[Question #7206] STI risks (mainly oral)
5 months ago
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I was twice with CSWs last year (Oct.+Nov.). I am in a lifelong relationship (my wife and I had no other sex partners). The contact in Oct. was prot. intercourse and orally unprot. (giving and receiving). In Nov. there was prot. intercourse and unprot. cunilingus. I panicked about HIV after the contact in November, because I imagined that the condom was slightly slipped at the end. The HIV test in Jan. was negative. Only now did I become aware of the oral risks. Shortly after the contact in Oct. I had tonsillitis with streptococci a and was prescribed cefuroxime for 7 days (twice daily). I was not tested for oral gono because I did not see any connection at that time. I started taking the antibiotic 5 days after that. The sex with my wife did not take place in the weeks after that. it started again more than a week after stopping the tablets. Also the genital sex with my wife is always with a condom. Only now I have had a lot of testing – all negative: Hep A/B/C, Chlamydia, Syphilis and I even had a HPV smear. A gono test was not recommended to me because I never had any penile symptoms. The antibiotic is also a medicine that could be used for this (oral and genital). But I am afraid of HPV (might be gone for me by now) but still be present in my wife who never had any other contact. I could have got Chlamydia through fellatio (by now healed by itself) and despite condom use I could have passed it on to my wife (one time it slipped having sex with her). Is it just anxiety?
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H. Hunter Handsfield, MD
5 months ago
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5 months ago
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Thanks a lot! You can't imagine how much this has kept
me busy over the last few months...I cannot sleep, I cannot eat, I browse the
internet for several hours a day - but in the meantime I have sought
psychological help. My "Anxiety" question was also related to this! I’m
afraid of losing everything my wife and me are in a over 25 years relationship.
what a fool i was risking everything..!
Some thoughs/questions:
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Why had the condom protected sex more risks? You mean
HPV?
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Antibiotic: Which STDs would be cured by this, except
Gono?
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Chlamydia: I’ve heard about the very low oral risks,
but you’ve recently referred to studies that it is not as rare as assumed in
the past. tests are negative yes, but I just did them now. Something
constructed maybe, but I could have gotten it from fellatio (unlikely), could
not have had any symptoms (possible), now cured (possible) and despite condom
use with my wife (during a one time slipped condom) I could have passed it on
to her.
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HPV: would an intimate shave several hours before one
encounter change your assessment? Do I have to live in lifelong fear that my
wife will get something and only I can be to blame and be the trigger and thus
be convicted of cheating? I couldn't live with myself having done anything to
her. In germany for women over 35: every three years pap test + optional hpv
test.
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You wrote "caugt HIV" - I assume you mean HPV?
5 months ago
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I have to post again due to the limitation of characters.
even if I have no comment left after that:
HPV
To my neg. HPV test: The hpv smear was taken from my
penis. However, this area was only at risk during oral sex. Vaginally
protected, the area outside the condom was a possible entry point. Here,
however, no smear was taken. Is the area outside of the condom around the penis
only an entry point and an HPV infection would/could still "migrate"
to the penis? Or does an HPV infection also remain there?
OTHER
I have no symptoms, that is correct. In the last few
weeks I've had pain in my groin area, which I also had over a year ago. A
hernia was operated on with a net
(minimally invasive) once over 10 years ago and both last year and this year I
have developed pain (post-operative?) that both times occurred after physical
exertion (long walks while on vacation with wrong shoes) and lasted several
weeks. Nothing was visible on the net in the ultrasound last year. The pain is
permanent and even if I press on the spot it is there. It is on the right side and
the surgery was also on the right side. the pain is clearly located in the
groin (right above the pubic area), but sometimes radiates from there into the
right testicle. the testicle itself is not sensitive to pain. This cannot have
anything to do with a STD, can it? Ascending chlamydia infection despite
negative test? or can such a thing also be psychological - keyword pelvic pain
syndrome?
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H. Hunter Handsfield, MD
5 months ago
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"Chlamydia: I’ve heard about the very low oral risks, but you’ve recently referred to studies that it is not as rare as assumed in the past. tests are negative yes, but I just did them now. Something constructed maybe, but I could have gotten it from fellatio (unlikely), could not have had any symptoms (possible), now cured (possible) and despite condom use with my wife (during a one time slipped condom) I could have passed it on to her." Serious overthinking. In my 40+ years in the STD business, I have never had a patient with chlamydia that appeared to have been acquired by oral sex.
" HPV: would an intimate shave several hours before one encounter change your assessment? Do I have to live in lifelong fear that my wife will get something and only I can be to blame and be the trigger and thus be convicted of cheating? I couldn't live with myself having done anything to her. In germany for women over 35: every three years pap test + optional hpv test. More overthinking. You have nothing from these events and your wife is not at risk.
"You wrote "caugt HIV" - I assume you mean HPV? Correct; sorry for the typo.
HPV testing: You should not have had an HPV test. They are not approved by FDA or recommended for use in this situation. Had the result been psoitive, it would not hve been reliable; and (although I hate to say this), neither is a negative result. There is NO useful test for use in males.
"OTHER": More overthinking. Yes, such symptoms almost certainly have a psychological origin. No STD causes such things.
Please heed my comments above about staying offline and professional counseling. Your thought processes on these issues are not normal in view of the scientific facts and the repeated science based reassurance you have had, probably from your own doctor(s) as well as my comments. I suggest it from compassion, not criticism.
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5 months ago
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5 months ago
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H. Hunter Handsfield, MD
5 months ago
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