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STDs  (Expert Forum)
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Discomfort coming and going
Answered by
University of Washington Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.

IMPORTANT

This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum

Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.

Discomfort coming and going

by CautiouslyOptimistic, Apr 06, 2007 12:00AM
I had a sexual encounter two weeks ago. Recieved unprotected oral and protected vaginal (used a polyutherine condom). My partner insisted she is not infected with anything and that it has been over a month since she last had sex.

I did notice her fluids had yellowish/greenish chunks. I saw them on top of the condom when I pulled out.

The next day I started feeling discomfort in my penis. I know I have been experiencing this on and off for most of this time since then. I know this part is likely due to anxiety over the event.

Two days ago, however, I noticed a slight discharge - very miniute amount - when I woke up in the morning, it was clear/white but it may have had a slightly green/yellow too. I wiped it off and it did not return.

On two occasions in the last three days or so I also had a sharp pain inside my penis near the tip. The pain went away by itself after maybe an hour or so.

What are the chances of getting infected with chlamydia or gonnorhea or another STD when using a condom? I've heard they are small but would like to be more specific.

What about when I took the condom off, is there a chance that during taking it off some of the bacteria or fluid was transferred to a place on my penis and caused it to get infected?

How quickly do symptoms of STDs arrive? What is the lag time between getting pain and starting to notice a discharge if you are infected with an STD? Do these symptoms come in certain stages or in certain time frames?

Lastly, is there anything I should look out for to give me a clue that I have or have not been infected? As far as I saw so far I have not had any abnormal growths or sores or anything.

Thank you for your help.

by H. Hunter Handsfield, M.D., Apr 06, 2007 12:00AM
You can't get gonorrhea or chlamydia through an intact condom.  I suppose you could have chlamydia or nongonococcal urethritis (NGU) to explain your scant morning discharge, but if so, you didn't catch it during the encounter you describe.  Many men have a small amount of clear mucus in the penis in the morning, especially if they had an erection during the night (which most men do during REM sleep).  The convoluted scenario you are worrying about--contact with secretions when taking the condom off, and so on--isn't high enough risk to worry about.

Therefore, the timing of all the symptoms you ask about is irrelevant, since you couldn't have caught a urethral infection, and were at low risk for skin infections like herpes, HPV, or syphilis.  But in general, gonorrhea symptoms typically start within 2-5 days, with large amounts of yellow pus and painful urination.  NGU or chlamydia symptoms are milder, with smaller amounts of whitish discharge, usually not painful (often more of an itchy sensation when urinating, not really painful).  Herpes lesions ('sores') typically show up in a few days, but it can take a couple of weeks.  Warts ('bumps') take several weeks to a few months.

If you are pretty certain your morning penile mucus is not normal, see a provider about it.  Regardless of that, if you have otherwise been sexually active and not tested for common STDs in the past year, this would be a good time, since it is on your mind.  Your local health department STD clinic would be a good choice.

Good luck--  HHH, MD
Member Comments (12)

by CautiouslyOptimistic, Apr 06, 2007 12:00AM
What about her discharge containing yellowish/greenish chunks? None of my prior partners had such a discharge.

by UnluckySoul, Apr 06, 2007 12:00AM
To: CautiouslyOptimistic
I have to say that you are very wise in paying atttention to your sudden pain cause most men ignore it and can carry NGU for a long time.NGU is NEVER picked up in females and RARELY identified in males hence the name NSU Non Specific Urethritis  the woman that you had sex with most likely was tested NEG for all STDs but still had NSU/NGU. Tell your doctor about your symptoms and mention that you had a high risk parner and you have discharge he should give you Doxy refrain from sex protected or non-protected for about 3 weeks and after that do not have sex with any old partners just to be sure.

by H. Hunter Handsfield, M.D., Apr 06, 2007 12:00AM
To: CautiouslyOptimistic
A woman's judgment of her sexual and genital health (she "insisted she is not infected") is much more reliable than a sex partner's observation of the character of her vaginal secretions.  I would disregard it.  Anyway, you used a condom!

The comments by UnluckySoul probably are not relevant; as I said above, you can't get NGU through a condom.  It is true that the bacteria that cause NGU (other than chlamydia) aren't detected in women.  As I said above, your morning discharge suggests a possibility you have chlamydia or NGU.  But if so, you didn't get it during the exposure you describe.

NGU and NSU are the same thing; just different terminologies across the Atlantic.

HHH, MD

by UnluckySoul, Apr 06, 2007 12:00AM
To: H. Hunter Handsfield, M.D.
Hello Doctor, There is some truth to what you are saying but he also recieved unprotected oral. I Know wew had a difference of opinion to say the least about this before. I am NOT a doctor nor do I claim to be one all I said the last time was that I am currently NGU POSITIVE and an old girlfriend and I re-kindled an old flame I thought that I was protecting her buy using a condom, I used saliva for lubricant and she called me the next day complaining of smelly discharge. She is in a relationship and they have sex all the time and this never happens. The last tim she Had this discharge was when her and I were together. I am on ofloxin right now and as I stated before I have discharge, my right ball hurts like hell, my head hurts, my finger nails have blood clots in them but all of this disappears when im on the meds and reappears when I finish the bottle the doctor gave me. Im just trying to help doc.  

by CautiouslyOptimistic, Apr 06, 2007 12:00AM
If there is no way I could have gotten anything from this encounter then that makes me feel safe as I am 100% confident my previous encounters did not yield anything.

I have gotten a urine test this morning for Chlamydia and Gonnorhea but I will not be getting the results back until Monday.

I am wondering if my pains were caused by just anxiety as my thoughts were focused on the whole situation when they were occuring.

Thanks for your help in assessing the situation and giving me much needed piece of mind. If my pains do persist along with the morning discharge I will definitley seek more tests but I think your explanations for this are adequate and probably accurate.

by UnluckySoul, Apr 06, 2007 12:00AM
To: CautiouslyOptimistic
Just to let you know urine test are even less reliable then a swab when testing for the only thing I think you have which is NGU

by H. Hunter Handsfield, M.D., Apr 06, 2007 12:00AM
To: CautiouslyOptimistic, UnluckySoul
I forgot about the unprotected oral.  UnluckySoul is right about that as a potential source of nonchlamydial NGU.  But it remains unclear (to me) whether you are having signficant symptoms or not; you do not necessarily have NGU.  I hope the provider who tested you for gonorrhea and chlamydia also examined you for discharge.  But you can expect negative tests for gonorrhea (symptoms not severe enough) and chlamydia (not acquired by oral sex).  In any case, orally acquired NGU probably is harmless to both infected men and their sex partners, an inconvenience more than a serious health threat.

UnluckySoul, you are wrong about urine