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Please can you help me, Worried about STD
Hi, 2 weeks ago I went on a trip to Amsterdam where I had too much to drink and ended up going with a sex worker.
First of all she played with her self using toys and fingers, she then put a condom on me and started oral for about 4 mins, we then engaged in vaginal intercourse for about 4 mins and I ejaculated. After this she removed the condom using a tissue and then placed a new condom on my still erect penis and stated to perform oral and mastibation on me, she then took off the condom and continued giving me mastibation, no oral, for about 1 min but I did not ejaculate. She was not that gentle with me and was a bit heavy handed, however the condoms did not break.
Within 36 hours of my experiance I developed a very mild stinging sensation in the tip of my penis, it would come and go, this lasted for about 8 days and stopped. I then developed a very mild pain in my testicles, mostly left, which also comes and goes over the last five days. I have had no discharge or pain when urinating at all.
My question is, could I have contracted an STD (gonorrhea or worse HIV) especially when she tried to mastibate me without a condom when she may have had vaginal fluid on her hands from about 10 mins previous without washing?
I have an appointment at a GUM clinic in the next 2 days to get tested, but I am worried, especially HIV Risk as If she had gonorrhea it is easier to transmit HIV.
Please Help, Thanks
First of all she played with her self using toys and fingers, she then put a condom on me and started oral for about 4 mins, we then engaged in vaginal intercourse for about 4 mins and I ejaculated. After this she removed the condom using a tissue and then placed a new condom on my still erect penis and stated to perform oral and mastibation on me, she then took off the condom and continued giving me mastibation, no oral, for about 1 min but I did not ejaculate. She was not that gentle with me and was a bit heavy handed, however the condoms did not break.
Within 36 hours of my experiance I developed a very mild stinging sensation in the tip of my penis, it would come and go, this lasted for about 8 days and stopped. I then developed a very mild pain in my testicles, mostly left, which also comes and goes over the last five days. I have had no discharge or pain when urinating at all.
My question is, could I have contracted an STD (gonorrhea or worse HIV) especially when she tried to mastibate me without a condom when she may have had vaginal fluid on her hands from about 10 mins previous without washing?
I have an appointment at a GUM clinic in the next 2 days to get tested, but I am worried, especially HIV Risk as If she had gonorrhea it is easier to transmit HIV.
Please Help, Thanks
MEDICAL PROFESSIONAL
Welcome to the STD forum.
On the one hand, I see no significant STD risk from the exposures you describe. Many (most?) Amsterdam sex workers get checked for STDs regularly by the health department, since prostitution is legal and the medical services are free -- so the odds are good your partner wasn't infected. And condom-protected vaginal and anal sex carry no risk for any STDs likely to cause urethral infections (gonorrhea, chlamydia, or NGU). And there is little risk for urethral infection from hand=genital contact, even when genital secretions are used for lubricant.
On the other hand, your uncomfortable urination should not be ignored and you are doing the right thing by planning a visit to a GUM clinic. That said, the intermittent nature of the discomfort and apparent lack of an abnormal discharge of pus or mucus from the penis make it a pretty good bet no STD explains your symptoms. One possibility might be chemical irritation from spermcide, if the sex worker uses condoms with a spermicide like nonoxynol-9. Or perhaps just a minor physical injury due to the vigorous nature of the event.
No STD is likely to be the cause of testicular pain unless there is overt swelling and tnederness of a single testicle, which usually would be quite severe.
In reply to your closing question: yes, HIV is more likely when other STDs are present or are transmitted at the same time. But HIV is even more rare than STDs in Amersterdam CSWs. Given the condom protection, there was essentially no HIV risk at all.
Keep your appointment with the GUM clinic. My bet is that nothing will be found and that they will reassure you in the same way I have.
I hope this helps. Best wishes-- HHH, MD
On the one hand, I see no significant STD risk from the exposures you describe. Many (most?) Amsterdam sex workers get checked for STDs regularly by the health department, since prostitution is legal and the medical services are free -- so the odds are good your partner wasn't infected. And condom-protected vaginal and anal sex carry no risk for any STDs likely to cause urethral infections (gonorrhea, chlamydia, or NGU). And there is little risk for urethral infection from hand=genital contact, even when genital secretions are used for lubricant.
On the other hand, your uncomfortable urination should not be ignored and you are doing the right thing by planning a visit to a GUM clinic. That said, the intermittent nature of the discomfort and apparent lack of an abnormal discharge of pus or mucus from the penis make it a pretty good bet no STD explains your symptoms. One possibility might be chemical irritation from spermcide, if the sex worker uses condoms with a spermicide like nonoxynol-9. Or perhaps just a minor physical injury due to the vigorous nature of the event.
No STD is likely to be the cause of testicular pain unless there is overt swelling and tnederness of a single testicle, which usually would be quite severe.
In reply to your closing question: yes, HIV is more likely when other STDs are present or are transmitted at the same time. But HIV is even more rare than STDs in Amersterdam CSWs. Given the condom protection, there was essentially no HIV risk at all.
Keep your appointment with the GUM clinic. My bet is that nothing will be found and that they will reassure you in the same way I have.
I hope this helps. Best wishes-- HHH, MD
MEDICAL PROFESSIONAL
Sorry, that's a thread jump. Read up on epididymitis, including using the search link on this forum.
"No STD is likely to be the cause of testicular pain unless there is overt swelling and tnederness of a single testicle"
Hey Doc H,
Can you explain this? You got me worried. :)
Finn
Hey Doc H,
Can you explain this? You got me worried. :)
Finn
MEDICAL PROFESSIONAL
It's probably closer to 1% of males with urethral gonorrhea who do not get symptoms, certainly nowhere near 20%. (Guess who wrote the first ever systematic research paper on asymptomatic gonorrhea in men?) The primary symptom is discharge of pus from the penis, often but not always with painful urination. Symptoms generally start after 3-4 days, virtually never earlier than 48.
The additional information doesn't change my opinion or advice. It will be extraordinarily surprising if you turn out to have gonorrhea.
Please take any additiional questions to the GUM clinic, but feel free to return to the forum to tell us the outcome of your evaluation there.
The additional information doesn't change my opinion or advice. It will be extraordinarily surprising if you turn out to have gonorrhea.
Please take any additiional questions to the GUM clinic, but feel free to return to the forum to tell us the outcome of your evaluation there.
Thanks for your timely response.
Just for my future info regarding gonorrhea, If you get symtoms, as 20% of Males do not, do you always get discharge, burning when urinating and swollen testicles or can it be one, two or all of these symtoms and which is the most comman from these three. Is 36 Hours after the encounter too soon for it to manifest itself.
I have had no burning or uncomfortable urination just a mild stinging / Itching at the tip when not urinating. My Testicles are tender mostly left however I do not think they are swollen but not sure, as I said It comes and goes, its better when I am standing up.
Just for my future info regarding gonorrhea, If you get symtoms, as 20% of Males do not, do you always get discharge, burning when urinating and swollen testicles or can it be one, two or all of these symtoms and which is the most comman from these three. Is 36 Hours after the encounter too soon for it to manifest itself.
I have had no burning or uncomfortable urination just a mild stinging / Itching at the tip when not urinating. My Testicles are tender mostly left however I do not think they are swollen but not sure, as I said It comes and goes, its better when I am standing up.
You are reading content posted in the STDs Forum
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Syphilis is an STD that is transmitted by oral, genital and anal sex.
