[Question #6258] STDs?

17 months ago
Hello,
On November 1st I had protected sex with a woman.  She performed un-protected oral sex on me and we kissed throughout the night.  She had no visible signs of Herpes.  On November 4th, the right side of my tongue had a burning sensation, on November 5th the burning sensation was less but still present.  I also developed wavy or scalloped tongue on the right side of tongue.  On November 6th, the burning was gone and a white bump appeared on the right side.  On November 7th, that white bump was gone, but it is now November 10th and I still have that wavy/scalloped tongue on the right side with a small bump developing on the left side.  I have not had any burning or pain on my tongue since November 5th.  Does this sound like anything related to STDs?  The only thing I can think of is Oral Herpes, but my symptoms don't match that of herpes.  Could what I'm experiencing be related to my sexual encounter I had on November 1st?  If I am having symptoms, would a blood test be positive 11 days after contact?
Thanks!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
17 months ago
Welcome to the forum. Thanks for your question.

This doesn't sound like oral herpes (which should not be considered an STD, even if caugth by kissing) or any other STD. There are no STDs likely to cause tongue irritation as the only symptom. Maybe some physical irritation, but probably no more than that. Or, as you suggest yourself, a coincidence -- not related to the sexual encounter. Assuming your symptoms clear up soon -- which I suspect they will -- I would recommend against testing for herpes or any STD. 

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD


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17 months ago
Thank you for the feedback Dr. Handsfield.

It’s greatly appreciated!


17 months ago
One more thought Dr. Handsfield - 

Suppose my symptoms do not clear up soon.  I’ve had this tongue issue for a week now.

I plan on seeing my primary next week to evaluate, but it sounds like you’re saying I’d my symptoms do not clear up soon, I should be tested?

I can’t find anything thst I am experiencing that would be an STD, but do you think I should be tested If it doesn’t resolve itself?

Thanks!
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
17 months ago
I can't say more than I have, without directly examining you myself. From what I know at this point, I doubt STD testing is necessary from a medical standpoint. However, perhaps your doctor will recommend it (or go along with your suggestion) for the reassurance you might gain from the negative result. I agree that nothing you describe is typical for any STD.

Sorry I can't be more helpful, but you will understand that we don't provide medical care -- we can only discuss probabilities, approaches to diagnosis, etc.
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17 months ago
Thanks again for the feedback.  

One last question, should I wait 6 weeks to get tested or if I have symptoms, should I test now?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
17 months ago
A throat swab for gonorrhea/chlamydia is valid any time 4-5 days after the last possible exposure. Syphilis and HIV blood tests at 6+ weeks. I wouldn't recommend any other testing, unless open sores or sore throat show up, in which case they might be swabbed to herpes. I would probably not recommend herpes blood tests, but if done, it's wise to do it now and then repeat in 3-4 months. But knowing what I know, if I were in your situation, and if my oral symptoms cleared up within a few days (as I still expect they will), I would not be tested for anything.

Normally threads are closed after two follow-up exchanges, but I'm leaving this open to you can post the outcome after you see your doctor, if you with to do so. I won't have any other comments or advice until then.
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17 months ago
Thanks again for the feedback.  I’ve decided to get tested now for all STDs and retest for all again in 8-9 weeks.

You can  now close this question / thread if you like.

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
17 months ago
OK, will do. We would be happy to hear from you again if future testing at any time gives a positive result, but please do not return with a new question when you get the expected negative results.

I hope the discussion has been helpful.
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