[Question #7639] Yeast infection
54 months ago
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Hello Doctor, sorry for my bad English. I am a man 47 y.o. Circumcised living in Tokyo. Last January I had an intercourses with a Japanese escort (protected vaginal sex and she gave me unprotected oral) I only met the woman once a month and she test herself twice a month. After 3 weeks from exposure and noticed an inflammation on glans, like a red rash not painful. An STI doctor by scraping the skin and examination by microscope told me: yeast infection (balanitis?), and gave me an antifungal creme for 2 weeks. He also said I can have sexual intercourse. Here is the question: the rash it’s still red, I better use condom? about oral sex, can a woman perform to me or I can infect her? I searched on this Forum and learn that yeast infection aren’t STI. Is it true?
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H. Hunter Handsfield, MD
54 months ago
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Welcome to the forum and thank you for your confidence in our services. Unfortunately, however, I really can't help very much.
Balanitis (inflammation under the foreskin) is common in uncircumcised men, and often is due to yeast -- but it's not an STI. You probably did not catch it from your sex partner: yeasts are entirely normal under the foreskin and on the skin of the genital area. When yeast causes symptoms, it usually is not because it was caught from a sex partner. That's why your doctor advised it is OK to have sex: you have nothing that will harm a partner. Should you use a condom to present further irritation? That might be a good idea, but only for comfort, not for disease prevention. The smart thing is to avoid all sex, either oral or vaginal (with or without a condom) until your penis is back to normal. But this forum only deals with STIs, so this is outside our expertise.
Im sorry I can't be more helpful, but I hope this information is useful. Let me know if anything isn't clear.
HHH, MD
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54 months ago
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Hello Doctor, thank you for fast reply. I understand about 90% of your answer, I summarize here:
1- I dont' have a STI
2- I can have sex with a partner without risk of harm her
3- To avoid further irritation better avoid sex until full recovery
is it correct?
Jut one last question: I have a plan to meet a sexual partner next week but I never use condom with her during oral sex (vaginal sex always protected).
Could she get infected by yeast infection in her mouth, performing fellatio to me? thank you very much.
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H. Hunter Handsfield, MD
54 months ago
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Yes, you correctly understand.
By the time you meet your partner, apparently you will have been using the antifungal cream for a week or more. Even if irritation persists, the yeast itsaelf probably will be gone. Oral sex will be safe for your partner.
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54 months ago
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Thank for the answer! Last question and the n it’s time to move out. I started the creme Friday evening, and from red it’s now pink, so it’s healing pretty good. For the piece of mind, should I use a condom during oral sex ( as you understand I am worry for her) or is not necessary? Thanks for the patience!
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H. Hunter Handsfield, MD
54 months ago
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I've told you all I can about condom use or not. I'm not an expert in this area, but I see no her with or without a condom. But I suggest you discuss it with the your partner. Shouldn't it be mostly her choice, given your uncertainty?
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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