Back in dating question... need help!

[bucobanks]

Hello DR.,

I am 45 years old and find myself getting back into the dating game.  I have been on a few dates with a woman and we had our first intimate relationship.  I now find myself wondering if I put myself in any danger.  The woman started out by giving me a handjob.... she used some saliva as a lubricant.  There was also some mutual touching on my part to her vagina.  She then began to perform unprotected oral sex on me..... the oral could not have lasted more than 10 to 15 seconds before I withdrew and climaxed.  I then started to get concerned about STD's.  When i went into the bathroom I washed with soap and water and like an idiot I poured rubbing alcohol on my penis to clean it... That didn't feel so good... This happened yesterday and last night my penis started to feel wierd and tingling and I have the urge to urinate freqently.... no burning sensation..  So my questions are as follows:

1.  Did her using saliva as a lubricant put me at risk for any STD's
2.  Did the mutual masturbation put me at risk for STD's
3.  Did the brief 10 to 15 seconds of oral put me at risk for any STD's
4.  Was the alcohol a dumb thing to wash with and is that the reason my penis feels irritated 4 to 6 hours after?

I appreciate your input... Thanks
3

[bucobanks]

Hey Doctor,

Talked to the woman about STD's like you advised... we had a great talk...... but she indicated that she was recently (2 weeks ago treated) for Gonnorhea.... not the best luck for the first one for me jumping back inot the dating game...  So went to my doctor and he prescribed me Ciprofloxacin (1 tablet 500 grams) and Azithromycin 500grams 2 tablets.... he said that should take care of any chance of Gonnorhea and any NGU... ( I should add that its been 4 days since my exposure with her and I have no symptoms)


Do you agree?  Thank this will be last question...

[Edward W Hook, MD]

The effects of the alcohol would cause immediate irriation although the drying effect could lead to abnormal sensations for a few days afterward.  You are focused on whther things "feel" normal.  To this end, sometimes after an exposure that, in retrospect, one wishes they had not had, persons tend to examine themselves and be far more attuned to genital sensations than in periods when they are not concerned.  This in turn leads to noticing what turn out to be normal sensations that might have been not noticed or ignored at other times.  Perhaps this is a contributor to your situation.  EWH

[bucobanks]

So Doc do you think the rubbing alcohol and general anxiety can explain the feeling of the need to urinate and tingling in penis?

[bucobanks]

Thanks alot i appreciate the response....it doesnt sound like there was a risk from this brief oral.... so i will get on with my normal activity

[Edward W Hook, MD]

Welcome to our Forum. I'll be pleased to answer your questions.  Before I get to your specific questions let me remind you that most people do not have STDs an even in the relatively rare circumstance that they do, most exposures do not lead to transmission of infection.  In addition, if this is going to be an ongoing relationship a candid discussion of STDs, possibly including both partners going for STD screening and reporting the results back to one another is a respectful way to initiate a relationship and can remove a potential source of concern.

Now, let's address your specific questions:

1 and 2.  STD are not spread by masturbation, even when saliva is used as a lubricant.  
3.  Oral sex is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you will most likely develop symptoms of urethritis (penile infection) within a week of exposure..  Even if your partner had an STD (any STD and as I already said, it is likely she did not), most exposures do not lead to infection.  In your case, your exposure was brief; I would urge you not to worry.
4.  Yes, that was a dumb thing to do. Alcohol is a drying, irritating substance.  

Finally regarding your symptoms, I would add that there are no STDs which produce symptoms within 24  hours of exposure and more typically it takes a minimum of 3 days for symptoms to occur.

I hope these comments help.  Your risk for STD from the exposure you describe is quite low.  EWH