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Avatar universal

STD worries over encounter!!

Dr,

Quick question.  I had an experience with a massage girl.  There was masturbation going on and we also touched each other with only our hands.  That part I believe is safe.  Before I knew what happened she started to perform unprotected oral sex on me.  It lasted only a brief amount of time (less than 10 seconds).  I than finished myself and it was over.  

Of course afterwards I was worried about my experience with her and went to my family doctor 3 days after my exposure.  He indicated that it was most likely safe but there is a chance for gonerrhea, NGU and Chlamydia from oral sex.   I said I didnt want to take any chances so he prescribed  Azithromycin 500MG (2 tablets one time) and also ciprofloxacin 500mg (1 tablet). The only symptoms I was having was tingling in the tip of penis and more frequent urinating. Took this 3 days after the sex act.  The next day he called and indicated that there is some strains of Gonerrhea which is resistant to cipro.  So I went back (on day 4) and he gave me a shot of something in my butt muscle (that hurt).  It has been a week since the sex act and I still do not have any visisble symptoms, but I still have the tingling and frequent urination.

1.  Do you feel I am clear and can return to sex without any worries?
2.  Do you think I am covered with NGU, Gonorrhea and Chlamydia?
3.  What can still be causing tingling?

thanks
  
6 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

Your doctor was correct.  Oral sex is safe sex, with a very low overall risk of STD transmission.  Not zero risk, but a lot lower chance of infection than with vaginal or anal sex.  And whatever the risk was, it was still lower given the brevity of exposure.

It is true that some gonorrhea strains are resistant to ciprofloxacin.  However, the combination of azithromycin and cipro still was 100% protective against gonorrhea; you really didn't need the ceftriaxone injection.  But given the overkill of antibiotic therapy, you can be even more certain you either caught no STD or that anything that was incubation was cured by treatment.

1) No distant expert can make guarantees someone isn't infected.  But if I were in your situation, I would continue unprotected sex with my wife, without fear.  Indeed, I would not have gotten treated and I still would have continued sex with her.

2) You are totally covered against gonorrhea and NGU.  Chlamydia is almost never acquired by oral sex, so that wasn't an issue -- but even that was covered by the azirthromycin.

3) Most genital tingling is due to anxiety over a regretted sexual exposure.  Same for frequent urination.  In the absence of other symptoms (discharge or sores of the penis), such symptoms probably are never due to STD.

Bottom line:  No worries, no problem.  All is well.

Regards-  HHH, MD
Helpful - 1
239123 tn?1267647614
MEDICAL PROFESSIONAL
Herpes definitely does not cause the sorts of rash and symptoms you describe.  

I'm holding you to your promise.  This forum cannot help further and I won't have anything more to say.
Helpful - 0
Avatar universal
This is last question and you do not to reply to any more after this one.. promise.  The tingling (pain... more like an irritated feeling at the penis head) comes and goes..... in the morning it doesn't happen at all... later in the afternoon it comes and goes... tingles/irritated when i need to urinate and stops after I urnitate.  I did notice that the head of the penis near the urethra was irratated and red.  So with this i went to urologist... he looked at it and said it looked irratated.  He gave me some cream that would help if it was a yeast infection (do to all the antibiotics) and the cream would help with the rash.  He also said visually it did not look like herpes.  My question is would herpes just appear like a light rash and the head of the penis with no raised bumps?  Would the pain be absent for a half a day then reaapear?  Like I said this is last question for me... thanks
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
The risk of herpes is too low to be a serious consideration here.  Herpes is not a possible cause of your symptoms.  You may see "tingling" listed as a herpes symptom, but that's only because herpes lesions may tingle, or tingling for a day or two may preceed an outbreak.  Tingling alone is not a herpes symptom.  And frequent urination is also definitely not a herpes symptom.  I already told you my opinion about the most likely cause of such symptoms.  Please accept the reassurance I'm trying to give you and move on.  Almost certainly you didn't catch anything.
Helpful - 0
Avatar universal
Doc,

As a final follow up... I did not ask about the chance of Herpes from this brief encounter.  Is it something I should be concerned with.  Can this be causing my tingling in penis and need to urinate?  Or do I need to move on....
Helpful - 0
Avatar universal
Thanks for the info... I didn't mention Herpes.... is this a worry..
Helpful - 0

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