[Question #8842] Std risks
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39 months ago
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So my situation is I had unprotected sex 3 times with a woman I know who said she is fine with no symptoms and believes she is negative of posible std…however two weeks after our last exposure I started to feel pain by my urethra with sometimes pain when I urinate and pain around my testicles just don’t know if it’s that or just pain around my pelvic area from starting to ride my peloton again… also twice during our exposure she squeezed my penis hard in which it hurt by my urethra, which may have cause trauma. I have masturbated recently about a week after my symptoms and when I ejaculated felt a pain by my urethra. I have not had any discharge.I am married and have had sex with my wife twice I want to know if these symptoms are std related and if I should get tested please advice
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Edward W. Hook M.D.
39 months ago
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Welcome to the Forum and thanks for your questions. I'll be glad to comment.
The presence or absence of symptoms is an unreliable indicator of STIs in women however most women do not have STIs and most exposures to infected partners do not lead to transmission. Although STIs, particularly chlamydia, can be present without a urethral discharge, many aspects of your symptoms are suggestive that this is NOT an STI. Do you know if your partner has had other partners or has been tested for STIs recently (i.e. in the past year or so)? STI symptoms tend to appear and remain present or evolve, they do not come and go as your symptoms seem to have. Further, intermittent testicular /scrotal discomfort is not suggest of an STI either.
---In our experience, persons who are exposed and then wonder about the possibility of an STI tend to be on the lookout for symptoms and, in this situation, have heightened awareness in which they often notice normal sensations which would otherwise be overlooked.
If you are concerned, testing using a urine test is accurate, easy and can be accomplished confidentially.
Hope these comments are helpful. You have up to two follow-ups which can be used for clarification or additional questions. EWH
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39 months ago
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Thank you for your answer…I also have been experiencing a decent amount of itching by my urethra… I know about being overly observant over my body…to answer your question I don’t know if the woman I had the exposure has tested recently she just told me she does her anual check up I don’t what that consist of, she has only had one other partner besides myself.
I did a uti test strip just in case but came back clean…I’m not trying to be overly observant just don’t want to infect my wife with anything. Also, do you thing this might be from trauma from the last exposure and the way I was overly squeezed to the point it hurt ? The pain has been sharp and random
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Edward W. Hook M.D.
39 months ago
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Thanks so much for the additional information. It’s very helpful. From what you say, your the likelihood that your partner was infected is relatively low.
My best guess is that you’re not infected. At the same time, given your concerns and the remarkable variability of STI symptoms, I think that the best course of action for you would be to test. I anticipate that the results will be negative. That said however, without accurate test results one cannot be sure.
I hope this helps. EWH
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38 months ago
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Hello Doctor,
So I went for my annual physical got all this blood work done and urine…got my results and realize that they didn’t test for std at least it didn’t show…is there anything that would give signs that I’m clear from my annual check up, I think I’m okay but it’s more about having peace of mind with my wife…or do I need to go back and rest specifically just some clarification thanks.
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Edward W. Hook M.D.
38 months ago
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Testing for STIs requires specific tests. As I said above, if your level of concern leads you to want testing, the most important test to get would be a urine test for Gonorrhea and chlamydia which will provide conclusive results at this time. Blood tests for syphilis and HIV, which are very unlikely, will provide conclusive results 4 and 6 weeks after your encounter, respectively. We specifically recommend AGAINST blood tests for herpes in your circumstance - the tests are not sufficiently sensitive, they not uncommonly give misleading or falsely positive results, and your risk is minuscule.
Hope this helps. As this is the third response to your questions, this completes this thread and it will be closed shortly. Please don’t worry. EWH
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