Risk

[stress500]

I recently, as so many others, had a bad experience at  strip club.  During the dance, the stripper placed my penins in her mouth twice, for approx 3-4 sec each time.  Since the following morning i have been experiencing discomfort in my penis, such as a burning sensation which comes and goes. I tend to worry and have cause to believe this is just in my head.  I also feel as though my lymph nodes may be swollen, but not sure. No real pain when I urinate and no discharge.  Can you please tell me what risks I have.  I did take 4 days worth of Avelex?, from a prescription I had left over from a sinus infection.  Should I be tested, is it safe to be with my wife?  It has been 5 days since the episode and I am still freaking out about what happened.  I basically feel my life is over at this point.  Any help would be appreciated.        

[Edward W Hook, MD]

I'm sure that your life is not over becasue of this encounter.  That said, I can help to point out what may or may not be going on.  You received oral sex.  Oral sex is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   If you had gotten gonorrhea or NGU you might have developed symptoms of urethritis (penile infection) similar to the ones your describe.  On the other hand, the symptoms you describe could also be a function of anxiety rather than infection.  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  

Lymph node swelling is non-specific and could represent infection or any number of other processes.  

The avelox you took has activity against some gonorrhea and some cases of NGU bu tthe best way to rule this possibility in or out is to get examined by a trained health care professional and to have not only cultures done but also have either a swab or urine test perfromed to see if whilte blood cells are presetn. If they are, NGU or gonorrhea is more likely.  The swab or urine tests tend to be more reliable in situations when you have not voided for at least one and preferrably two hours prior to the test.   Given your symptoms, I would get tested before I could clear you for sex with your wife without risk of transmitting something to her.  If the tests are negative. I would proceed without worry.  

[stress500]

Just one more thing.  Would the antibiotic, I took four days of 400mg doses, effect any testing for Gon or NGU, or any other STD?

Thank you

[stress500]

I went to my local health clinic and had testing done.  thye performed a swab test and I will have the results in a weeks time.  Will this test clear me of both Gon and NGU?  They also gave some medication on that date, but did not prescribe naything else.  If the tests come back negative, does that mean I am clear of any type of urinary infection related to the incident at this point.  From what I read there should be no concern over HIV, is that correct.  IS there any piont in getting tested for HIV at 2 weeks for reassurance?

    Thanks for the help.

[Edward W Hook, MD]

Yes, the tests performed were most likely for gonorhea nad chlamydia (why didn't you ask?)

Single dose therapy is standard for STDs

No, nothiing to be gained from herpes testing at this time. If you wonder why, please search this site under herpes or herpes diagnosis.  EWH

[stress500]

LAst question.  My test results have come back negative for Gon and Chlam.  Dr. said swab was sent out for cultures.  However i still feel some slight discomfort, which I think is in my head and I may have had a slight discharge yesterday, clear maybe a little white, a little sticky.  Only time this has occured.  My wife is now aware of everything and thinks I am nuts and all is fine to resume sexual activity.  She knows I have self diagnosed before and tends to believe I create symtoms.  Should there be any reason for further concern or follow up?  

[Edward W Hook, MD]

I tend to agree with your wife. You had a low risk exposure, you have negative tests and you took antibiotics.  I see no reason for further concern or testing, nor is there much to be gained from continuing this thread.  No further questions please.  Good luck

EWH