Exposure to STD's?

[fr3@k!ngout]

Hello Doctor,

                   I met an escort 6 days back and I regret it. This is the first time I had sex. I kissed (gentle kiss) her may be 3-4 times for a brief second. She did Oral on me for 1 minute with condom on (no contact with my scrotum) and we proceeded to vaginal intercourse with the same condom. Condom didn't have any breaks when checked later. Intercourse lasted for 10 minutes. When I ejaculated the condom was intact I pulled the condom out washed my hands and genitals. I shaved my genitals day before this encounter but I don’t think there are any fresh cuts. I did notice a small pimple on her chin it doesn’t look like an open sore and also razor bumps on her shaved vagina area. I called her next day to check with her if she was tested. She said she was clean and tested 2 weeks back which I am not sure any ways; what the risk is for any STD’s.

                     I freaked out first 2 days associating every single change with this encounter only to realize it is very rare for STD’s to show any signs with in 24-48 hrs. On Day 3 night I felt my lips really dry. On Day 4 night went out drank too much and danced all night and slept in my car inconveniently. Next day I have my whole lower body aching. it eased little bit in evening but have little bit inconvenience in groin area.

                    Day 5 I woke up in the middle of night and didn’t sleep for the rest of the night. I felt like my body was over heated and sweating. When I woke up in the morning I have lower back pain and I am really weak (just say flu like symptoms). I noticed the skin below my testicles became little bit sensitive. I don’t have any itchiness or burning sensation or any sores. The last time I got sick was probably 3-4 years back. I am really worried after this night. Do you think there is any chance for herpes or any other STD’s?  How many days I need to still wait to get test for all STD’s? Please help me out this is driving me crazy.

Thanks

[Edward W Hook, MD]

No, I don't see this as indicative of anything other htan perhaps anxiety (and/or guilt) or perhaps a community acquired, nonSTD viral infection (i.e. the problem we typically call the "flu"). It does not change my assement int he least.  EWH

[fr3@k!ngout]

Hello Doctor,

                   Thanks for the reply. That one definitely put me at ease. I took 2 tylenol yesterday evening and Advil PM just before I slept. Same thing happened last night woke up around the same time again 2.00AM. Just felt like my body was over heated and sweating but some how I am able to sleep after 1 hr. Not sure why is this happening? I checked today morning for any lesions no trace of them no burning sensation or itching. but still had that lower back pain. Do you think I have any other conditions that need to be checked? I am planning to get tested for all STD's(except HIV and Herpes if I don't see any lesions) in 1 week time. Thank you.  

[Edward W Hook, MD]

Welcome to our Forum.  There is virtually no risk for HIV or any other STD (including herpes) from the exposure you describe.  You partner indicated that she did not have any infections and statistically that is likely to be true.  Even if she did, most exposures to infected partners do not lead to infection and you used a condom which did not break for both your receipt of oral sex and for vaginal sex, reducing your risk of infection to virtually zero.  You are not at risk for STD and in my opinion, have no medical reason for testing.  

On the other hand, it is clear that you are very nervous about this encounter.  For that reason (and that reason only) I would suggest that you see a health care provider and get tested.  The main things you need to be tested for are gonorrhea, and chlamydia.  As far as herpes is concerned, if you do not see any lesions in the 10 days following your exposure, you have no reason for worry,  If you see lesions, you should ask a health care provider to take a look and, if appropriate , get tested using either a culture or PCR test.  You do not need a blood test for HSV.  worry.  

There is also no reason for HIV testing following this exposure but if you must get tested, please wait until 6-8 weeks following your exposure so that the test will be meaningful

Finally, please try to use a new condom for each sex act.  Repeated condom use increases the risk of breakage (yours did not, if it had, you would know it).

I repeat..  You have virtually no risk from the exposure you describe.  Take care.  EWH