Herpes from Oral Sex

[madan]

I'm a 36 Year old happily married man. 3 weeks back I did a stupid thing.
I allowed a man to perform oral sex on me.
From a week I am getting pain in my penis.
It also burns inside when I urinate.
There is no discharge. I got tested for Herpes by IgM method. The test was negative.
The pain is persisting.
I'm worried a lot about contracting Herpes 2.
Because there is no discharge and it may not be the cutrable STDs like Chlamidya, Gon or Siphilis.
I have the following questions:
1. Is IgM test reliable.
2. How great is my risk for HSV 2.
3. Though you answered this question many times, I'm worried about HIV and Hepatitis B.
4. When is it a good time to get tested for Chlamidya, Gon and Siphilis
Please help me.

[H. Hunter Handsfield, M.D.]

Painful urination theoretically could be a symptoms of herpes, but it is rare to get that symptom without also having obvious (i.e., easily visible) external genital lesions.  Also, the risk of getting herpes from a single episode of fellatio is very low.  Whether or not you have discharge has nothing to do with whether or not any infection you may have is curable or not.  Most likely you have no infection of any kind.  To answer your specific questions:

1) The IgM herpes test is unreliable and the results meaningless.

2) Your risk for HSV-2 is zero.  There is a theoretical but miniscule risk of HSV-1.

3) As you say, I have addressed this many times.  Will you feel more reassured if I say the standard answer also applies to you?  Well, it does--so consider yourself reassured.  There is no risk.

4) There is no need for a chlamydia test; chlamydia is never transmitted by oral sex.  In theory, there is a risk for gonorrhea, but almost all gonorrhea causes discharge from the penis, not just painful urination, so you can be quite sure you don't have gonorrhea.  But if you want to be tested, it can be done any time; the gonorrhea test is positive within 2 days of catching it.  The chance of syphilis also is about zero, but if you want to have a reliable lab test, you need to wait for 6 weeks or so.

If still in doubt about any of this, consider a visit to your local health department's STD clinic for expert evaluation.

Good luck--  HHH, MD

[madan]

Forgot to mention that I do not have any visible blisters or lesions. I get pain in the groin region. Penis is constantly burning.

[BenG]

The Doctor didn't mention the possbibility of NGU (could have been an intentional omission, after all, I am not a doctor!).
NGU is a urethritis which is non-specific (not Chlamydia or Gon).
I caught NGU from receiving one episode of oral sex. Exactly 8 days after the encounter, I started getting burning when urinating. Eventually I was diagnosed with NGU and given a two week course of antibiotics.
I would recommend you go to a clinic and get checked. NGU is very treatable so don't worry about it.
Hope this helps.

Ben

[H. Hunter Handsfield, M.D.]

NGU usually doesn't present only with pain; usually there is abnormal urethral discharge.  But ben_uk's advice to get seen by an STD-knowledgeable provider (e.g., STD/GUM clinic) is valid.

HHH, MD

[madan]

Doctor,
I'm still worried.
The pain while urinating does not go away.
I also get pain in the groin and lower abdomen.
Now I worry about HSV and HPV.
Does HPV cause pain while urination.
Thanks in advance.

[H. Hunter Handsfield, M.D.]

The pain describe does not sound at all like herpes, and HPV never causes pain.  I told you what to do in my last response; see a health care provider who knows about STDs.  I can do nothing more to resolve your worry and will have no further responses.

HHH, MD

[Dillon106]

I keep seeing people describe Discharge - What would be and example of Discharge from the Penis.  What would it look like.  At times I have a light cloudy urine but it looks normal.