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Avatar universal

Inconsistent Symptoms

Hello Doctor(s),

My question follows a massage that had an oral offer made to me as I layed on my back half asleep just over 4 weeks ago.  I declined as soon as it hit me what was going on (5 seconds or so) and have had the obligatory guilt and anxiety ever since.

My problem lies in the following: I have had several symptoms that have happened over the course of the past month but inconsistently.  The two weeks following I had for the first time in my life a thick greenish discharge that I noticed in the ureathra but had to be "milked" to the surface - only a drop each time, but his has gone away. The 3 or 4 days following I had a red line around much of the circumference of my penis below the head and was more pronounced after a hot shower, but that too has gone away ( I wiped myself off with what may have been a Clorox disinfecting wipe or something similar).  I have a bit of an itchy groin including sensitivity of the penis (nothing noticable to see) which may possibly have more to do with hair still growing in after 5 or 6 weeks from shaving.  I have also had after 3 weeks a few incidents of shooting pain in my left testicle which has also gone away (I have had epiditimitous as well as a bad injury when I was younger to the same testicle).

As I have had all of the tests come back negative (will be doing a rapid HIV at 6 and 12 weeks), can you give any explanation for these symptoms coming and going (especially the discharge) as well as give me a bit of a heads up on theoretically how much blood would be necessary to be mixed with saliva to be of issue to entering the ureathra (just me being neurotic)? You have indicated that HIV is apparently not a concern under these oral circumstances - I was told by the AIDS peoplpe here that it would have to be comparable to having significant dental work just done and clearly visible.

My genuine appreciation and thanks for your giving it to us straight.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
The test for NGU is best done with a swab rom the penis that can then be used to test for gonorrhea or other STDs. Similar data can be obtained using a urine test although the swab test is the "gold standard" for NGU.  EWH
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Avatar universal
As I just joined medhealth today, I haven't had an opportunity to look into the forums / posts re: ngu as of yet but intend to do so.

And I do trust my test results however it was a walk-in clinic that ordered the tests and not my regular GP so I certainly need to find out if there was a specific ngu test completed as when I called for the specific results this evening, I was told that the NGU test was the the gonorrhea test.  Everything that I have seen thusfar has indicated that the tests are unique and separate.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
The information you seek is getting into "what if" questions and serve no purpose.  NGU has been describe on this site innumerable times - you can search the site for it.  You asked my opinion and advice and have gotten it.  Believe your tests.  If you have doubts about the testing done, go ask your doctor.  There really is nothing more for me to say here.  EWH
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Avatar universal
I'm actually unsure if I was tested for, or if NGU was a part of the standard regimen of tests.  What would be the typical symptoms etc. that would accompany NGU and what about how long it would take to show up and would it go away?  There hasn't been any redness of the ureathra at all so ... ?
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  Until I heard that you have been tested and that your tests were negative I was concerned the you might have acquired gonorrhea or NGU from this very brief exposure.  While this would be most unusual, particularly given the stated brevity of your exposure, it is possible and your history of a greenish discharge was somewhat suggestive of gonorrhea..  Now that you have told me that your tests were negative however, I see no reason whatsoever for worry.  Current tests for gonorrhea and NGU are very good and there is no meaningful risk for chlamydia from receipt of oral sex.

As for your other symptoms, redness around the penis and shooting pains, these do not suggest any STD.  they may be normal events which are more apparent to you because your concern over this exposure makes you more attuned and ware of genital sensations.

As for HIV, there is virtually no reason for concern.  The quoted figure for HIV risk, if one has oral sex with an infected partner is less than 1 in 10,000 and, in my estimation that is too high. Some experts state there is no risk at all from oral sex.  Neither of us on this site have ever seen or reading the medical literature of a convincing instance in which HIV was passed by oral sex.  This includes by all of the people who had gum disease, etc. There is no amount of blood in a person's mouth that would change this.  

Bottom line, believe your test results. Your exposure was very, very low risk and you have tests which confirm that you did not get an STD.  In my opinion you need no further tests and should dedicate your interests to moving forward from this.  Take care.  EWH


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