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STD from sex workers
Hi,
im sure this question has been answered numerous times but for my own piece of mind i was wondering if anyone can put me at ease. im a male, 29, chinese and approx 3-4 weeks ago, i had protected sex with two escorts. 2 days ago, i had a stinging sensation at the tip of my penis when i urinated. it only stings when the urine first comes out and is fine after that. no aching of the testicles, no discharge, no abdominal pains and i urinate regularly. the stinging has now subsided and is next to non existent but im still worried. Today, i went to my local sexual health clinic and when i discussed my concerns with the nurse, he reassured that the likelihood that i have caught anything is small. the urine dip test showed no WBC but did show some signs of protein which he explained is likely something i ate as my diet is pretty good and i take vitamin drinks. a urine test will confirm my diagnosis in 7-10 days but im still worried. what are my chances? does the urine dip test show STIs? the talk with the nurse at the clinic has helped to calm my nerves a bit but im worrying myself sick. hope someone can provide me with some info.
MEDICAL PROFESSIONAL
Welcome to the forum.
Condom protected sex is just that: protected against STDs. As long as the head of your penis was covered throughout the sexual exposures, and the condom didn't break (which would have been obvious), then no STD from these events can explain your symptoms. And stinging pain at the tip of the urethra is usually not an STD symptom, unless there is also abnormal discharge of pus or mucus. And if you had an STD, the nurse who examined you probably would have seen an abnormal discharge and the urine dipstick would have been positive for white blood cells. (It doesn't test for STDs directly, but STDs that could cause urethral infection usually elevate WBCs in the urine.)
For those reasons, I agree with the clinic nurse that you have no STD, and I expect your urine tests (probably for gonorrhea and chlamydia) to be negative. I also agree with the nurse about the slight amount of protein in your urine: it's not evidence of STD, but more likely related to diet, hydration, and so on.
So sit tight as you await the test results. Of course re-check with the clinic if your symptoms return. But if not and the tests are negative, you can put this episode behind you and move on without worry.
Best wishes-- HHH, MD
Condom protected sex is just that: protected against STDs. As long as the head of your penis was covered throughout the sexual exposures, and the condom didn't break (which would have been obvious), then no STD from these events can explain your symptoms. And stinging pain at the tip of the urethra is usually not an STD symptom, unless there is also abnormal discharge of pus or mucus. And if you had an STD, the nurse who examined you probably would have seen an abnormal discharge and the urine dipstick would have been positive for white blood cells. (It doesn't test for STDs directly, but STDs that could cause urethral infection usually elevate WBCs in the urine.)
For those reasons, I agree with the clinic nurse that you have no STD, and I expect your urine tests (probably for gonorrhea and chlamydia) to be negative. I also agree with the nurse about the slight amount of protein in your urine: it's not evidence of STD, but more likely related to diet, hydration, and so on.
So sit tight as you await the test results. Of course re-check with the clinic if your symptoms return. But if not and the tests are negative, you can put this episode behind you and move on without worry.
Best wishes-- HHH, MD
thank you doctor for the reassurance and i apologize for the impatience. i will wait to see what the results are (hopefully negative) and thank you so much again.
MEDICAL PROFESSIONAL
Patience, patience. The doctors aren't on call 24/7, especially on a Sunday! We try to answer questions the same day.
any information or advice from any of the doctors would be greatly appreciated. thank you
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