[Question #3456] CPPS or STD

37 months ago
Trip to Texas.  Went to a strip club 3/16/18 around 3:00 AM. Received  Lapdance, the lady never took off her bottoms (would pull down the back some when grinding on me backward).  She licked my lips several times(lots of salivae) and reached down my pants and played with my penis numerous times.  Also, gave a fake BJ through my pants numerous times and licked my nipples.  Since I returned home to California, I have had guilt and lots of "what ifs" (did my penis ever come out of my pants and she licked it?  Even though she was wearing underwear did my penis accidentally penetrate her?) and a sense of burning at the tip of my penis that started after an ejaculation on 3/17/18.  Mostly when thinking about the situation or after urinating and checking myself for discharge(haven't seen any).    I have had prostatitis in the past (CPPS that can apparently be triggered by anxiety, caffeine, and alcohol, all of which I have had lots in the past few days) with these same symptoms but find it VERY hard to believe it flared up 36 hrs after my exposure.  Do you recommend testing and if so when would I receive 100% accurate results for all STDs?  Thank you in advance as I need to put this behind me.
37 months ago
One addition:  I did lick her nipples as well very shortly but grabbed them a lot.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Welcome to the forum. Thanks for your question -- and also for perhaps spending some time on the forum before asking your question:  I have the impression you have seen some of our prior comments about the male chronic pelvic pain syndrome (CPPS), sometimes called nonspecific or nonbacterial prostatitis (although it isn't clear the prostate itself is involved in most cases).

For sure you have no STD from this event. It's simply not possible with the sorts of exposures you had. STDs cannot be transmitted through clothing, by hand-genital contact, etc. But I don't understand why you seem to be suprised or that it's "VERY hard to believe" your CPPS flared up soon after the sexual event. You understand that CPPS can be triggered by anxiety, and it's clear that you indeed are anxious about these events -- probably with a vicious circle, i.e. the occurrence of genital area symptoms reinforcing the anxiety. In other words, the coincidence of timing isn't really a coincidence at all:  I believe your symptoms are directly due to the lapdance experiences you have described. But that doesn't mean an infection is the cause. The connection is psychological, not infectious. "Genitally focused anxiety" probably is a better description than CPPS for your current symptoms.

And no, there is no possibility tyat you "accidentally penetrated her" through both her clothing and yours. Impossible. As for contact with breasts and nipples, absolutely no worry there. No STDs are ever transmitted by such contact, either fingers or oral. And if you think about it, you'll realize you can't get genital symptoms from hand or mouth contact!

In addition to the absence of STD risk, your symptoms are not typical for an STD. Some people with CPPS tend to assume the symptoms are similar to those of some STDs, but they are not. General lower genital tract discomfort or "burning" at the tip of the penis are rarely if ever caused by STDs unless there is other obvious evidence of local inflammation, i.e. discharge of pus or mucus, inflammation and swelling of the meatus (urethral opening), etc.

So I see no need for STD testing and I certainly wouldn't do it if somehow I were in your situation. Of course you are free to get tested if the negative results will help reassure you more than my words do. But be clear:  should something turn up positive, it will be from some other sexual event, not the strip club events three days ago. But if you go ahead with testing, wait until 4-5 days have passed and have a urine test for gonorrhea and chlamydia; and then have blood tests for syphilis and HIV at 6 weeks. But from a medical or risk standpoint, it really isn't necessary.

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

HHH, MD
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37 months ago
Thank you for your insight and great service to the community.  
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
37 months ago
Thanks for the thanks; I'm glad to have helped. ---