[Question #4981] Extreme Anxiety over situation

25 months ago
Hi docs.  I’ve been reading your forums for years - I know your standard answers but need reassurance.  Last Saturday night  2/9 went to strip club with female friend.  During a lap dance things got crazy.  Stripper kissed her. They touched each other’s gentians.  Then my friend touched me and performed oral sex for about 2 minutes. I know in the past you’ve said stis can’t transmit from hand to genitalia but if she touched and kissed stripper can those germs hurt me?   My friend  hasn’t had sex in 3 years.  Hasn’t had oral with anyone for many months. I have hsv1 oral since childhood - so I’m assuming no real risk.  I know oral Gonorrhea is extremely rare and that she if she wasn’t with anyone in many many months that even if she had it,  it would clear itself by that time. I’ve had no discharge or symptoms except a dull ache in testicle which I’m almost certain is generalized anxiety.  But last night I was masterbated by my wife and the ejaculate was clear and quite thin.  I masterbsted again this morning- same thing. I’m extremely worried about ngu. I’m extremely anxious by nature and I’ve been going insane for the past week. Not really eating, drinking tons of water, being completely anxious.   I’ve never seen clear/thin semen mentioned in your forums. Is this a concern for anything? Could the strippers saliva kissing my friend have any effect ? It’s 8 days later and I’m still checking myself like a lunatic even though I think i would have had other symptoms by now.  Can you please let me know your thoughts ?
25 months ago
Also forgot to mention I have t ejscuksted since that night 8 days ago.  Not sure if that matters. 
25 months ago
I’m sorry to be a pain, but I just want to make sure that I didn’t screw up my post being answered by replying to it before, as it appears all the questions posted before and after mine have been answered.  
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Welcome to the forum. Sorry for the few hours it has taken to respond, but our standard is a response within 24 hours. It often is sooner, but not guarnateed:  you'll understand that the moderators are not on the foru 24/7.

First, your objective understanding is correct -- that gonorrhea (and other STDs) are not transmitted by hand-genital contact or exposures other than insertive sex, or rarely enough to be ignored. This really was not a high risk sexual exposure event. Second, even if it were, at any point in time, even among the most sexually active women -- commercial sex workers, and maybe some strippers etc -- most do not have an active, transmissible STD. 

Third and equally important, neither gonorrhea nor any other STD causes changes in the appearance of semen of the sort you describe. I've not heard of such variations in semen appearance (or managed patients with such complaints), but I am confident they are not due to any infection from the events described.

I don't advise any STD testing or any change in your sexual practices with your wife. If the altered semen continues, you might see your doctor about it -- but I doubt it's anything serious.

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

HHH, MD
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25 months ago
Thank you dr.   Just a few follow ups.  Seeing that I’m entering day 9 with no other symptoms, should I still be worried about ngu or any other stis?  I’ve had oral sex with the friend before years ago with no issues.   Could the alteration of semen be because of stress/anxiety?   I literally can’t urinate or orgasm without heart racing anxiety.    I materbated again. And it was not as clear.  Still a bit thin.  I was really nervous because I saw in some other sites that watery clear semen could be an infection.  Thanks for all you do.  I know my anxiety is not normal.   But I guess that’s just me :(
25 months ago
I masterbsted this morning and it seems like it’s pretty much back to normal as far as color and consistency.  Could the problem have been stress or complete change in diet, as I really wasn’t eating and drinking tons of water to keep myself full?  

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
From my knowledge of anatomy and biology, I don't understand how anxiety could alter semen appearance, but I cannot say it doesn't happen. I'm also unsure about diet -- but skeptical. Whenever someone believes his or her own symptoms have an emotional origin, usually s/he is right. In any case, it sounds like your anxiety is off the map and you might consider medical attention to deal with it. These certainly are unusually dramatic reactions to what sounds like a low risk sexual situation.---
25 months ago
Thank you for the comments.   One last question.  I’m trying to put this all out of my mind.  I was doing better.  But woke up at 4am having to urinate.   Now the the last 90 mins I feel like as soon as I urinate, I feel like I have to go again and it’s a very small amount of urine.   Also have a little uncomfortableness  underneath my belly close to the  groin/leg.     Could this be something or just anxiety?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Frequent or urgent urination is not an STD symptom. It is typical for genitally focused anxiety.

That completes the two follow-up comments and replies included with each question, and so ends this thread. I hope the disucssion has been helpful. Do your best to move on; you can be confident you have no STD.
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