[Question #6210] Worried about symptoms
69 months ago
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Hi Drs.,
I received a lap dance in a strip club around 2 months ago. The stripper was naked for a portion of a dance. I was clothed, but since I was inebriated and hard, I am not sure if my penis was out a bit and had contact with her genital skin. I had 10 panel STD test 6 weeks after the exposure, which was negative except hsv1 (which is past oral infection without symptoms). I am concerned about the symptoms which followed after that night:
1. Next day had bad pain in left feet, which is still there till today, on and off
2. Had a flu type infection, with bad throat, nose and low grade fever 2-3 days later, which persisted for around 10 days.
3. What concerns me most is..I have started having some pain in my groin area when I finish peeing after masturbation. There is no pain during ejaculation or during peeing. As soon as I finish peeing, I observe pain right above my penis and in groin. It is there for a few seconds only. Sometimes it doesnt happen when I pee for the first time after masturbation, but when I pee the second time (maybe 1-2 hrs after masturbation).
Can you please let me know your thoughts on what could be causing these symptoms (particularly # 3, I have never had such issues in the past. And I am 32 yrs. old).
Do I need any testing to sort this out?
Thanks
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H. Hunter Handsfield, MD
69 months ago
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Welcome (back?) to the forum.
The exposure described carried no risk for HIV or any STD. That's true even if there was brief contact of your penis with the stripper's genital skin. This exposure did not warrant STD testing at all, and certainly not the cost of a panel of 10 tests! As for your symptoms, they are not typical for any STD ro HIV. My best guess is that the groin pain is psychological, the effect of your apparent anxiety over a semi-sexual exposure you regret.
Symptom 1: No infection of any kind, STD or otherwise, can cause symptoms less than a day after epposure, and no STD causes foot pain.
Symptom 2: This sounds like a common cold. Maybe you caught it from the stripper; the timing is right. But no STD causes these symptoms, and the "flu like" symptoms of HIV do not include cold symptoms like runny nose or congestion.
Symptom 3: My best guess is that the groin pain is psychological, the effect of your apparent anxiety over a semi-sexual exposure you regret. No STD or HIV causes such a symptom.
As i said above, I would not have recommended the STD panel you already had, and I certainly do not recommend any other tests.
Let me know if anything isn't clear.
HHH, MD
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