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Symptoms from Unprotected Oral Sex
I am a male late 30's. I received unprot. oral from 3 diff. women, unknown history, over 2 wks from 9/10 and 9/25/09. Each one lasting for one minute or less with ejac. in mouth in one of the times.
I felt no symptoms for about 2.5 weeks then on about 10/10, I started feeling pressure in my pelvic area above the penis, I pushed on it with my hand and it was a little tender in the whole area above the penis. When I press on that area, I also pass gas sometimes. I also intermittently feel a mild shooting pain in my left testicle, just for a sec, not sharp. Sometimes after I pee, I feel the tip of my penis itching or the middle of the penis tingling. No burning on urination and no discharge. Sometime I feel tingling in the very bottom of my penis shaft. it only happened like 3 times or less.
I saw doctor yesterday and he ordered chlam, Gonn, and urine culture. The doc preliminarily said they checked the urine on the spot and they found a little white cells and some red cells. Did not tell me the count, just a "little" he said. prescribed oflaxocin 300mg twice a day for 10 days,
From reading, I think no risk of Chlam and a small risk of Gonn as I understand throat infection of Gonn is not that common and even if it is, transmission is at like 25%. Even then, mostly there is discharge. No risk of HSV 2 as that rarely infect the mouth, I had cold sores so no risk there of HSV1. Syphillis is rare and would have produced chancres by now.
So I am mainly thinking if anything it could be NGU due to mouth organisms, but i had no discharge and no burning on urination and most of the tingling is in the pelvic area, not the penis. Is my understand thus far correct? Questions:
1. If it is NGU due to mouth organisms or respiratory tract organisms, I understand it could even cure on its own within (a week or two) correct? Any harm if I had uprotected sex with a person while having that?
2. If I had an STD, does Oflaxacin as prescribed cure it?
I felt no symptoms for about 2.5 weeks then on about 10/10, I started feeling pressure in my pelvic area above the penis, I pushed on it with my hand and it was a little tender in the whole area above the penis. When I press on that area, I also pass gas sometimes. I also intermittently feel a mild shooting pain in my left testicle, just for a sec, not sharp. Sometimes after I pee, I feel the tip of my penis itching or the middle of the penis tingling. No burning on urination and no discharge. Sometime I feel tingling in the very bottom of my penis shaft. it only happened like 3 times or less.
I saw doctor yesterday and he ordered chlam, Gonn, and urine culture. The doc preliminarily said they checked the urine on the spot and they found a little white cells and some red cells. Did not tell me the count, just a "little" he said. prescribed oflaxocin 300mg twice a day for 10 days,
From reading, I think no risk of Chlam and a small risk of Gonn as I understand throat infection of Gonn is not that common and even if it is, transmission is at like 25%. Even then, mostly there is discharge. No risk of HSV 2 as that rarely infect the mouth, I had cold sores so no risk there of HSV1. Syphillis is rare and would have produced chancres by now.
So I am mainly thinking if anything it could be NGU due to mouth organisms, but i had no discharge and no burning on urination and most of the tingling is in the pelvic area, not the penis. Is my understand thus far correct? Questions:
1. If it is NGU due to mouth organisms or respiratory tract organisms, I understand it could even cure on its own within (a week or two) correct? Any harm if I had uprotected sex with a person while having that?
2. If I had an STD, does Oflaxacin as prescribed cure it?
MEDICAL PROFESSIONAL
There are no data. But the risk is obviously very low. Considering the low chance your partner had oral gonorrhea, probably only 1 in 10 chance of transmission if she had it, your lack of typical gonorrhea symptoms, and the usual responsiveness of gonorrhea to the antibiotics you were given, there is no realistic possibility you have it. That it wasn't tested for really doesn't matter much in my opinion.
The risk of NGU is even more speculative. But again, if you had it, probably it has been cured.
I don't see how washing before or after sex could make any difference.
You are obviously obsessed with this exposure. Please let it go. All is well.
That's all for this thread.
The risk of NGU is even more speculative. But again, if you had it, probably it has been cured.
I don't see how washing before or after sex could make any difference.
You are obviously obsessed with this exposure. Please let it go. All is well.
That's all for this thread.
One followup question, my Doctor calls me after I started the antobiotich and tells me they didnt do the Gon test. I was really upset. In any event, my follow up question and I know there may not be a real study on this, but from your experience what are the chances of contracting 1)Gon, and 2)NGU from receipt of unprotected Oral sex? And if the female giving oral uses mouth wash before, does that reduce the chances? Thanks
MEDICAL PROFESSIONAL
Welcome to the STD forum. I'll try to help. The bottom line is that I doubt you acquired any infection from the oral sex exposures you describe and that no STD explains your symptoms.
Contrary to common beliefs, urinary symptoms like you describe are not suggestive of STD. When STDs cause lower urinary tract inflammation, discharge from the penis is the primary symptom. When there is discomfort, it is limited to the urethra -- typically felt as painful urination in the penis (usually felt only at the tip of the penis) or simply an itchy sensation within the urethra. The more upper tract (bladder area, prostate) sorts of symptoms you describe almost always have other explanations, even in people with exposures that suggest STD risk.
It's hard to know how to interpret "a little" increase in WBC in the urine. Probably everybody has a few increased WBC in urine from time to time. It will be quite surprising if your tests show anything at all. Oral sex carries no risk at all for chlamydia, so that's definitely not a concern. Gonorrhea can be so acquired, but absence of pus dripping from your penis is strong evidence against that possibility. And non-STD urinary tract infections are very rare in younger men (although somewhat more likely if you are over age 40 and/or if you have an underlying prostate gland problem). Nonchlamydial NGU can occur from oral sex, but as I said above your symptoms are against that possibility.
1) NGU due to oral bacteria: This probably happens, but has not been proved. It is just a theory to explain why NGU sometimes appears in men who have received oral sex with no recent vaginal or anal sex. For the reasons above, this is not a likely possibility here. And even if I'm wrong, you are correct that no long term harm is likely. Nonchlamydial NGU, whether due to oral bacteria or something else, seems to be rarely if ever associated with serious health outcomes either for affected men or their sex partners.
2) Ofloxacin is active against most STDs that could cause urethritis. It is not the drug of choice for any STD but would usually be effective against chlamydia, NGU, gonorrhea, and most non-STD UTIs.
So if an infection is not the cause, what is? A good bet might be genitally focused anxiety over the sexual exposures; certainly your symptoms are typical for that. Or you could have the chronic pelvic pain syndrome. CPPS used to be considered a form of prostatitis, but the prostate gland may not be involved at all. CPPS and anxiety may go along with one another. For some excellent information, google that term and start your reading with the excellent Wikipedia article and the information you will find from the Stanford University dept of Urology. Then consider discussing these possibilities with your physician.
Good luck-- HHH, MD
Contrary to common beliefs, urinary symptoms like you describe are not suggestive of STD. When STDs cause lower urinary tract inflammation, discharge from the penis is the primary symptom. When there is discomfort, it is limited to the urethra -- typically felt as painful urination in the penis (usually felt only at the tip of the penis) or simply an itchy sensation within the urethra. The more upper tract (bladder area, prostate) sorts of symptoms you describe almost always have other explanations, even in people with exposures that suggest STD risk.
It's hard to know how to interpret "a little" increase in WBC in the urine. Probably everybody has a few increased WBC in urine from time to time. It will be quite surprising if your tests show anything at all. Oral sex carries no risk at all for chlamydia, so that's definitely not a concern. Gonorrhea can be so acquired, but absence of pus dripping from your penis is strong evidence against that possibility. And non-STD urinary tract infections are very rare in younger men (although somewhat more likely if you are over age 40 and/or if you have an underlying prostate gland problem). Nonchlamydial NGU can occur from oral sex, but as I said above your symptoms are against that possibility.
1) NGU due to oral bacteria: This probably happens, but has not been proved. It is just a theory to explain why NGU sometimes appears in men who have received oral sex with no recent vaginal or anal sex. For the reasons above, this is not a likely possibility here. And even if I'm wrong, you are correct that no long term harm is likely. Nonchlamydial NGU, whether due to oral bacteria or something else, seems to be rarely if ever associated with serious health outcomes either for affected men or their sex partners.
2) Ofloxacin is active against most STDs that could cause urethritis. It is not the drug of choice for any STD but would usually be effective against chlamydia, NGU, gonorrhea, and most non-STD UTIs.
So if an infection is not the cause, what is? A good bet might be genitally focused anxiety over the sexual exposures; certainly your symptoms are typical for that. Or you could have the chronic pelvic pain syndrome. CPPS used to be considered a form of prostatitis, but the prostate gland may not be involved at all. CPPS and anxiety may go along with one another. For some excellent information, google that term and start your reading with the excellent Wikipedia article and the information you will find from the Stanford University dept of Urology. Then consider discussing these possibilities with your physician.
Good luck-- HHH, MD
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