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Avatar universal

Unprotected Oral Sex-Very Scared

Dear Doctor,
  
I am having sleepless nights and almost scared to death. This was the only one such mistake that I committed in my entire life of 40 years.

6 nights ago, a prostitute gave me UNPROTECTED oral sex two times during one session. I didn't touch her private parts like vagina or anus or kiss her, but have touched her breasts and body with my hands and penis. There are 3-4 small teeth marks (dark in color) on the penis head caused apparently becuase she mildly bit my penis-no visible sign of blood clot or reddishness though. Whether real or not (because of reading too much), I have some burning sensation in the penis' head which comes and goes- but there is no difficulty when urinating. There are no fluid secretion, discharge or patches or unusual bad smell from the penis.

I do not know the STD/HIV status of this lady and will not be able to trace her too. My questions are; 1) is this burning sensation any sign of an STD? 2) Should I be worried about the fact that she bit my penis?  3) Should I do any test and if yes, what tests and when? 4) Should I be tested for HIV/AIDS? 5) If I have any STD/HIV (god forbid), is it contageous to my wife other than thru sexual intercourse (sharing of plates, spoons or bath towel, etc)? 6) I have not really cuddled my children since then, and worried if I give them a kiss on the cheek or otherwise play with them, will it be (again, god forbid) be contageous to them?

I made such a foolish mistake and will regret it for my entire life and am currently in an unimaginably horrible state of mind. I would be eternally grateful for your guidance and detailed opinion.

Kindest regards,
9 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the STD forum.

The reason for leaving all threads available for all to read, and the reson for the important information in the Disclaimer message at the top of the forum (which I suspect you did not read) is that at least 90% of the questions asked on the forum have been answered previously.  By looking at previous responses, readers can find the answers they need without spending the posting fee.  In this case, much of what you asked was answered only a few hours ago, in another question this same day.  Please take a look: http://www.medhelp.org/posts/show/1228025

To your specific questions:

1) Intermittent burning may or may not be significant. It is conceivable you acquired nongonococcal urethritis (NGU), but probably not, since there is no discharge.  If the symptom persists a couple more days, see a health care provider, such as your local health department STD clinic. But my guess is that the feeling is emotional/psychological, not evidence of an infection. If it goes away, don't worry about it.

2) A bite mark doesn't increase the STD risk.

3) The STD risk is low enough from oral sex that testing usually is unnecessary in the absence of symptoms. But you can always do it if you want the extra insurance.  Again, your local public health clinic or your primary care provider can arrange for testing for common infections.

4) There is no risk for HIV, no point in testing.  (But HIV testing is often done automatically when other STD tests are done, so your clinic or doctor might recommend it.)

5,6) They call them STDs because they cannot be transmitted other than sexually.  There is no risk of household spread or of transmission to your kids.  Here is a thread that explains STD transmission in great detail.  Start reading with the follow-up comments that begin December 14:  http://www.medhelp.org/posts/show/1119533

As for the safety of sex with your wife, I cannot give you any guarantees.  But if I were in your situation, with the knowledge I have, I would continue unpotected sex with my wife without fear of infecting her.

Bottom line:  Oral sex is safe sex, with little STD risk.  But if your urinary discomfort persists, see a health care provider. But feel free to see a clinic or doctor for testing if this reassurance doesn't settle your fears.

Regards--  HHH, MD
Helpful - 1
Avatar universal
so many thanks doctor--this is, again, what i wanted to hear and was praying for. thanks very much indeed.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
This has nothing to do with the non-risky sexual exposure described above.  Talk to your own doctors if you remain concerned.  
Helpful - 0
Avatar universal
Dear Doctor,

I didn't expect to revert again, kindly bear with me. I had to undergo an annual/routine blood and urine tests. As for the blood results, WBCs, RBCs, Platelets are in the normal range but for urine chemistry analysis the lab technician said there is some blood in the urine (the report has a ++ against blood). Is this something related to my exposure 6-7 weeks ago (I haven't had sex since then)? Because of the testicle pain previously reported,  I am on Amoxcyillin Trihydrate-500 mg (prescribed for 5 days- the tests were before this) and an anti-inflammatory drug Cataflam. If at all there is anything to be worried about STD, will this antibiotic be sufficient-unless you tell me this blood in the urine has nothing to do with STD? Except this testicular pain and discolouration of the penile skin under the shaft (whether it was there before or not), there is no other known symptom (thank god).

Again, kindly bear with me and give me a response- I was kind of getting back to normal and then this has come up. Many many thanks.
Helpful - 0
Avatar universal
Thanks a million doctor, "no STD causes such symptoms" is all what I wanted to hear and I am extremely reassured by your advices and will indeed move on without testing. It was just a one-off drunken experience of my life and was absolutely not worth the troubles/anxieties that followed.

Thanks again doctor and good bye.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
So you are describing a symptom you have had before, but this time you think could somehow be related to the new sexual exposure.  Does that seem logical to you?  It doesn't to me.  In any case, no STD causes such symptoms.  This sounds most like an anxiety reaction.  That is the only like relationship to the non-risky exposure you describe.  I continue to recommend against any STD testing.  But it's your money.

That will be all for this thread.  Please try to accept the reassurance and move on with your life.
Helpful - 0
Avatar universal
Dear Doctor,

I really thought I sent you my last post before. My apologies for troubling you again. Due to certain peculiar and hard-to-explain personal circumstances, I am unable to do STD testing until after 3 more months. Meantime, what prompted this post is that I do have some pain in the right testicle (or testis??). I have had this problem even before this incident whenever I wear my not-the-usual brand of the undewear, which has happened on a few occasions recently too. Other than this pain, there is no other symptom like discharge, pain WHEN urinating, sores, ulcers, fever, etc. Therefore, 1) should I be concerned about this pain and 2) can I wait for another 3 months before I go for the STD testing?

Would be grateful for your kind response and many thanks in advance
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I suspect you are examining yourself too closely and seeing things that aren't changed and not abnormal.  No STD causes discoloration of the penile skin.  But as I said above, if you remain concerned about any symptoms, see a provider in person.

If you insist on testing despite the lack of risk, a urine gonorrhea test can be done any times more than 2-3 days after exposure.  (So can chlamydia, but that STD isn't a risk from oral sex.)  Blood tests (e.g. for syphilis and HIV) should be done at 6 weeks or later.

Thanks for the thanks about the forum.
Helpful - 0
Avatar universal
Thanks a million for this, Dr. I was waiting for a few more days to pass (knowing how busy you are) before I ask a probable final follow up question - its now the 11th day after the encounter with that woman.

I do not have that burning sensation on the tip of the shaft any more for the last 4-5 days, but one side of the penis leading to its underneath has a darker discoloration. Although I have been reassured by your reply reg STD/HIV, I will do the tests for peace of mind, but, I have to wait for at least two more weeks for that-due to certain personal circumstances. Therefore, my questions are 1) is this discoloration something to be concenred about  (the bite marks are still there) and 2) what are the time intervals after the encounter to go for STD and HIV tests (I read different periods apply for different tests)??.

May I conclude with my heartfelt appreciation and sincere gratitude for the wonderful work that you do here.

Kindest regards
Helpful - 0

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