[Question #5068] STD Risks

25 months ago
Dear Doctors,

I had protected oral and vaginal intercourse with two CSWs in Switzerland. I have a healing wound from an inguinal hernia from two months prior a few inches above the base of my penis.  Most of the scar is just that, but closer to the penis, it regular scabs and reopens with a bit of blood. A few hours prior to intercourse I noticed the scab had reopened and stupidly I did not cover it with a bandaid.

It’s been 5 weeks and I haven’t noticed any STI symptoms other than my concerns from the HIV post yesterday which seem anxiety driven. No issues with passing urine, no cloudy discharge and no pains in my pelvic region. Should I be worried about Chlamydia, Gonorrhoea, NGU, Herpes, Syphillis from this exposure.  

I bring this up now because my significant other complained last night of a burning sensation at the end of urination and this morning that passing urine wasn’t an issue, but it was smelly and her upper stomach hurt. 

I had unprotected sex with her after my 30-day DUO came back negative (thought it was conclusive at 28 days) and because I didn’t think you could realistically get Chlamydia, Gonorrhoea or NGU from protected sex. Also I thought that stuff, plus herpes showed up in the first few days or week, not a month later. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
We discussed the low risk of STD in your previous thread. The answers haven't changed, and you are correct about lack of significant risk from the STDs you mention.

As for your partner's symptoms, they are the sort of thing many women experience from time to time. Strong smelling urine is not an STD symptom at all -- both that and mild burning with urination can be due entirely to food and fluid intake, especially highly concentrated urine because of reduced fluid intake, perhaps influenced by certain foods. Of course if her symptoms continue, especially the abdominal pain, or if she remains concerned, she should be examined professionally. But there is nothing in this that indicates an STD and I'm confident her symptosm have nothing to do with your recent sexual adventures outside your main partnership.

Regards--  HHH, MD
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25 months ago
Thank you. Since this morning I have had some burning at the tip of my penis but not during urination. I figure it is anxiety driven OCD has been raging since this morning. 

I didn’t perform Oral on the CSWs but I did kiss them. Could I have gotten HSV1, passed it to my partners genitals and then received it back on my own in this time frame to explain the pain?

What a Charlie Foxtrot this is. Total stupidity on my pet on all of this. 
25 months ago
Don’t need the previous post answered. Partner was fine last night when I got home and the pain at the tip of my penis went away.  Anxiety. 

Should I get tested for any of the common STIs like Chlamydia or Gonorrhoea based on it being almost 6 weeks out? As I understand it, there are no good tests for HSV and Syphllis isn’t reliable until 3 months?

Sorry for the previous post. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
25 months ago
Some people, especiallly those who are anxious (or have OCD) may be more reassured by negative testing than by probabilities and statistics, no matter how expert the source. If the negative results will help you move on, I would suggest a urine test for gonorrhea and chlamydia (valid any time) and blood tests for HIV and syphilis (valid at 6+ weeks, not 3 months).

That concludes this thread. I hope the discussion has been helpful. Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about this exposure, testing, and your fears about STDs or HIV may receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 

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