Drunken night

[scaredbysymptoms]

I have a concern about an unprotected oral sex with another male as I was drunk and at a bar after my divorce being finalized. The last few months I have had persistant fungal infections which the doctor can't explain. I also had a part under my leg that looked like a piece of skin that was hollow and not first like other skin around it. Due to my weight I typical think I get these blood blister type things that normally I pop. Due to a massive layoff I have no health insurance.  We don't have PP and the STD clinic here is packed and sends people home without seeing everyone. I used TSTD to test myself at 2 9 and 12 weeks all showed negative for STI's. My concern is now I am having a side of my lip itch and feel little bumps there nothing that lines up with the pictures of coldsores on the web. I also have a small now red bump abou an inch from the lip. It was not really big but not tiny like a pimple 3 days ago and today its barely noticable and doesn't have any head to it. Its not really red more pink hasn't popped there is some skin flakey nearby. It has itched and felt like a vibrating type feel. Not to far (not close by) there is a smaller bump that looks like it will be a pimple.  It is red and maybe fluid filled. I have read here that test at 3 months are accurate but also have seen some say 4 months are accurate and that it is 85% accurate only for HSV2 according to gracefromHHP. I do not know if this helps but all test were done at quest and say Herpeselect IGG and HSV1 and HSV2 IGG AB with <0.90 reference. Would I be stupid to assume I have any STI's at this point?

[Edward W Hook, MD]

Glad to hear it.  Take care.  EWH

[scaredbysymptoms]

Again Thanks for your help.

Regarding the appointment I had today. The doctor looked me over on the lips and said that it is not herpes but could be due to the saliva at night by my drooling causing this. He isn't sure what the whole cause but gave me some stuff to take care of it.  He said the red bump was some cyst (not sure spelling or what the first part of it was). He said no herpes and that he was glad to tell me that.

[Edward W Hook, MD]

Please let us know how things progress.  We learn from everyone we interact with.  I hope all works out to your advantage.  EWH

[scaredbysymptoms]

Thanks Doctor.  While I doubt we would have had the pleasure to correspond any other way my hope is to not meet someone due to such events.  

Thanks for your kind words. The doctor I spoke with referred me to a dermatologist who agreed to barter with me. I think though I am getting the better deal.  Some computer work while I am there for a free professional evaluation from a doctor who has been in practice for as long as I have been alive.  I can not beat that I do not think. Would you like me to follow up with you or just go ahead and leave this thread be one for the archives?

[Edward W Hook, MD]

Thx.  No reason for embarrassment.  If these things didn't happen to lots of peole I would n't have anything to do.

Given the evolution of your symptoms, it might be worthwhile to re-visit the clinic.  To do so might help to clarify things and if the clinican who sees you repeats that they see nothing of concern, you should be grateeful for the reassurrance and move forward from there.  EWH

[scaredbysymptoms]

As embrassing as this is to say it was both.  I don't know why I was so childish.  I have never been that drunk in my entire life. Never been the drinker always the DD.  I fear this too maybe bad when this happened.  About 10 days afterwords I did go to a clinic as it was the last week before I could be seen for some back pain. I told the FNP that my lips felt like the were burning. He said they looked fine and I might be getting a fever blister because I was running a slight fever and that my throat was red. He believe it was run o f the mill flu but I was given a flu shot 2 months before this. I don't remember any bumps but I did shave the night before the burning of my lips deal.

[Edward W Hook, MD]

Welcome to our Forum.  It sounds to me as though you may be over thinking this.  You don't indicate if you gave, received or both. Either way, oral sex is an inefficient way to transmit STDs.  From the perspective of having received, 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 would have most likely developed symptoms of urethritis (penile infection) by now (actually long ago) and your STD tests confirm that this is not a concern.  Even if your partner had an STD (any STD and it is likely he did not), most exposures do not lead to infection.  

As for your possible cold sore, if you had gotten HSV from giving oral sex, the lesion would have appeared at 4-10 days after exposure, not months later as seems to be the case.  Furthermore, your tests are negative and, while they are not perfect (if you have never had HSV-1, we would expect about 90% of infections to yield positive tests at 3 months following exposure), when considered in context, certainly seem to support the idea that you did not get HSVG from this exposure.  

Even though your local STD clinic is crowned, there are ways to be seen.  If they are on a first come, first serve basis, you could go early. They are experts in STDs and can take a look at the areas of concern as well as provide and further testing needed at a low cost.    I predict that the tests will be negative and to be honest, really don't think you need further testing at all.  

Hope these comments are helpful.  I really doubt that you have anything to worry about.  EWH