper-vigilance leads to perceived sensations which are actually normal, same for perception of minor swellings or discolorations (such as faint redness and minor swelling).  The genial tract is a hyper vascular heavily innervated body site which can fluctuate subtly in appearance.  My advice is to believe your tests and now move on without further concern.

As you know, this is my 3rd response to your questions and, as a result, this will be my final response.  As per Forum guidelines, there will be no further replies and the thread will be closed in a few hours.  Take care and lease do not continue to worry about the events we have discussed.  EWH
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