Aa
Very worried, very stupid
Recently I made the stupid, drunken mistake to allow a stripper to perform oral sex on me, unprotected. During our interaction, I placed my fingers in her vagina numerous times and we also kissed. At one point she performed oral, then we kissed more, she then repeatedly tried to place my penis in her vagina. I did not allow her to, and I don’t think it even pressed up against her vagina, although if it did, I was not erect at the time. She then performed oral sex again until I finished in her mouth. I returned to my hotel and discovered some blood smears on my shirt, something I assume was from my fingers during our interaction as they looked like smears. I washed my hands at the club before I left, so I cannot be for certain. It was not from me though. Within 2 hours, I had showered and used anti bacterial gel on my penis. I also had a pack of Azithromycin, for which I started that very night. When that was finished I began a 10 day dosage of 3 pills per day of amoxicillin 500mg. During the past few days, I have also had a pretty bad respiratory infection. My questions:
IF I contracted something, would the antibiotics taken have eliminated any treatable STDs? Could they return on their own?
If I did contract something, would the respiratory infection effect the way the antibiotics worked on any potential STDs?
What about the blood smears? Any danger there?
Knowing these circumstances and my treatment, should I get tested for anything?
I return home this week and my wife will be very interested in being intimate, should I refrain? If we used protection, that would throw up a red flag.
I’m very anxious and depressed about this and can’t imagine that I may have ruined my life/family thanks to being drunk. The only potential symptoms I could even say I had are some tightening sensations in my pelvic area, sometimes the penis as well, but no burning our discharge. This incident occurred last Tuesday.
IF I contracted something, would the antibiotics taken have eliminated any treatable STDs? Could they return on their own?
If I did contract something, would the respiratory infection effect the way the antibiotics worked on any potential STDs?
What about the blood smears? Any danger there?
Knowing these circumstances and my treatment, should I get tested for anything?
I return home this week and my wife will be very interested in being intimate, should I refrain? If we used protection, that would throw up a red flag.
I’m very anxious and depressed about this and can’t imagine that I may have ruined my life/family thanks to being drunk. The only potential symptoms I could even say I had are some tightening sensations in my pelvic area, sometimes the penis as well, but no burning our discharge. This incident occurred last Tuesday.
MEDICAL PROFESSIONAL
Sorry, but "everything you have read" is wrong. Many information sources indeed say chlamydia can be orally transmitted, so you are not alone in your beliefs. However, there simply are no data to support it. Many sites are just parroting what they themselves have read; or they assume parallels with gonorrhea, which indeed is transmitted orally.
First, chlamydia can rarely be found in the throat, so there is nothing to transmit to a partner's genitals. (CDC's latest STD treatment guidelines say this and recommend against even testing anybody for oral chlamydia.) Also, epidemiologic data from STD clinics show that urethral gonorrhea and nonchlamydial NGU are fairly common in men who report only receiving oral sex recently (no vaginal or anal sex), but there is no association of genital chlamydia with oral sex in the absence of vaginal or anal sex.
The most definitive data are from a new study, not yet published. My colleague on this forum, Dr. Hook, is the senior investigator. It used the most sophisticated diagnostic tests to confirm the virtual absence of chlamydia of the throat in sexually active people, even those who have performed oral sex on infected partners; and repeats the research showing no association of genital chlamydia with receiving oral sex.
Thanks for the opportunity to clarify the point. I have provided such details in a few other replies, but it bears frequent repeating.
First, chlamydia can rarely be found in the throat, so there is nothing to transmit to a partner's genitals. (CDC's latest STD treatment guidelines say this and recommend against even testing anybody for oral chlamydia.) Also, epidemiologic data from STD clinics show that urethral gonorrhea and nonchlamydial NGU are fairly common in men who report only receiving oral sex recently (no vaginal or anal sex), but there is no association of genital chlamydia with oral sex in the absence of vaginal or anal sex.
The most definitive data are from a new study, not yet published. My colleague on this forum, Dr. Hook, is the senior investigator. It used the most sophisticated diagnostic tests to confirm the virtual absence of chlamydia of the throat in sexually active people, even those who have performed oral sex on infected partners; and repeats the research showing no association of genital chlamydia with receiving oral sex.
Thanks for the opportunity to clarify the point. I have provided such details in a few other replies, but it bears frequent repeating.
MEDICAL PROFESSIONAL
Stopping after the first line of your question: Oral sex is basically safe sex. There are exceptions, but it's much safer than vaginal or anal sex. Also, fingering a partner's vagina carries no STD risk. So most likely, I'm going to end up reassuring you.
Now I have read the rest. Guess what?
I would not have recommended the antibiotics you took. But they would prevent most cases of nongonococcal and gonorrhea. They also would prevent syphilis or chlamydia, but syphilis is too rare in this circumstance to contemplate, and chlamydia is not transmitted at all by oral sex; NGU and gonorrhea are the only possibilities for bacterial STD that would respond to antibiotics.
As I said above, fingering is zero risk, so the bloody smears on your shirt don't change my judgment. The respiratory infection doesn't change your STD risks. (It's a good lesson that most respiratory infections are viral, which is why the antibiotics didn't prevent it.)
Of course I cannot guarantee anything, but I see no reason you cannot safely have unprotected sex with your wife.
I hope this helps. Best wishes-- HHH, MD
Now I have read the rest. Guess what?
I would not have recommended the antibiotics you took. But they would prevent most cases of nongonococcal and gonorrhea. They also would prevent syphilis or chlamydia, but syphilis is too rare in this circumstance to contemplate, and chlamydia is not transmitted at all by oral sex; NGU and gonorrhea are the only possibilities for bacterial STD that would respond to antibiotics.
As I said above, fingering is zero risk, so the bloody smears on your shirt don't change my judgment. The respiratory infection doesn't change your STD risks. (It's a good lesson that most respiratory infections are viral, which is why the antibiotics didn't prevent it.)
Of course I cannot guarantee anything, but I see no reason you cannot safely have unprotected sex with your wife.
I hope this helps. Best wishes-- HHH, MD
MEDICAL PROFESSIONAL
Those are not STD symptoms. It sounds like bladder tension/spasm, which can have a psychological origin. If the problem has any relation to the sexual event you described, it is an emotional link, not an infectious one. Keep working with your own doctor about it. Stop worrying about STD. Clearly you have nothing that will ever be a serious health issue for you or a sex partner.
This thread truly is over. I will delete any further comments without response.
This thread truly is over. I will delete any further comments without response.
I know you said we would have to end this thread, however, I think it is appropriate for me to provide an update. Yesterday afternoon, I began have sensations like I needed to urinate. I would go and 30 minutes later, I would need to go again. After 2 trips like this, I continued to feel the need to urinate, however, not a lot was there. The pinching/pain sensations on the top of my bladder became a little more significant. No cloudiness, slighly yellow and clear. No discharge, no smell. I thought it could be a reaction to the antibiotics, so I stopped the amox. Today, I had a urine test and it was normal. Doc said "Urine is fine." They are submitting urine for STDs. I am at my wits end, very nervous. If it comes back positive what kind of treatment should I expect and will i need to re-test after I finish treatment? You may not answer, I know, but I had to provide the update.
DR,
I dont how you can say chlamydia is not transmitted from oral sex. Everything I have ever read said it can be transmitted. The risk is lower but it can be transmitted.
I dont how you can say chlamydia is not transmitted from oral sex. Everything I have ever read said it can be transmitted. The risk is lower but it can be transmitted.
MEDICAL PROFESSIONAL
Such transient penile contact with secretions, without pentration, probably is totally risk free. I wouldn't worry about it. The more resistant gonorrhea is to antibiotics, the more likely it is to cause symptoms you would notice. That is, the strains most susceptible to antibiotics are the ones most likely to cause cause asymptomatic infection. Such a "pressure" symptom is more likely emotional than anything else, which is supported by your own statement about "heightened sense of awareness". When someone suspects his or her own symptoms have a psychological origin, usually s/he is correct.
That will have to be it for this thread. Best wishes.
That will have to be it for this thread. Best wishes.
I asked the last question because I feel a “pressure” like discomfort in my bladder area and sometimes in the penis, but no burning when urinating and no discharge. The pressure feels similar to when I had a “back-up” after my vasectomy several years ago. But then again, it could be a heightened sense of awareness of the area as you have stated in the past.
OK, Dr, thank you for your help. One last thing, had there been contact between my penis and the vaginal fluid that was bloody, would that change anything? I am quite confident that there was zero penetration. Also, if a resistant strain of gonn was involved, is there a chance I would never have any symptoms? If I would have symptoms, when should I feel more comfortable about it?
That’s all, no more questions from me, I promise, thank you for your help and for getting to my questions!
That’s all, no more questions from me, I promise, thank you for your help and for getting to my questions!
MEDICAL PROFESSIONAL
There is no reason to suspect anything but the respiratory infection as the cause of your fever and cough. It doesn't change my judgment.
Sorry for the delay in responding, but it's partly your fault. (Not really; there's no way you could have known.) If there are comments that follow the original question, on quick glance it looks like the question was answered, especially when more than one moderator is involved. Dr. Hook worked the forum before I did, and when I first came on I thought he had replied. It was only on careful inspection that I saw that the follow-up comments were yours, not his reply.
Sorry for the delay in responding, but it's partly your fault. (Not really; there's no way you could have known.) If there are comments that follow the original question, on quick glance it looks like the question was answered, especially when more than one moderator is involved. Dr. Hook worked the forum before I did, and when I first came on I thought he had replied. It was only on careful inspection that I saw that the follow-up comments were yours, not his reply.
I hate to be a pest, but I have noticed several questions asked after mine today being answered, even with some with follow-ups, and mine is the only one on the page left that has yet to be answered. Just a little anxious for your opinion. Thank you and again, I apologize for bieng a pest.
my resp infection got worse the night of the incident. In fact, I had a fever and chills all night long. The next few days, my entire body was sore from the coughing and my cough was awful. Are any of these things related to the incident and could and STD's development expand in such a situation?
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.
