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STDs  (Expert Forum)
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Penis Pain after protected sex
Answered by
University of Washington Seattle - WA
Welcome to the STD Forum, which is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

Penis Pain after protected sex

by worryward, Feb 28, 2006 12:00AM
I'm a 34 years old male who recently got married. Around the 2nd week of January while on vacation with some friends in thailand, I stupidly agreed to go to a Massage Parlor out of curiosity. I was very nervous but went through with it anyway. We first took a bath and the sex worker cleaned my penis with a vaginal cleaner (that what it said on the bottle). After, she put on a condom on me while I made sure that the tip didn't have air bubble and went on properly. She quickly performed an oral on me and we had some vaginal sex. It lasted less than a minute as I was was extremly nervous. The worker removed my condom with some tissue paper and the condom was still in tact. I proceeded to wash my clean myself off everywhere and left. About two to two and a half weeks after this I started to develp some pain at the tip of my penis. It felt more like I just had sex and the penis was sore. There was some tingling, but no pain during urination. No bumps, no sores, no discoloration and no discharge. The closet thing to discharge i may have had was something visually looks like pee. Anyway, I went to see a doctor but he was not there and another doctor took his place. I was a little uncomfortable telling him what had happened, so I didn't tell him about Thailand. We tested for diabetes and infection in the urine. Both came back negative. I finally saw my regular doctor and explained to him my situation. He said that the symtoms is consistence with Chalmydia and that I can be threated anyway or get tested. We tested for Chalmydia, Hep B and HIV, eventhough it was too soon to be conclusive. All test came back negative. My doctor seems not to worry about it any more eventhough I told him I still have some pain. He said it could be anxiety and guilt. I do feel really guilty about the whole thing and the pain, a slight one at that, is making me second guess the test results. I'm planning to take another HIV test at 3 mo. for peace of mind. I'm wondering what factor stress and guilt play in phyiscal symtoms some people in my situation experience. It has been 7 weeks now and I still get some irritation and pee leaking out once in a while. No discharge or painful urination still. I asked my doctor again and he's very confident we didn't miss anything and offer to threat Chalmydia if I'm still anxious. What is your opinion on my situation? Should I worry? When I lie in my bed and relaxing at home, there seem to be no symtoms. When I do sit around for a long time, like in the office, it does show up from time to time. By the way, I have not had sex with my wife since and is even afraid to kiss her on the lips. When I do, my mouth is usually closed. Thanks for any feed back. It's good to have a resource where I can go and post a question like this.

by H. Hunter Handsfield, M.D., Feb 28, 2006 12:00AM
You could not have acquired an STD from the exposure you describe.  Both because of the low risk nature of the exposure and the negative tests, and the negative evaluation by two separate health care providers, you can be 100% certain you do not have an STD or anything you can transmit to your wife.  You are badly overreacting, especially in refusing even to kiss your wife.  I'm pretty sure your doctor is on the right track with his suspicion of anxiety and/or guilt as the main explanation of your symptoms.

Good luck--  HHH, MD
Member Comments (3)

by Imdumb, Feb 28, 2006 12:00AM
From the encounter you describe you could not have gotten chlmydia.  The condom would have prevented that 100% and the negative test result proves that.  

I had similar experience (except I had some unprotected oral) and similar "pain".  After two negative tests for all STDS and a ton of anxiety and guilt, I can say with 100% confidence I didn't get any STD and the extreme fear of passing something to my wife mad me feel every tickle and twinge down there and magnified it in a big way.

Take your doctors advice, forget it and move on.  There is notthing you can pass to your wife.

by worryward, Mar 01, 2006 12:00AM
Thank you Dr. and IMDUMB for your feedbacks. Your comments have been very helpful. I will seek out some trusted friends to talk to about my situation and hopefully that will relieve some of my stress and anxiety.
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