[Question #3913] Genital itching after protected sex with escort

32 months ago
Dear Doc
            I am male aged 39. I had encounter with female sex worker in India 30 days ago.
She started with oral protected I insist her to do only orally but it was taking time so she come on top on me for vaginal intercourse after 15 to 20 shots i get orgasm. I do not fully off my uderwear ie my scrotum and penis exposed to her genitial. 
I am not sure condom was fail or not But my semen was not leaking from it so can say it was protected. I was having all std testing before six months all were clear even HSV1 negative. 
    Symptoms after this episode
      1  Itching on tip of penis after 1 hour on and off(I hear that no std can cause symtoms in 1 hour) after 3 to 4 days i feel pain in penis on and off without any discharge also i have no pain in urination or burning. Thease symptoms still present with same frequency (90% symptoms free in a day)
      2  Itching on scrotum and on blader area after 3 to 4 days without visible sore or rash or bump. Also ithching on scrotum and blader area on and off with swithing right to left or can say not at a typical point. I am almost symptoms free in a day ie 90% symptom free symptoms continue till date.
    My Question are
       1   Are my symptoms due to std especially HSV 
        2 Can I get any std from my uderwear as it was not fully off and may be contaminated with her genital secrition.
         3 Can HSV do only itching without any sore or bump 
         4 i have tested hiv dou test index 0.16 negetive at 18 days. Is it reliable. 
    
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
32 months ago
I do not feel that your symptoms represent a herpes infection.  Your encounter was well protected - good job with that.  while you may have been exposed to some genital secretions at this encounter, between the underwear and the condom, you had very very little exposure.  While genital herpes can present with only itching, it is far more common to have sores with a herpes infection, though they can be mild.  Your HIV test was done too early to be considered final, although with all of the protection that you were using I think your risk of getting HIV in this situation is basically zero.  For greater reassurance, if you are worried about it, test again at 6 week.  But I would be a lot of money that your testing will be negative. 

Terri
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32 months ago
Hi Terri
         1 If my itching from hsv Can hsv itcing last for a month ( you can consider it is primary infection if it is)
          2 Please advice  what medicine are reliable for me accorging to my symptoms Antihistamine or Antibiotics(I am pharmacist)
           3  What type of test needed in my case according to my symptoms 
           4 Can i go for unprotected sex with my wife.
            
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
32 months ago
NO
Sometimes allergy medicines can help with itching, yes. 
You can do an IgG antibody test 12 weeks from the exposure
I don't answer those questions, honestly, about if you can have sex with your wife safely.  I can say, with a high level of certainty, based on what you have told me,  that infection with herpes in your situation is extremely unlikely!

Terri
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