Aa
Unprotected Oral Sex-Please Help!
Doctor: I am a 36 year old man. On April 6th, I went to a massage parlor and had an unprotected oral sex for about 3 min with ejaculation. I have been married for 14 years and never done such a stupid thing before. As soon as I went home, my penis had tingling sensation on the tip and burning sensation inside. The next day, the tip of penis was ok but now I have this persistent burning inside my penis till date. I have to pee every 2 hours. As a result, even though it was too early, I purchased an online test from stdexpress and got an 8 panel test done on the very next day (April 7th). They tested for: Chla, Hep B, Hep C, Gono, Herp IgG I and IgG II, HIV antiB western blot, HIV 1/o/2 abs, Qual and Syhilis. The results were negative. I visited an urologist 2 days later and he gave me Cipro and Flagyl. I took cipro for 5 days and then flagyl for 5 days without any improvement in my condition. On April 17th (11 days after exposure), I decided to repeated my 8 panel test. This time I also added HIV DNA by PCR with HIV ICMA. This one claims to detect HIV as early as 6 days after exposure. I got the results on 04/22 and they were all negative. On April 29th, I visited another urologist. He looked at all my tests and gave me Doxy Haycelate 2 times a day for 10 days. It’s my 3rd day with no relief so far.
My symptoms are frequent urination and persistent burning inside penis. I haven’t seen any visible discharge/rash/marks/bump on the penis yet. I do check for these symptoms every time I pee. I GP checked the prostrate by inserting finger in anus and found everything normal. The urologist thinks it’s in my head, but I know it is not normal. Please help me.
Q1) what could be the cause of this burning?
Q2) Will I transfer this to my innocent wife? I make me feel like a pig every time I see her and my kid.
Q3) What could I have contracted from this exposure?
Q4) Based on the exposure described, should I repeat any/all these test? If yes, after how many days?
My symptoms are frequent urination and persistent burning inside penis. I haven’t seen any visible discharge/rash/marks/bump on the penis yet. I do check for these symptoms every time I pee. I GP checked the prostrate by inserting finger in anus and found everything normal. The urologist thinks it’s in my head, but I know it is not normal. Please help me.
Q1) what could be the cause of this burning?
Q2) Will I transfer this to my innocent wife? I make me feel like a pig every time I see her and my kid.
Q3) What could I have contracted from this exposure?
Q4) Based on the exposure described, should I repeat any/all these test? If yes, after how many days?
Here's the latest and final update from my side. I could not wait for next week to get tested and got it done this week. I got my results today. They are all -ve (the whole 8 panel that includes HIV). With your comments, and four -ve test results in the last 2.5 months, I feel pretty certain that I am STD free. I have spent around $969 till date on testing and have now decided to stop any further testing. The burning sensation in the penis has been pretty bearable (but real) for the past 2-3 days.
The past few months have been the worst days of my life. I wish I could just delete it from my records/memory. While I am certain that I will never repeat that stupid act in future, my advice to all who are reading this thread is to please use CONDOM if you want to explore your sexual desires... doesn't matter if it is as ("so called") safe as oral or risky as anal... It's just not worth it
All in all, I would like to thank you for the support and advice!
The past few months have been the worst days of my life. I wish I could just delete it from my records/memory. While I am certain that I will never repeat that stupid act in future, my advice to all who are reading this thread is to please use CONDOM if you want to explore your sexual desires... doesn't matter if it is as ("so called") safe as oral or risky as anal... It's just not worth it
All in all, I would like to thank you for the support and advice!
MEDICAL PROFESSIONAL
1) No. Nobody has ever seen such a case. It's impossible.
2) Such symptoms are typical for the physical manifestations of anxiety, stress, etc. They are not suggestive of HIV. I can say no more.
3) Yes.
I'm holding you to your pledge. And to not start a new thread with the same questions or about the same exposure.
2) Such symptoms are typical for the physical manifestations of anxiety, stress, etc. They are not suggestive of HIV. I can say no more.
3) Yes.
I'm holding you to your pledge. And to not start a new thread with the same questions or about the same exposure.
Dear Dr HHH,
I am very sorry but I have to seek you valuable advice again. Today marks the 77th day after the possible exposure. As you mentioned, my burning in the penis has not subsided till date. Although, I think I do not feel the discomfort as bad as during the first few days. I may have probably learnt to live with the pain. My doctor is on vacation hence I was wondering if I can seek you comment. On May 11, 36th day after exposure, I went ahead and took the HIV PCR DNA which also came back negative. According to Stdextexpress.com, it is conclusive. But my symptoms are not subsiding, as a matter of fact, they are popping up one-by-one. First I get this real light headedness followed by tingling on feet (both). Then today I see three pea sized lumps under my armpits. They are 2 on left side and one on right side. If I touch, they hurt. Due to this, I called the test centre again and scheduled another test for next week. I am scared to death. Can you please answer my last set of questions?
1) Have you seen any case(s) in the past that have my kind of exposure and symptoms and turned HIV +?
2) Do you think all my symptoms (light headedness, tingling of feet, these beads like painful things under my armpit, etc.) are anxiety related?
3) Do you still feel I can move on?
I promise, I will ask no further questions on this thread.
I am very sorry but I have to seek you valuable advice again. Today marks the 77th day after the possible exposure. As you mentioned, my burning in the penis has not subsided till date. Although, I think I do not feel the discomfort as bad as during the first few days. I may have probably learnt to live with the pain. My doctor is on vacation hence I was wondering if I can seek you comment. On May 11, 36th day after exposure, I went ahead and took the HIV PCR DNA which also came back negative. According to Stdextexpress.com, it is conclusive. But my symptoms are not subsiding, as a matter of fact, they are popping up one-by-one. First I get this real light headedness followed by tingling on feet (both). Then today I see three pea sized lumps under my armpits. They are 2 on left side and one on right side. If I touch, they hurt. Due to this, I called the test centre again and scheduled another test for next week. I am scared to death. Can you please answer my last set of questions?
1) Have you seen any case(s) in the past that have my kind of exposure and symptoms and turned HIV +?
2) Do you think all my symptoms (light headedness, tingling of feet, these beads like painful things under my armpit, etc.) are anxiety related?
3) Do you still feel I can move on?
I promise, I will ask no further questions on this thread.
Thank you very much for the detailed and informative guidance!
Initially, the only fear I had was that, since the burning sensation is not responding to antibiotics, it is not bacterial and is viral. From my little knowledge, only viral cause of irritation could be herpes, adenovirus or HIV. But I feel much better after discussing with you.
I guess I deserve this punishment for the dreadful act that I have performed and is something which will always remind me of adultery. But, I really pray that this irritation is not related to something really serious and has physiological origin, and that it ends at some point of time. I am not sure if my body has gotten used to it or what, but I do feel a very slight improvement on the burning side.
Anyway, if I get some other obvious symptoms, I will keep you posted for the benefit of others. For now, I will move on with my life keeping fingers crossed…
Initially, the only fear I had was that, since the burning sensation is not responding to antibiotics, it is not bacterial and is viral. From my little knowledge, only viral cause of irritation could be herpes, adenovirus or HIV. But I feel much better after discussing with you.
I guess I deserve this punishment for the dreadful act that I have performed and is something which will always remind me of adultery. But, I really pray that this irritation is not related to something really serious and has physiological origin, and that it ends at some point of time. I am not sure if my body has gotten used to it or what, but I do feel a very slight improvement on the burning side.
Anyway, if I get some other obvious symptoms, I will keep you posted for the benefit of others. For now, I will move on with my life keeping fingers crossed…
MEDICAL PROFESSIONAL
I have good news and (slightly) bad news for you. The good news: almost certainly you have no STD; for sure no STD was the initial cause of your symptoms, and anything you might have caught would have been eradicated by the treatments you have had, regardless of your current symptoms. You can be confident at this point you have nothing that will ever harm you in any important way and nothing you can transmit to your current or future sex partner(s). The bad news: persisting symptoms like yours are quite common and generally unexplained; you may have to just live with them, knowing it's nothing serious.
In general, oral sex is safe, with a low STD risk compared with vaginal or anal sex -- although not zero risk. Also, no STD can start to cause symptoms in less than 24 hours; 2-3 days is the minimum. The tingling/burning you felt within a few hours had to be from some sort of chemical or physical irritation, not an infection. Frequent or urgent urination generally are not caused by any kind of urethrits or STDs. Further, all the tests you had -- most of which were excessive -- at least are reliable and show you can dismiss all those you were tested for. Your continuing symptoms are not due to any infection. To your specific questions:
1) The cause of persisting symptoms like yours isn't usually clear, but a psychological origin is one strong possibility, as your urolotist suspects.
2) You can be sure you have nothing you can transmit to your wife.
3) The oral sex STD risks are for gonorrhea, nongonococcal urethritis (NGU), herpes due to HSV-1, and syphilis. None of these is a plausible explanation for your continuing symptoms. Oral sex carries little or no risk for chlamydia, HPV, HIV, or hepatitis.
4) You should stop getting tested for anything. Go on with your life and resume sex with your wife. Once you come to understand that your symptoms reflect nothing important, most likely they will fade away.
A side comment: This was not a situation suitable for self-directed online STD testing. You probable spent several hundred dollars unnecessarily; a visit to your primary care provider or a local STD clinic would have saved you most of those expenses.
Please read the following 3 threads. Two of them address symptoms like yours, and the other primarily addresses online STD testing versus direct care by a knowledgeable provider.
http://www.medhelp.org/posts/show/1510665
http://www.medhelp.org/posts/show/1511959
http://www.medhelp.org/posts/show/1381627
I hope this has been helpful. Best wishes-- HHH, MD
In general, oral sex is safe, with a low STD risk compared with vaginal or anal sex -- although not zero risk. Also, no STD can start to cause symptoms in less than 24 hours; 2-3 days is the minimum. The tingling/burning you felt within a few hours had to be from some sort of chemical or physical irritation, not an infection. Frequent or urgent urination generally are not caused by any kind of urethrits or STDs. Further, all the tests you had -- most of which were excessive -- at least are reliable and show you can dismiss all those you were tested for. Your continuing symptoms are not due to any infection. To your specific questions:
1) The cause of persisting symptoms like yours isn't usually clear, but a psychological origin is one strong possibility, as your urolotist suspects.
2) You can be sure you have nothing you can transmit to your wife.
3) The oral sex STD risks are for gonorrhea, nongonococcal urethritis (NGU), herpes due to HSV-1, and syphilis. None of these is a plausible explanation for your continuing symptoms. Oral sex carries little or no risk for chlamydia, HPV, HIV, or hepatitis.
4) You should stop getting tested for anything. Go on with your life and resume sex with your wife. Once you come to understand that your symptoms reflect nothing important, most likely they will fade away.
A side comment: This was not a situation suitable for self-directed online STD testing. You probable spent several hundred dollars unnecessarily; a visit to your primary care provider or a local STD clinic would have saved you most of those expenses.
Please read the following 3 threads. Two of them address symptoms like yours, and the other primarily addresses online STD testing versus direct care by a knowledgeable provider.
http://www.medhelp.org/posts/show/1510665
http://www.medhelp.org/posts/show/1511959
http://www.medhelp.org/posts/show/1381627
I hope this has been helpful. Best wishes-- HHH, MD
You are reading content posted in the STDs Forum
Herpes spreads by oral, vaginal and anal sex.
Herpes sores blister, then burst, scab and heal.
STIs are the most common cause of genital sores.
Millions of people are diagnosed with STDs in the U.S. each year.
STDs can't be transmitted by casual contact, like hugging or touching.
Syphilis is an STD that is transmitted by oral, genital and anal sex.
