STD Exposure Risk

[clairifyfacts]

2 weeks ago, I had protected vaginal sex with a professional working girl.  We used a condom.  Before applying the condom, she put a small amount of Purell in the condom.  My concern is I had 2 small friction burns (these were breaks in the skin) on my penis, prior to this episode of sex .  These friction burns were completely covered by the condom.  The condom stayed intact during the few minutes of vaginal penatration.  (We actually heavy petted a lot, and then a just a few minutes of penatration.  She completed my climax with her hand, while I was still wearing the condom.

I have no 'real' symptoms of any STD, however, some anxiety over exposure, (I beleive) causing me to need urinate more often than normal.  No pain or burning - some lower back pain, but that is it.

So my question is how to characterise my risk of exposure to an STD, given the friction burns and the use of a condom that covered them at all times?

Thanks again for everything you do in this forum.

[Edward W Hook, MD]

Your are not at risk and did not get an STD from the exposure you describe.  While abrasions on your penis might increase your susceptibility if exposed, your condom use means that you were not exposed.  In addition, hand tp genital transmision does not occur so there is no risk to you by her using her hand to finish.  

To summarize, no risk, no reason for concern or testing.  EWH

[clairifyfacts]

Thank you for your response - that is what I thought.  But it is reassuring to hear an expert opinion on the situation.

I believe I am having that infamous 'genitle anexity' focusing on too many feelings in that area of the body - but in the event any real symptoms pop up, I will follow with my provider.

One last question - can NGU or unrethris develop from condom use and the purell that was put in the condom?

[H. Hunter Handsfield, M.D.]

Sorry to jump in, but by my quick look through the archives, this is your 4th question on the forum (or maybe including the HIV forum, I forget) in the past few months.  Please note the MedHelp limit of 2 questions every 6 months, designed to allow others to edge in with new questions, since not all questions can be accommodated.

Thanks.

[clairifyfacts]

Hey doc -

Just to 'clairify' - my last post previous to this one was on Mar 17, 2007 - 11 months ago.  I have always be aware of following the rules at Medhelp - and would not break them intentionally.  Hence my question yesterday and the 1 follow-up, I thought was within my 2 questions in 6 months.

Thank you.

[Edward W Hook, MD]

Any chemical or mixture of substances, including Purell has the capacity to cause allergic manifestations which could mimic NGU. In general, when the offending agent (in your case the Purell) is taken away (showers, voiding) the reaction tends to go away of a day or two.  This could also lead (at least for  while) to the need to feel as though you needed to void more than often.  EWH