Ngu/herpes risk?

[FreakedoutFrank]

37/M married for 7 years.  Night of Dec 28-went out with a married co worker...got too intoxicated and she performed unprotected oral sex on me. Talked with her the next day.  Shes been married for 9 years and claims she is std free. Started freaking out anyway and bring my paranoid self started going through tons of posts on the forums.  I have had cold sores before, so I'm assuming that means I have HSV1-does that mean I shouldn't worry about catching herpes?  I haven't had any symptoms and its been about 11 days. I'm nervous about NGU/NSU.  I have read conflicting information on the forum. Some posts say that most symptoms from oral sex occur between 4-5 days after exposure, some say 7-10, some 1-2 weeks. I just really want to know at 11 days after, ifs worrying is warranted for either.  I have  not had relations with my wife since and am starting to get questions asked.  I know I am very anxious about this, as I have never strayed from our marriage.  Please let me know at day 11 the realistic chance that I have of contracting anything from this exposure please

[Edward W Hook, MD]

Although the discharge of NGU can be clear, it is not thina nd, most importantly, if your discharge were due to NGU it wouild have been present BEFORE, not after urination,

You need to lighten up and relax.  To help this, I'll take you at your word and there will be no further replies.  Take care. EWH

[FreakedoutFrank]

Thank you very much

Last question (I promise). For NGU is the discharge white/milkey/discolored?  
I have not noticed anythjng in the morning, but after i urinate today i feel like there is a little liquid that comes out a few seconds later- really i think it might be left over urine, as its the same consistency and its right after urination.  Still no pain during urination.  

Thanks

[Edward W Hook, MD]

What happens with non-chalmydial NGU is debated. many experts do however think it will clear on its own andmay not require treatment.  

ASking me to guess your risk for NGU is sort of silly- there are no data and guesses, even estimated guesses are just not worth much.  Would it help you if your risk was 1 in 100 rather than 1 in 500- I doubt it.  Again, I urge you to move forward without concern (and stay off the interent). EWH

[FreakedoutFrank]

Thank you very much Dr Hook. I feel a bit better already.  You are right, I would not miss symptoms- I am checking myself several times a day! :(

Just a quick question I forgot to ask- if NGU is a bacterial infection not caused by chlamydia, does it clear up on its own?  I drink gallons of water a day, could it for all intensive purposes get " flushed out?"  

At this point, what do you think the chance is that I might develop NSU symptoms?  (Example-  1 in 500?)

I know these questions might sound silly, and I hope I can look back on this in a few week and take the whole horrible experience for a lesson learned. I work with numbers and when I see you guys give different symptom timeframes for similar situations, I get anxious and generally use the worst number I see.

But I do want to thank you for all the help you provide on these forums, as it helps so many people like myself who get themselves in a panic- and where the Internet could sometimes be a panicked person's biggest enemy.  

[Edward W Hook, MD]

Welcome to the Forum.  I'll try to help.  The exposure you describe sounds as though it was very low risk- your partner is unlikely to have an STI, few STIs are transmitted through oral sex even if she was infected, and you are now at a point at which most STIs would have been clinically apparent.  Putting all of this together, I would not be worried if I were you.

As for your specific question about herpes, yes, that you already get cold sores virtually assures you that you have HSV-1 and since virtually all genital herpes acquired following receipt of oral sex is HSV-1 and you already have it, there is no appreciable risk to you for herpes from this exposure.

As for NGU, the absence of symptoms at this time is strong evidence that you have not developed NGU.  You are worried and would be unlikely to overlook symptoms if they were present (this is a major explanation for most of the cases of so-called "asymptomatic NGU".  

From a medical perspective, my advice to you is to not worry further.  I hope my comments will help you to do this. EWH