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Avatar universal

A bit worried wrong forum--sorry

I did want to lose my money so--didnt know how to post elsewhere--my concern is I have cheated on my GF and I was honest with her. I had another man perform oral sex on me--and did not tell her that part--I dont know how this happened but it did--I was drunk and we had a huge fight--long story short--I

called an STD hotline here in Chicago--The lady basically told me I could and probably got syphilis because Chicago is the syphilis capital of the US. I asked about Chlamydia and Ghon (SPELLCHECK) and she said depending how deep my penis went.

She said syphilis was so small and tiny I couldnt see it--and or feel it.

I have noticed a bump between the head of my penis and the body--penis neck I would call it--but its been there for years. She said if I dont shave that it could be in my pubic area--and also if I do it could look like an ingrown hair--I had a pimple like thing recently that I picked--in my pubic--and I remember having one long before--but now after her comment--Im not sure--Its no longer there--That was after an event with a woman a month ago that I noticed this pimple i picked--it hurt a bit after too--

My GF got tested recently and had antiviral titer--on her doctors sheet--she was certain--I also saw all the other STD tests and she was negative. She did take an HIV test and quest diagnotic listed it as a titer viral something on the bill--The guy performed on me and god knows who else--I asked him if he had sores and he said HELL NO and was a bit offended. I didnt see any sores--but who knows--Could I have gotten syphilis or any other std this way? I already have HSV but only get it on my lips.

Should I be tested or sit around waiting and checking for a sore? Is it really really common its passed on through oral as she said? On here I read its not--just worried--trying to be safe as possible--I already had sex with her and felt guilty so I told her.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Did you read the other threads that I posted?

This does not suggest any STD.

That's all for this thread.  I'll have no more comments.  See a doctor or clinic if my reassurance continues to fall on deaf ears or you otherwise remain concerned.
Helpful - 0
Avatar universal
I think also my stool is harder and I strain as a result of no water intake
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Avatar universal
It seems to happen when I stain..if it does happen with frequency as you state to get I checked..does that mean STD?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
That you have hot-feeling or stinging urine when your urine is highly concentrated is quite normal; many if not most men feel the same thing from time to time.  It does not suggest a past STD problem.

As for fluids from the penis during bowel movements, this is also quite common and it comes up from time to time on this forum.  If it happens with increasing frequency, it's a good idea to get it checked out by a doctor -- but usually it is entirely normal, especially when it has been occurring since youth, as you have noticed.  Below are 2 other threads on this topic.  (In one of them I said this happens in "most men".  That's not accurate; many men have it from time to time, but maybe not a majority.)

http://www.medhelp.org/posts/STDs/Semen-Like-Discharge--STD/show/427617
http://www.medhelp.org/posts/STDs/Semen-Leakage-Question/show/684727
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Avatar universal
I have not noticed any burning other than my usual stinging from lack of water and tons of soda. This has made me think I had an STD in the past and after testing they found nothing..last time I went a few months back...what is an issue had been on and off semen or something like it when i pass a bowel..I have asked other guys if this happens and they all look at me alien..this had happened to me since i was a kid..it would stick to the toilet and was embaressing..today what scared me was that it was more than usual...i started to think maybe the ghonoreah pus is backed up and only shows when I push..or that this is the same thing as always just today it was more..I have not ejaculate since Saturday...what's this all about?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Syphilis is a rare disease in the US, with only 20,000 new infections per year in the US (less than half the frequency of new HIV infections).  Although it is transmissible from oral lesions, the large majority of infected people don't have oral lesions and my guess is that less than 10% of new syphilis is acquired from oral sex, and probably a lot less than that.  Oral herpes is at least 100 times if not a 1000 times more prevalent than infectious syphilis and 10 times more common than oral gonorrhea.

Likewise, the the likelihood any particular gay man has gonorrhea of the throat is low, and when infected the transmission risk is probably under once for every 100 exposures.  Among men who have sex with men, around 10-20% of penile gonorrhea comes from oral sex.  And gonorrhea without symptoms is rare -- lack of appropriate symptoms wihin a week is a very strong indicator that gonorrhea was not acquired.  Likewise, new syphilis of the penis is usually hard to miss -- no chancre (penile sore) within 3 weeks is fairly strong evidence against it.
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Avatar universal
Can you briefly...for my own education tell me why syphilis..if it's skin to skin and no differnt than herpes...is uncommonly caught via oral being performed? And ghonoreah as well..i know the reasoning with HIV...
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239123 tn?1267647614
MEDICAL PROFESSIONAL
That was clear and I responded accordingly.
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Avatar universal
Just to be clear I got oral did not give-
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome.  This forum is OK.  It's primarily for HIV, but we cover other STDs when HIV is among the concerns.  (Or maybe you meant to use one of the unmoderated community forums at no cost....)

In general oral sex is pretty safe.  HIV exceedingly low risk, maybe zero; scan this forum to see many discussions about the low to zero risk of mouth to genital HIV transmission.  There is a slight chance of gonorrhea and none of chlamydia (which is rarely carried in the throat so can't be transmitted from the mouth).  Despite the STD hotline advice, there was a very low chance of syphilis.  There is lots of syphilis among gay/bi men in Chicago (although it definitely does not have the nation's highest rate), but syphilis still is a very uncommon outcome of oral sex.  Herpes due to HSV-1 is possible, but not in people who already have oral herpes; you are immune to a new infection with HSV-1.

The pubic area bump obviously has nothing to do with any of this.  If you don't develop discharge of mucus or pus or a sore on the penis in the next 2-3 weeks you're probably home free. But to be maximally safe, have a urine test for gonorrhea (anytime after 2-3 days have gone by) and a blood test for syphilis after 6 weeks.  And an HIV test if you want.  You can expect negative results on all.

Good luck--  HHH, MD
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