[Question #9936] Could it be Trich?

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27 months ago
Doctors, thank you for this most useful and educational website. 
I am a 59-year-old male who had protected vaginal sex two months ago at a massage parlor.  The sex worker placed the condom on my penis before penetration and there was no slippage or breakage.  I’ve had no symptoms of an STI, however, last week my wife informed me her labia and clitoris are red and very sensitive and this increased sensitivity has been ongoing for over a week. She has no unusual discharge, painful urination, or pain during intercourse.  Based upon my limited knowledge and refusal to search the internet for contradicting answers, I've turned to the experts wondering if this could be a symptom of Trich?  Please help. I thought I was doing the responsible thing by using protection, but now I’m fearful I've transmitted an STI.  
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H. Hunter Handsfield, MD
27 months ago

Welcome to the forum. Thank you for your confidence in our services.

 

I really think you have nothing to worry about. As you hoped and originally believed, you were very responsible in using a condom for the sexual exposure described. It probably worked just fine.

 

First, your wife’s symptoms are not typical for any STD. They strongly suggest a vaginal yeast infection, common in all women and not sexually acquired or transmitted. Conceivably she has developed an allergy or otherwise had become susceptible to chemical irritation, e.g. to a vaginal hygiene product or residual detergent in her underwear. In any case, her symptoms do not sound at all like trichomonas, which generally doesn’t cause redness and sensitivity of the vulva. (They also do not sound like chlamydia or gonorrhea, which are far more common than trichomonas; if there was an STD risk from your massage event, these would have been much mor elikely than trichomonas.) Second, condoms are excellent protection against trichomonas (as well as gonorrhea and chlamydia).

 

Theoretically, this could be herpes, based on her symptoms. But here too the condom was protective; and for you to have acquired genital herpes, without symptoms, and then transmitted it to your wife two months later, is an exceedingly unlikely scenario.

 

Your wife should contact her doctor. If you have accurately described her symptoms they are so typical of a yeast that her doc might advise treatment for that sight unseen. You need not mentionyour extramarital sexual event. If it turns out I’m wrong, you can address STD risk factors when the time comes, but I’m quite sure this won’t happen.

 

I hope these comments are helpful. Let me know if anything isn’t clear.

 

HHH, MD

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