[Question #6499] Possible exposure to STI

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68 months ago
Hi
I had unprotected sexual activity with Transexual escort in London. The activity included light kissing, l kissed the escort penis (I would not call it deep oral as it was a dry kissing of genital for 5 to 10 seconds) and rubbing my penis between the escort thighs. While rubbing, I think my genital hit the spot below the escort’s genital. The rubbing was for 20 to 30 seconds as I ejaculated fast. Other than me ejaculating, there was no bodily fluid exchange. I didn’t see anything coming out of the escort. Note that this was my first sexual act ever. I regretted this encounter. It has been now 5 weeks since the encounter. I became very worried after that and started monitoring any change in my body. 6 days after the event I noticed a small skin growth in the penis just below the circumcision ring. It is painless and skin colored. It even has the same surrounding skin marking. It is not circular but rather capsule shaped. It is 2to3 mm in size. When I used a camera with zoom lens and flash I noticed very small  indentation that otherwise can’t be seen by naked eye. The indentation is in the left side of the skin growth and “bow” shaped. I remember I have seen such thing before the event but can’t be sure as I never paid attention. The skin growth didn’t change until now (4 weeks after noticed). One more thing I notice is darkening of the side of the corona. My questions are
1- What is the risk of contracting an HIV or any STD from those activities ? I keep thinking of scenarios of possibilities and get freaked out. HIV? Herpes ?
2- The skin growth: I rolled out herpes as it is not painful but couldn’t roll out wart. However, the very small hole/indentation is not consisting with HPV warts that I see in the internet. Also I noticed it 6 days after the event. Is it wart? Isn’t that too early ?Syphilis? Something else? 
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68 months ago
3- The darkening of the skin below the penis head: I really don’t know what is this. It will seem dark one day but then starts to get lighter but then dark. Note it is in the side of the corona. What could this be?

Additional information: the past 5 weeks I was under tremendous stress from this event specially it was my first sexual act and worrying about std. For 5 weeks I only masturbated three times and I forced all of them just to see and monitor changes. I used to do it 6 times a week. I am not having erections even the random ones that I used to get a lot.

Thanks 
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H. Hunter Handsfield, MD
68 months ago
Welcome to the forum. Thanks for your confidence in our services.

I can understand why you're nervous, since this is your first sexual encounter -- and it sounds like you may not have had very good education about STIs in school or elsewhere. But the news is good:  you were not at risk for any STI; and your symptoms don't fit with any STIs at all. To your specific questions:

1) There is no STI risk if there is no direct genital-genital, oral-genital, or genital-anal contact. For males, that means no risk if a bare penis does not enter a partner's vagina, rectum, or mouth. Touching, body rubbing, genitals briefly touching, kissing, hand-genital contact, and fingering are risk free.

2) No STI causes such a skin growth. Genital warts come closest, but this doesn't sound like a wart based on your description; and genital warts cannot sppear sooner than 6-8 weeks after exposure. Anything you noticed only 6 days later probably was always present. Also, neither warts nor any other STI can cause changes in skin color such as you describe. Almost certainly your anxieties about this event and your fears of STI are making you more liable to notice minor variations in genital skin that you otherwise wouldn't bother you or you wouldn't even notice. STIs cannot cause changes in libido, masturbation frequency, erectile function, or frequency of erections. These too are psychological symptoms.

See a doctor if you remain concerned about any of this. But I do not recommend any STI testing. You're fine.

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

HHH, MD
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