[Question #8832] STI

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39 months ago
Good morning doctors,
I’ve recently had a couple discreet encounters with men. None of these encounters involved any insertive activity, I.e. no oral, or anal. Only mutual hand masturbation and some light rubbing of penises etc. There was one occasion where the other person ejaculated and got some on his hand and then touched my scrotum a bit. I tend to suffer from anxiety a bit and being married, my concern is always passing something along which is why I try to be very safe and not do anything other than what’s described above. I also use alcohol wipes to immediately clean my hands and genital area after any encounter. I’ve recently noticed a little discomfort in my urethra on occasion. I wouldn’t describe it as burning, just a bit of an odd sensation almost as if there’s still urine in there or something. Immediately my mind goes to I have an STI. Last week I had a routine urinalysis as part of my annual check up but I didn’t have the nerve to ask the doc to screen me for any of these STI. My urinalysis came back normal from what I see from my Labcorp account. It says, color yellow, appearance clear, wbc est-neg, ph-6.0, spec grav 1.012. And nitrite neg. I guess my question is, does this exposer sound like something to be concerned about? Also, if there was some type of bacterial infection, I.e. gonohrea, syphillis, clhymadia, would some of these urinalysis numbers be off? Even though not specifically testing for them, would it show somehow in the labs? All my bloodwork came back normal also. Should I seek any further testing? 
Thank you 
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Edward W. Hook M.D.
39 months ago
Welcome to our Forum. Thanks for your questions. I’ll be glad to comment and hope that my responses will provide you with reassurance. Receipt of masturbation, even when partners get each other’s genital secretion on one another is a no risk event with no risk for acquisition of HIV or other STI’s. Penile Rubbing of the sort you describe is likewise a no risk event.

Thanks as well for acknowledging your tendency to be anxious. Anxious persons often tend to be looking closely for signs or symptoms of infection following an encounter of concern. This heightened awareness tends to result in noticing otherwise normal sensations with your typically overlooked. I suspect this is the case regarding the sensations you have noted. Symptoms of STI’s do not come and go in the manner you suggest either.

Bottom line, neither of the exposures you describe put you at risk for acquisition of HIV or any other STI. There is no testing which is medically or scientifically indicated in the situation. I would encourage you to move forward without concern. Take care. EWH
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39 months ago
Doc Hook,
Thank you for the timely response. Just curious, if there was anything there, which after hearing your response assures me that there isn’t, would the normal urinalysis screening pick up on something? Like would one or more of the numbers be skewed in some way? 

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Edward W. Hook M.D.
39 months ago
Good question.  Even with penile infections like chlamydia or Gonorrhea on rare occasions the urinalysis can be entirely normal.  This fact in no way changes my assessment.  Still no risk. EWH ---
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39 months ago
Thank you doctor Hook. I appreciate your time on a weekend.