Hi Doctors.  I visited  an erotic massage therapist last week and she gave me an unprotected blow job.  The next day I had sex with my girlfriend.   About 36 hours later my girlfriend started having UTI symptoms (maybe STD?).  She has had quite a few UTIs in the past so dont know if this is just a bad timing coincidence.  She has taken Monurol (a UTI medication) which appears to have knocked out her symptoms.   I don't have symptoms other than feeling like I have to pee some.  I generally have a need to pee more anyways.  My urination urgency really started after her symptoms - psychosomatic?   I have no pain when urinating at all, swollen testicles, etc...   I did milk my penis this morning (6 days later)and saw a very small amount of discharge that was milk white.  I dont see discharge the rest of the day and have to really milk it in the morning to see any.  Is this much to be worried about?  Should I get tested?  Would the monurol work if it was an STD?

Welcome to the forum and thanks for your question. In general amongst sexual exposures, receipt of unprotected oral sex is relatively low risk. STI’s may occur following receipt of oral sex however the two most common STI’s which occur following oral sex are gonorrhea and non-chlamydial NGU which is caused by the introduction of mouth bacteria into the urethra of the person receiving oral sex.  Gonorrhea obviously requires treatment for both the infected person and any recent sex partners. There is debate however as to whether or not non-chlamydial NGU requires treatment since the bacteria causing the inflammation are normal mouth bacteria which have not been shown to cause complications or problems.  In your case, if the discharge you can express is truly white in color that is not normal and should be evaluated. The preferred test to evaluate this would be a Gram stain of a specimen taken with a swab from your urethra. Tests for gonorrhea and chlamydia could be done from the same specimen. The specimens provide the most accurate results when obtained when the person being tested has not urinated for more than an hour before the test is obtained.---

Thanks for the reply.  Fortunately, it appears the Monurol has cleared up all of my girlfriends symptoms.   I will be tested just to be safe.  As for discharge, I have only seen it once in the morning and it was not so much discharge as I had to "milk" my penis to see it; it was an incredibly small amount like a pin head.   I havent seen it any other time.   I am in another country and getting a gram stain appears to be quite difficult from my research.   A couple of quick questions.  I can get a Urine Gonorrhea and Chlamydia test.  Would that be accurate on day 7 if my symptoms were due to either?   If I had such a small amount of discharge, wouldnt it increase in velocity.   Lastly, wouldnt i have any other symptoms?  I do feel the need to urinate more often but my urine is fairly clear and i am thinking about it constantly.  Also milking my penis to see if I can find any additional discharge which I havent yet; just in the morning when I woke up once.

Thanks for your follow up. I’m delighted to hear that you have found a place to get a Gram stain and I would encourage you to do so. Please let us know what it shows. The comfort of having a test will be reassuring.---

Thanks Dr. Hook.  I guess this will be my last reply.  The clinic did not do the gram stain as they couldnt see a discharge and thought the test would be highly unreliable; i didnt see any discharge this morning either when I woke up and milked my penis.  Instead, they had me submit a urine culture.   My significant other no longer has any pain, just some need to urinate more frequently.  She took the Monurol two days ago and it says it could take 3 days for all symptoms to subside.   Last questions below and thanks for the help.

Thanks for the follow up. I respectfully disagree with the clinic you saw and feel that a Gram stain might’ve been helpful. That said, this is done and said. Specific responses below:---