Last Saturday night I made a major error in judgement and received oral sex (2 min) unprotected and then had vaginal intercourse using a condom with a CSW. The condom I felt did not cover the base of my penis. The condom did not break but I felt the base was not covered. Intercourse lasted for only a few minutes.

Im approaching day 6 now. No noticeable bumps or lesions. No extreme fever or chills. Im a little fatigued and had a temp of 99 earlier today. I might be running on fumes at this point. I am urinating a lot. Up to and more than 20 times a day.  I noramally dont urinate this much and my water consumption is down. Not drops full streams of urine.  No burning when I pee. Not much itching down there, maybe once in awhile. I do have abdonimal pressure and the head of my penis feels pressured. Not painful in either location. Day 5 I tested for gono, chalm, and something else. They gave me 4 pills of metronidazole and a week supply of docycline mono and also a shot in the butt/hip of something.

Questions

1. I have convinced myself, that im going to get hsv2. Is urinating this much a symptom? If not, why i am urinating this much. I have read online that HSV can show up 30 days after exposure. I am on day 6 with no sores or lesions, when can i assume I am not going to get infected? What are my chances this was a very very low exposure to hsv. The base of my penis was not fully covered.

2. Is 5 days a good of amount of time  from exposure to test for gono, chalm? Will the antibiotics resolve the issue if the bacteria(s) are present?

3. I am in a committed relaltionship and never done this before, I'd like to go back to normalcy. But i dont want to infect my partner. What are my cna

While I certainly understand your anxieties over a sexual choice you obviously regret, I would encourage you to separate that issue -- regret and similar emotions related to your committed relationship -- from infection risk. They aren't the same. Deal with the former as you need to (which might even include discussion with your partner or perhaps a counselor), but you really needn't be worried about STIs.

Oral sex is safe sex -- not completely free of STI risk, but far lower chance of infection than with unprotected vaginal or anal sex. And condoms work for vaginal sex. It does not matter that the skin of the base of your penis wasn't covered:  it never is with condoms. Skin-to-skin STI transmission can occur as a result, and in theory genital fluids can work their way under the condom. However, if the head of the penis and urethral opening are covered, protection is complete, i.e. nearly 100%. As for your symptoms, they are not typical or even suggestive for any STI. They are, however, absolutely classical for genitally focused anxiety. I am confident that your worries are leading to increased awareness of trivial symptoms or magnified normal sensations that otherwise you would ignore or not even notice. Increased bladder and pelvic muscle tension due to anxiety are far and away the most likely reason for increased urinary urgency and frequency. (If you really do have full urine volume each time you void, it takes you into an entirely separate ballpark, with worries about certain kidney problems, diabetes, and other potentially serious health problems -- but not STIs.)

So I really don't understand what the doctor or clinic was thinking in prescribing the STI treatments you had. Did they examine you? Collect a urethral swab? In any case, in the extraordinarily unlikely chance you were exposed gonorrhea, chlamydia, trichomonas, syphilis, or nongonococcal urethritis, you are 100% protected against them.

To your specific questions:

1. There is no chance herpes explains your symptoms, and you were at little or no risk for it. It is exceedingly rare for HSV symptoms to be delayed 30 days; absence of typical blisters or sores within a week is nearly 100% certain you didn't catch it.

2. Yes and yes:  see comments above.

3. There is no realistic chance you have any infection you can transmit to your partner. If somehow I were in your situation, I would be continuing unprotected sex with my wife without any concern of infecting her with anything.

So do your best to move on without worry about STIs. You're entirely safe to "get back to normalcy". I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

Just a few follow up questions. 

1. So no herpes lesions or sores in a roughly a week time frame and I should be good coupled with a the low risk exposure? 

2. In regards to Gono and chlam very unlikely. I will discontinue the use of doxy because it causes me to be nauseous. Is that ok? Plus I left it in my car and it was real hot out today. 

Thank you for all that you do. Believe it or not my frequent urination has subsided today. And I’m urinating normally. Thank you once again. 

2) We avoid giving direct medical advice, such as whether or not to take treatment, and we are not inclined to give recommendations against a doctor's advice. Ideally, therefore, you should confirm with the prescribing doctor or clinic that it's OK to stop doxycycline. But since I wouldn't have recommended it anyway and you're having side effects, it's fair to assume stopping it would be OK with me if I were your doctor. 

I tested negative for chlamydia gono and tri at 5 days post exposure. 

I am nearing day 11 post exposure. No fever no sores no blisters no aches or pain. But my penis head is constantly in slight pain. Like I have to put pressure on it with my hand. Still have an urgency to pee too. Slight lower abodomen pain. 

1. Any possibility that I have a herpes infection inside my penis head? Does the initial OB occur where contact was made with the virus  (I was wearing a condom for vaginal unprotected for oral) 

2. Any chance if this being ureaplasma or mycoplasma? 

3. I’ve continued my antibiotic treatment even with negative results, should I consult with urologist?

It’s not alarming pain. But very uncomfortable and the frequent urination is almost like trying to ease the pain if that makes sense 

2. Ureaplasma and mycoplasmas are not carried in the oral cavity and therefore never are risks from oral sex; and here too the condom prevented any possible exposure of your urethra.

3. At this point, it probably makes most sense to continue the treatment as prescribed, even though you didn't need it. However, if your urinary discomfort continues when you finish the doxycycline, you should return to your doctor for reevaluation. However, I remain confident you have no infection from the sexual exposure described. A psychological origin of your symptoms still seems the most likely explanation. Do not accept additional antibiotic treatment unless infection is documented by proper testing, such as examination of a urethral swab specimen for increased white blood cells.

That concludes this thread. I hope the discussion has been helpful.