STDs Expert Forum
STD Concern
About This Forum:

The STD Forum 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.

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STD Concern

Background:
I had a onetime brief unprotected non-penetrative (no intercourse or penetration involved -  involves rubbing the penis on the butt cheeks and then took the penis out and ejaculated) sex about 1.5 months ago. Besides this, I experienced some itching alone a week after a marathon & hiking and two weeks from the sexual activity. and got diagnosed as jock itch. Initially I had only itching and after applying anti-fungal cream for about two weeks the itching got completely relieved. After that, thinking of keeping the groin area clean and dry, I used a rough anti-bacterial soap on my groin area and also poured plenty of powder on that area morning and evening after a long hot shower every day. Generally, I have an extreme dry skin all over my body.
Symptoms:
I am experiencing a moderate skin irritation (slight burning sensation) all over the groin area (scrotum, bladder, & including buttocks area) - since the past two days.
After applying a moisturizer, the irritation subsides but still persistent. Additionally, at times, I also started experiencing slight sore over my bladder/urethra as well (does not occur during urinating).No other symptoms such as, lesions, swelling, redness, discharge, blood or bumps.
Concern:
As most of my above symptoms correlate to Gonorrhea and other STDs, my main concern is the skin irritation on the groin and buttocks area & the slight pain/sore on my bladder.  Can this all be from the non-penetrative sex I had about 2 months ago? (I am afraid, while rubbing on the butt cheeks my penis might have inadvertently touched the mouth of the anus) or It could be due to the harsh/rough soap and powder or does this sound like another possible fungal/yeast infection.
What are my risks like HPV, Gonorrhea, Chlamydia, Syphilis, Herpes, Genetal Warts, Hiv? What tests do you suggest for me to take? My primary clinic or a local STD center - are there any risks in choosing between the two.  
239123_tn?1267651214
Welcome to the forum and thanks for your question.  I am happy to confirm the reassuring responses you had on the STD community forum.

Your symptoms are not suggestive of any STD.  There are no STDs that would cause "moderate skin irritation (slight burning sensation) all over the groin area (scrotum, bladder, & including buttocks area)".  In other words, I disagree with "...most of my above symptoms correlate to Gonorrhea and other STDs".  They do not.  Furthermore, you give several clues about alternate explanations that have nothing to do with the sexual event you are concerned about:  diagnosis of tinea cruris (the medical term for jock itch); your "extremely dry skin all over my body"; and use of potentially irritating ("rough") soap (probably with pretty vigorous washing, right?).

"What are my risks like HPV, Gonorrhea, Chlamydia, Syphilis, Herpes, Genetal Warts, Hiv"?

HPV and genital warts:  maybe a slight risk, but you've probably had HPV anyway and will get it again; it's a normal, unavoidable aspect of human sexuality.  And when HPV problems (warts, etc) show up, they can never be traced to any particular sexual encounter.  HPV should be zero worry for you.

Gonorrhea, chlamydia:  Zero risk without unproteced inserttion of a penis into a vagina, rectum or (rarely) mouth.

Herpes and syphilis:  Like HPV; theoretical very low risk, too low to concern yourself about.

HIV:  For sure zero risk.

"What tests do you suggest for me to take?"  None.  If somehow I were in your situation, I wouldn't be tested for anything and I would continue unprotected sex with my wife without fear of infecting her with anything.

But of course if you remain concerned, you can't go wrong being medically evaluated.  If you do that, I think either your primary care physician or an STD clinic would equally OK -- but maybe a slight nod to your PCP, since there is no realistic possibility of an STD problem here.   In the meantime, I suggest you stop treating your genital skin with anything.  Whatever is going on certainly isn't a sign of anything seriou.

Best regards--  HHH, MD
12 Comments
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Avatar_m_tn
Thank you so much for clarifying me doctor. In fact, I received the similar response when I asked my primary doctor, a urologist and dermatologist before. I did not trust them mainly because of  my online reading and too much of research about this not only made me a hypochondriac, it almost paralyzed my life. I thank you a lot once again for clarifying this at the right time and bringing me back to life. I greatly appreciate it.

Kevin
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239123_tn?1267651214
I'm glad we all agree.  The internet can be a dangerous place for anxious people -- they tend to be drawn to information that inflames their fears and to miss the reassuring bits.
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Avatar_m_tn
In fact, I am now neither experiencing the moderate irritation on the groin nor the pain on the penis since this morning. I believe it must be more of a physiological thing since I had it until last night. I thank you once again for all your timely suggestions and clearing my mind. One last question about HPV & Warts - just for my knowledge and understanding - assuming that if I do not have any sexual intercourse in the future, chances are still there that I can still get warts that can show up even after years. Does that mean, if warts show up it is a suffering for the entire life and certainly end up with cancer? (I do not have a family cancer history & a normal healthy male)
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239123_tn?1267651214
Warts and HPV sometimes show up in people who deny sexual exposure risks.  Most probably are lying or forgetful, but a few cases may be acquired nonsexually through unknown mechanisms.  If you were to infect never have sex, you would probably not ever have an HIV problem -- but the chance would be very low, if not quite zero.

Warts are caused by different HPV types than the strains that cause cancer. Even with the high risk (cancer-causing) HPV types, the vast majority of infected people never develop cancer.  And in males, the rare cases that show up typically are easily cured in the early stages, without mutilating surgery.  Even among the most sexually active people with hundreds or partners, adverse outcomes from HPV really shouldn't be any significant worry.
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Avatar_m_tn
It makes perfect sense to me. Thank you a lot doctor. I very much appreciate it.
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Avatar_m_tn
I am sorry. I forgot to ask about this last time. If there is a discharge, will the discharge can be easily differentiated from the urine? Can that just come the same time as urine as a mix with urine and chances are lot easily missed out?
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239123_tn?1267651214
Urethral (penile) discharge is easily distinguished from urine -- it looks like mucus or pus.  It appears spontaneously, separate from urination.

That for sure ends this thread.  It's time to move on; I won't have any more comments or advice.
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Avatar_m_tn
Thank you doctor.
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Avatar_m_tn
After our communication, yesterday evening on wards the pain on my penis started. The pain is slightly intense than before. As I am concerned that it could be HSV-2, since you told me to stop with this thread, I tried to post in Herpes community forum. Someone replied me to contact back in this forum and so checking with you one last time.
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239123_tn?1267651214
Herpes doesn't cause pain without also causing visible sores.  My bet is that this is psychological in origin.  Move on -- or see a doctor if you are concerned about it.

This thread is definitely over.
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Avatar_m_tn
Great. Thanks a lot once again doctor for all your help.
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This Forum's Experts
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H. Hunter Handsfield, M.D.Blank
University of Washington
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Edward W Hook, MDBlank
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