[Question #7810] Unprotected Oral Concern

 
17 days ago
I regrettably received unprotected oral sex from a female stranger I met few days ago.  I was drunk but came to my senses couple of minutes after (realized this was not a good decision) and left without ejaculation. There was no other sexual contact between two of us. Since then, I have a weird uncomfortable feeling at the tip of my penis. I got scared when I read some of the stuff on internet about oral sex but when I read couple of FAQs on this website about oral sex, I understood that there are very less chances to get STI from the stuff that I went through. I still need expert advise on this matter. Since its just been a few days with that feeling, should I look for any other symptoms going forward? Also, should I go get tested for any of the STDs? if yes, then which ones? I am still concerned and an expert advise will go a long distance to calm me down. Thank you.
Edward W. Hook M.D.
Edward W. Hook M.D.
17 days ago
Welcome to our forum. Thank you for your question and for your confidence in our service. As you already know, infection from a single episode of receipt of oral sex is relatively low. There is zero risk of acquiring HIV. The STI’s which are most common following receipt of oral sex are non-gonococcal urethritis (NGU) and gonorrhea.  The  symptoms of gonorrhea are usually quite obvious. The symptoms of NGU can be more subtle and are typically present as mild burning on urination or a small amount of urethral discharge. In each case it would be most unusual for symptoms to begin until at least three or four days following exposure. How long after you received oral sex did you begin to notice the symptoms you describe?  In addition, more often than not, symptoms become more apparent with the passage of time.

As you probably learned from reading other posts on the forum, on occasion when persons have had a sexual encounter that they regret, they tend to pay much more attention to general sensations than is usually the case. In these situations persons tend to notice normal sensations and wonder if they represent infection. Is this a possibility?

If you have continuing concerns, the most reliable and direct way to determine if you have a urethral infection is to seek care from a place where a Gram stain of a specimen taken from your urethra can be obtained.  Not all doctors or even all STD clinics routinely perform Gram stains.  If you are interested in seeking this test, my suggestion would be to call to see if they offer that service before you go. In addition should you seek testing, tests are more reliable if the person being tested has not urinated for at least an hour before the test specimen is obtained.
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17 days ago
Thank you for your response. 
How long after you received oral sex did you begin to notice the symptoms you describe? - couple of hours after my encounter
In these situations persons tend to notice normal sensations and wonder if they represent infection. Is this a possibility? - Maybe, because I am reading too much about STIs and any symptoms I read I think I might have them.

Couple of these diseases take weeks to show up per my understanding. How long do you think I should wait before getting tested? If these symptoms go away, is there still a need to get tested? Also, most of the clinics do a urine test per my research. Is that not advisable? 
I see both these diseases are curable? Am I right on that?
Edward W. Hook M.D.
Edward W. Hook M.D.
17 days ago
Thanks for the additional information. A few hours is far, far too early for the onset of any sexually transmitted infection.  Searching for information about STI’s on the Internet is likely to fuel anxieties. Much of the information there is overly dramatic and alarming, as well as, all too often incorrect.

To be honest, I do not see a compelling reason for testing. If you choose to test however testing at any point more than 3–4 days following your exposure will provide reliable results for the most important and most common STIs.  EWH 
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