Aa
Aa
A
A
A
Close
Avatar universal

Lesion on Lip/White discharge

I had sex with a sex worker about 10 days ago.  It was protected (condom) vaginal sex.  I performed oral on her briefly.  I received unproteced oral for about 15 seconds.  About 5 days after this, I got a cold sore on my lip.  I have had cold sores in the past and have tested positive for HPV in the past (never did they type test so I am not sure if I ever had HPV II; I know I have HPVI because of the history of cold sores).  The cold sore was a bit unusual.  Instead of being one big cluster of blisters, they were more in a line about 1/2" long, beginning at my lip line and traveling down my chin.  The blisters were about 1/16".  I also had a sore throat (not really bad), upper respiratory tightness and small white patches in the back of my throat.  This lasted for about a good week.  I had Levaquin 500 mg which I had been given for prostitis a few months back.  I took one of these for seven days.  I also took 2g of tablet form Zithromax, in one dose, the day after I ended the Levaquin.  Yesterday (two days after the Zithromax), while I was urinating, I noticed a white thick discharge in the toilet.  When I squeezed my penis, some more milky discarge came out.  It looked like a small pile of semen in the toilet.  I had noticed the tip of my penis was a little tender and I think my testicles are a little more tender than unsual (I have always had tender spots on my testicles from calcium deposit lumps in several areas--urologist has investigated---and tenderness at the top when the tubes go in).  This is all driving me crazy.  Could the cold sore been an isolated incident, not related to this one stupid night?  Could it have been a new HPV1 infection I caught?  What is my risk for another STD, given I took these meds?  Should I get tested?
2 Responses
Sort by: Helpful Oldest Newest
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.  You undoubtedly mean HSV (herpes simplex virus), not HPV (human papillomavirus).

Oral infections with HSV-2 are quite rare.  Most likely your commercial partner doesn't have genital herpes (most CSWs don't have it); and if she did, the odds are small that she was shedding the virus; even then, the mouth and throat are not highly susceptible to HSV-2; and finally your symptoms don't sound like a new HSV oral infection.  That your new oral herpes outbreak has minor differences in appearance of location compared to previous ones does not suggest a new infection.  And of course many garden variety viruses plus strep throat are far more common causes than herpes of sore throat and white patches and "blisters" in the throat.

Once someone has HSV of either type, s/he is immune (or at least highly resistant) to catching a new infection with the same type.  You're never going to get a new HSV-1 infection.

The urethral discharge is a separate issue, definitely unrelated to herpes and probably has nothing to do with your recent sexual encounter, given that a condom was used for vaginal sex.  It is possible you have recurrent nongonococcal urethritis (NGU) -- which by the way is much more common than true prostatitis in younger men, so maybe that past diagnosis and this symptom are related.  However, that the problem apparently appeared or continued after Levaquin and Zithromyax is strong evidence against NGU, and indeed against any STD as the cause.  If that symptom continues, you should return to a health care provider, preferably the same one who managed your apparent prostatitis last year.

Bottom line:  I believe you had a recurrence of your oral herpes, plus a garden-variety cold virus infection; plus a possible recurrence of your previous prostate problem.  Neither one is likely to be related to your recent commercial sex exposure.  Of course if either set of symptoms persists or recurs, see a health care provider for professional evaluation.

I hope this helps.  Best wishes--  HHH, MD
Helpful - 0
Avatar universal
Sorry, meant to type HSV above not HPV
Helpful - 0

You are reading content posted in the STDs Forum

Popular Resources
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.