[Question #881] Unprotected oral by someone I trust

52 months ago
Hi I am 29 years old and bi-curious, I am in a relationship and I regrettably decided to recieve unprotected oral from someone who I know(a guy) few days after my testicles started to ache. They have done this for over 2 weeks, they don't feel inflamed just sometimes sore(I check both of them everyday) my risk is either gonnorhea or ngu? What's are the chances I have an std with my balls sore/ache being only symptom? My urine is fine and no discharge whatsoever. I've been researching img and worrying and would like to know if I am in danger of infecting my partner? Been recieved oral in the past by this person who has never given my any std or symptoms and promised me I'm the only one he has had fun with in a long time. Percentage wise the chances I have contracted an std with my symptom? Could this be gonnorhea or any other std? Please help. P.s just come back from holiday and my testicle soreness did not stop me from having fun,swimming etc but am aware of the mild pain.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
52 months ago
Welcome to the forum. Thanks for your question.

Oral sex can be viewed as safe sex. It's not completely free of STD risk, but the risk of STDs is far lower than for unprotected vaginal or anal sex, with low chance of all STDs and zero risk for some. The main ones with low but signficant risk are gonorrhea, genital herpes due to HSV1 (the type that causes most oral herpes), and nongonococcal urethritis (NGU), which probably is often due to entirely normal bacteria from the mouth.

The symptoms you describe are not consistent with any of these problems. Gonorrhea would cause urethral discharge of pus, usually with painful urination; NGU would do the same, but milder; and most new herpes causes obvious blisters/sores at the sites of exposure.

The rather mild and vague testicular pain you describe is not an STD symptom. Probably the most comomon cause, especially in the context of a sexual exposure you may regret or that may be anxiety producing, probably is a version of the chronic pelvic pain syndrome (CPPS), which at one time was considered a form of prostatitis. (Uncertainty still exists about the relationship between CPPS and non-infectious prostatitis.) For more information, google CPPS (spell it out) and start reading with the excellent Wikipedia article and information from the Stanford University dept of Urology. I'm guessing you'll find a lot of overlap with your symptoms. Although your problem isn't "chronic" in that it began only recently, most STD experts have lots of experience with early onset problems like this, which I call genitally focused anxiety. That doesn't mean I think the symptoms are "in your head". They are real and have a physiologic explanation, namely tension in pelvic muscles (just like tension headaches result from increased tone in scalp and neck muscles). And by the way, CPPS or prostatitis carry no risk of transmission of any health problems to sex partners. If you have a regular partner, you can safely continue your normal sexual relationship without risk.

I'm not making a specific diagnosis, and if your symptoms continue, it would be wise to see a physician to assure nothing serious is going on. You could also be tested for urethral gonorrhea and NGU, although I am confident you have neither of these, nor herpes. Over time, most symptoms like this clear up spontaneously, especially once the person becomes convinced (emotionally as well as intellectually) that it's nothing serious.

Does that make sense? Let me know if anything isn't clear.

Regards--  HHH, MD


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H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
52 months ago
I should have also mentioned a risk for syphilis, if your partner is infected. The chance is low, although this depends a lot on his sexual lifestyle. If he has multiple partners and has not recently been tested for syphilis, you could ask him to do that -- if negative, no worries. If that's not practical, be on the alert for a penile sore which typically would beging 10-20 days after exposure, rarely as late as 4-5 weeks. You could also consider a syphilis blood test at 6 weeks, but not needed if he tests negative.

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52 months ago
Thanks DR, I do no the guy and has played before without any problems, he assures me being an NHS nurse he must stay and does stay clean with regukar tests etc. He told me he wants to settle down so only dates and none of these have led to sexual exposes. Just to be sure what is the chances gonnorhea in men only causing testicle pain? Sometimes when I feel I have had a sensitive touch/pain to the tubes around my balls and the balls itself, It hasn't been severe and I've managed to continue my days without it effecting me too much except for a mild pain that keeps me reminded of my regret I guess. Has me checking myself everyday caused an injury and slight pain to my testicles? 100% ok to continue sex with my gf? Hate to put her at risk for this stupid act.
52 months ago
Also forgot to mention that my gf also had a sharp unknown pain in her stomach for a couple of days but after drinking tea etc it went and she has been fine ever since, I was worried it was related but a sharp , uncomfortable abdomen pain doesn't go after a couple of days if are related?
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
52 months ago
Gonorrhea definitely is not the cause of this sort of problem, especially in the absence of painful urination and discharge. The mildness and intermittent nature of the pain, with ability to continue normal activities, are consistent with my opinions and advice above. And yes, repeated manipulation of your testicles is a bad idea and could reinforce or increase the discomfort. Hands off, please -- for sure there is nothing going or any expected problem that you would detect by feeling yourself.

I cannot guarantee you have no STD from this event, but I've given you the reasons the chance is extremely low. If somehow I were in your circumstance, I would continue unprotected sex with my wife without fear of putting her at risk. And I'm confident her symptoms have nothing to do with your oral sex event.

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52 months ago
Thank you so much Dr and fee probs ledges o get to talk to someone of your calibre, just before it ends, there is difference advice on the NHS(I'm English) website on it could be claymedia and I have the main symptom of painful testicles, is it they just aren't advanced  in the expertise like yourself? Also if it's 100% not gonnorhea what could it be? And I understand you our 90% sure maybe more that it's nothing.
52 months ago
Apologise for my first part of my last message as I'm on my phone, if you could answer my last questions(if you can understand it!) then il happily end the conversation, thank you.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
52 months ago
This question has already been answered. I said that no STD causes this sort of testicular pain. Did you thinkg that somehow I would have forgotten chlamydia, among the most common of all STDs? In additon, chlamydia is not acquired by oral sex:  it rarely infects the oral cavity and therefore is not transmitted to the penis by oral sex. Either gonorrhea or chlamydia indeed can cause testicular pain. But only when it causes epidymitis, i.e. testicular infection. That always causes marked pain and swelling of a single testicle, which is extremely tender to touch. STDs do not cause the sort of vague, milder testicular pain you have described. Believe it and move on!

If you remain concern, I would first advise you to re-read all my replies above, carefully. And of course you're always free to visit a doctor in person for exam and testing if you would like still further reassurance.

That ends this thread. I hope you're able to move on without further worry. 

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