Very Worried

[tallcity2009]

Good morning Doctor,
I am sure you have answered this question many times, but here it goes. Exactly 21 days ago I went to a “massage” parlor and received “protected” (condom used properly and never broke) oral sex from a woman, only lasted 1 to 2 minutes and she only worked the upper part. I am horribly ashamed of my actions and I am driving my self crazy. Since the episode I passed a kidney stone which brought on discomfort in the penis area (the urge to urinate), I have not experienced any discharged or discoloration what’s so ever. I have no growths or pimples or anything like that. I do have ring worms throughout my body. My  doctor and I think I might have caught a mild yeast infection from it (use of wash cloth) the irritations is mild and looks like a splotch of redness, when I have had something similar I have used Lamazil for a few days and it goes away. My concerns are, what are the odds of me catching anything and would I have shown symptoms by now?
Should I be worried? Get tested?
Thank you for your help…

[Edward W Hook, MD]

Yes it could.  As I said, based on your description, there is no risk of STD from the expsoure you describe.  EWH

[tallcity2009]

Doctor EWH,
Thank you for your quick response. The only symptom I do have is a constant feeling of wanting to urinate, this symptoms is also associated with a sensation of fullness at the tip of my penis. If I could describe it, it feels like a toothache! Almost always constant, again it does not hurt to urinate and I have no discharge. Could this be side effects of me passing a kidney stone and an overly active imagination brought upon guilt?

Thanks again.

[Edward W Hook, MD]

The odds that you got an STD form the exposure you describe are virtually zero.  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 would have most likely developed symptoms of urethritis (penile infection).  In your case, you used a condom, reducing what was a low risk exposure to a no risk exposure.  You have nothing to worry about and do not need testing.  

Hope this helps.  EWH