Unprotected insertive fellatio - Urinary urgency

[newguy47]

Hello,

I have read up on many of the posts on fellatio and STDs but cannot find an answer to my question.  Because I have yet to be tested (I will as soon as I find the closest clinic and get a day off from work), I decided to err on the side of safety and ask in this STD forum.

I am a 22 year old American male.  On Saturday, 1 NOV 2008, I received unprotected oral sex from a woman from China for 20-30 minutes, with ejaculation in her mouth.  There were no visible sores on or around her lips and mouth.  She appeared very healthy in most every other way.  She has also performed unprotected fellatio from me in the past, probably six months ago.

I have not developed any sores of any sort from either incident.  There is no burning during urination, and I have not experienced any discharges from my penis.  I experience no pain in any part of my penis or the surrounding area.  I do no feel any tenderness or pain in the testicles.  The color and odor of my urine and semen are normal.  Basically, everything seems fine except for one thing.

I seem to have mild symptoms of urinary urgency.  If I am busy, I will not notice it, but it is there.  I feel like I have to urinate.  I cannot identify specifically where the feeling is coming from, so I will not presume to know what organ it the sensation originates.  I can only say that this feeling is higher up in the pubic region.  I will go to urinate, only to see that there is little to no urine.  

I am aware that I should go get tested, and I will do so as soon as I can.  However, for the sake of peace of mind, I was just thinking if I should be alarmed or whether I should be terribly concerned.

Thank you very much, I appreciate any insight or information you can provide for me.

[H. Hunter Handsfield, M.D.]

I'm not sure what is going on, but probably no STD explains your symptoms.  Urinary urgency is not usually due to STD.  The STDs that infect the lower urinary tract -- gonorrhea, chlamydia, and the organisms that cause nonchlamydial nongonococcal urethritis (NGU) typically cause urethral discharge, and sometimes urinary pain or discomfort. But no lower urinary tract infection in men -- i.e., urethral infections -- cause urgency.  That symptom typically originates in the bladder or prostate gland, which are not infected by STD pathogens.  And as you may already know, receiving oral sex is not much of an STD risk.

For reassurance, and to exclude the slim possibility that I am wrong, it would be reasonable to see a health care provider and request testing for STDs.  But you can expect the results to be negative.  As to other possible causes, urinary tract infections and prostate gland problems could be responsible, but both of those are rare in healthy men in their twenties.  It could all be anxiety or other stress -- whether over your sexual encounter of some other source.  But that's just speculation.

Bottom line:  See a provider for urinalysis, examination, and perhaps STD testing.  But it will be surprising if an STD turns up.

I hope this helps.  Best wishes--  HHH, MD

[newguy47]

Just for clarification, I have no problem urinating when there is urine to pass through.  There is no pain, and the flow is as it used to be.

Again, thank you so much for your time.

[newguy47]

Thank you very much Dr. Handsfield.  I was already aware of the low risk of STDs from receiving oral sex from reading up on a many number of posts.  The information you provided me with is comforting.  I won't be worrying too much about STDs, which were my primary concern.  However, I will have to get this (mild) urinary urgency sorted out.  Thanks again doctor!