[Question #3355] Possible STI and epididymitus

36 months ago
Hello Dr.

I am a 28 year old male. About 3 1/2 months ago I drank too much and woke up naked in my hotel alone. I dont recall talking to any girl the night before and I didnt see anyone when I woke up.  I doubt I would have been able to get a proper erection due to alcohol, if any at all. I told my girlfriend and she didnt seem overly concerned. 

Im getting anxiety and am beginning to create scenerios in my head. Such as seeing a condom wrapper on the floor but cant remember. I didnt consider cheating until 10 days after possible event.  If sex did happen, I cant see it lasting long at all. I normally cant get an erection when drinking too much.  I had been tested three years ago for gonnohrea and chlamydia with tests being negative. Ive knowingly only been with my girlfriend sexually. 

Pain in left testicle sometimes lower abdomen. No pus. No burning urination. No swelling. 

Aside from testicle pain. Which I had before. Just seems worse now because Im thinking of it. 

Questions:
1. Likelihood of catching std from infected person unprotected and oral. I cant see the potential girl being under 25. 

2. Possible epididymitis?

3. Can my anxiety/ parinoia make things seem much worse?

Thank you. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
Welcome to the forum. Thanks for your question.

Of course I have no way of judging what might have happened when you were in an alcoholic blackout. However, it's probably exceedingly rare for someone to be sufficiently awake to have sex and yet not remember it. So my bet is nothing sexual happened. As for "create scenarios in my head", this also seems pretty far fetched. Finally, it sounds like your occasional discomfort doesn't mean anything.

To your specific questions:

1) The chance any particular person has an STD depends entirely on that person's sexual lifestyle. I can't begin to speculate about the lifetyle of a partner you may have picked up when you don't even know if it happened! But even among the most sexually active persons, at any time most have no active STDs. Also, most STDs are inefficiently transmitted -- that is, even when one partner is infected, most exposures don't result in transmission. Oral sex can be considered safe sex, wtih a much lower risk than unprotected vaginal or anal.

2) You don't have epididymitis if your pain is no different than before, even if it seems more prominent because of anxiety. Sexually acquired epididymitis doesn't cause pain alone, but also definite swelling and tenderness; and usually has obvious symptoms of urethritis, i.e. penile discharge, painful urination, etc.

3) Yes, of course. Anxiety can dramatically increase the apparent severity of minor symptoms, or can even magnify normal body sensations to a point of discomfort.

If these words don't resolve things for you, the only thing I can suggest is being tested for common STDs, i.e. a urine gonorrhea/chlamydia test and, after about 6+ weeks, blood tests for HIV and syphilis. But based on all you say, I really don't think it's necessary. If you get tested, you can expect negative results.

I hope this information is helpful. Let me know if anything isn't clear.

HHH, MD

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36 months ago
Thank you for your response Dr. 

Sorry, I know its easier to diagnose when partners age and sexual history are known. Im just assuming the possible girl would be “experienced” since no one with any real standards would have sex with me in that state. Not to sound mean. Excessive alcohol consumpton does usually inhibit a man from getting a erection capable of sex? Even with a blackout drunk erection would it last long enough to get an Std unprotected vaginally?

I agree these scenarios are far fetch.  The mind can be hard to control sometimes. Since really didnt think about the event till over a week later. 

STDs such as chlamydia and gonorrhea are the main conserns I have. Im scared I could have had unprotected vaginal sex and passed it on to my girlfriend. the chances of chlamydia or gonorrhea unprotected? 

Im not overly concerned about HIV Syphilis because Ive read your forums to other worried people. HIV and syphilis are 1 in 1000 vaginally? Even with unprotected sex with an infected partner?

Lastly, the pain my testicle seems to be more common. from once a month to once a week. to everyday. Sometimes a little more severe in pain, but not often. Could this be caused by tight boxers, excessive caffeine or aspertame in diet drinks?

Thank you
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
36 months ago
I'm not an expert in human sexuality, but it is common knowledge that excessive alcohol can impair sexual performance and inhibit erection. But it doesn't necessarily do so and that alone doesn't mean you could not have had sex.

It sounds like you're also asking whether you might have had sex with your girlfriend while still blacked out from alcohol, immediately after possible sex with someone else. That sounds exceedingly unlikely. But if you had sex with her later, and had caught gonorrhea ro chlamydia, of course she would be at risk.

The answer to your fears is to see a health professional and get tested as I suggested above. There's no way around it:  just do it.

Threads are closed after two follow-up comments and replies. Therefore I suggest you hold off on additional questions until you have been tested, if you would like me to common on those results. I won't have anything more to say until then.
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