Question on STD

[happyindian]

Hello Dr - I am a 32 year married male. I had 2 unprotected oral exposures - one 5.5 months ago and one 5 months ago and I had intercourse with my wife after that. During these, escorts sucked my penis for 10 minutes, then handjob and kissing. Since me and my wife are trying to have a baby in the next couple of months, I tested for all STDs at 5 months post 1 st exposure and all were negative. This included HIV, Hepatitis B and C, Herpes 1 and 2, Syphilis, Gonorrhoea and chlamydia. I know that these are all past the window periods and I am safe. I have been taking Omega 3 fatty acids all along. Hope this does not delay the immunity system response.

I have not had any symptoms in the last 5 months. My wife has one symptom that worries me - her periods have changed in the last 3-4 months. Previously, she used to have light bleeding on day 1, more bleeding on days 2 and 3 and light bleeding on days 4-5. Now, she bleeds moderately on days 1 and 2 and that is it.

1. Is this symptom of any STD?
2. Since we are planning to have a baby soon, should I check for any other STD's? This is my most important question. Even if you have the slightest of doubt that I should test for something, please let me know.
3. Does my wife need to see a Doctor? She says not needed. I am worried.

Thanks and God Bless

[H. Hunter Handsfield, M.D.]

1) That you are trying to conceive does not change the fact that you do not have any STD/  This does not require addtional testing of any kind.

2) You're asking me to repeat myself.  STDs don't cause this sort of change in mentrual pattern.

3) Itching of the skin of the scrotum is not an STD symptom.

Please accept the reasoned reassurance you have had.  All is well.  Stop worrying about it.

[happyindian]

Thanks Doctor for the prompt response. Sorry for the repetitive questions. I will stop with this

1. With the fact that we are going to try to conceive this month, you do not see any additional testing? Not only the tests that I have mentioned, do you think that I should get myselves tested for any other STD? Please confirm.

2. For my wife's symptoms, you have said " almost certainly not". Do you think it might be some STD. Else, is it not certainly not? :-)

3. Though I had mentioned I have not had any symptoms, I missed one. My balls and the area below them have been kind of itchy for the last 2 months. It is not everyday, but happens once every couple of days. There are no rashes, redness or sores or anything like that. Should I be worried about this? Please let me know.

Thanks for your help and time.

[H. Hunter Handsfield, M.D.]

Welcome to the forum.

Relax.  Your wife's symptoms have nothing to do with your sexual exposures a few months ago.

There are no STDs that can be acquired by oral sex that are likely to cause symptoms like your wife, and in any case your STD tests after those exposures are highly reliable.  Symptoms like your wife's occur all the time and rarely are due to STDs.  To your questions:

1) Almost certainly not.

2) I see no need for any additional STD testing.

3) Your wife is the best judge (by far!) about whether her symptoms warrant medical attention.  If she sees no need, neither do I.

All is well.  Nothing is wrong.  It seems you are guilty about your sexual indiscretions, but there are no health implications for you or your wife.

Regards--  HHH, MD