[Question #7525] Exposure and Symptoms

1 months ago
Hello. 
My exposure was five weeks ago. It was a covered blow job (which lasted for 10-15 mins) with me lying on the bed.  Maybe some brief touching or bodies but would have been minimal. 

My main symptom is scrotum itch and looks like red skin on scrotum.  The itch was particularly bad last night in bed and I feel interrupted my sleep. The itch seems worse on the side on the scrotum. (I recently trimmed my pubic hair with scissors so I’m wondering if this has compounded the issue) 

My main concerns is herpes or Scabies. I have no other particularly itchy parts of the body and no other signs of rashes etc. Having read up about scabies the itch last night (with the time since exposure) makes me concerned about scabies. 

Can you assess the risk based upon the type and length of exposure?  Would this type of exposure put me at risk of scabies and does my symptoms (itch in scrotum - severe at night) sound like it could be? The absence of other symptoms makes me wonder if it is or isn’t?  Or indeed any other STD?

All the best 


H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
1 months ago
Welcome back, but sorry you found it necessary. From the replies you've had to several recent questions, it seems you should understand that this sort of exposure is risk free.

Oral sex is low risk even without protection. With a condom, there is essentially no risk at all, and "brief touching" is entirely risk free. Itching of the genital area is not an STD symptom. Certain skin lesions may itch, including herpes and scabies. But without blisters, sores, or obvious red bumps, neither scabies nor herpes is a likely explanation of such symptoms. The main cause of genital itching is tinea cruris (jock itch), especially if the skin is red and perhaps somewhat flaky. I would suggest you try an over the counter antifungal ointment, of the same sort used for athlete's foot (tinea pedis). Whatever the cause, almost certainly it has nothing to do with the sexual exposure 5 weeks ago.

There are no other STD risks you need to be concerned about. I don't recommend any testing.

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

HHH, MD
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1 months ago
Thanks for your response. It is clear and makes sense. 

I understand the symptoms of herpes is not like what I have described.

  I know you said that scabies is an unlikely explanation of the symptoms. When reading up on the symptoms of scabies it describes intense itching with a rash which made me consider this as a cause.  To catch scabies much of the literature talks about prolonged skin to skin contact or through bed sharing. Despite this do you think my brief encounter posed a risk of scabies - with my subsequent symptoms? 

I will treat with an ointment as you have described but wondered if you can offer any clarity on the scabies question. 

Thanks
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
1 months ago
The scabies rash is very different than what you describe. You can google it to see photos. And the large majroity of scabes is non-genital, e.g. hands, elbows, and around the waist -- certainly never limited to one side of the scrotum. And the exposure described had little or no chance of scabies transission.

I'll add that the internet is not your friend. Other than maybe looking at scabies images, I strongly suggest you stop searching about your symptoms. Like many or most anxious persons, you're being led to ifnormation that inflames your fears and missing the reassuring information also present. It isn't worth it. Instead, do your best to accept this highly expert, reasoned, science based advice. 
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1 months ago
Many thanks for your responses. 

I’ll heed your advice and wish you all the best for the future. 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
1 months ago
Thanks for the thanks; I'm glad to have helped. Happy new year.---