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White Spot/STD?
I'm a male in mid 30s. Married.
11/3: Met a male CSW/male massage therapist on Craigslist (Phoenix). Showered together. Briefly performed unprotected oral on him. He's well endowed, and I stopped performing oral on him because it was gagging me. When he pulled his penis out, I saw soft green colored mucus on the head of the penis (it wasn't coming out of the penis, but was just to the side on the head).
He then put a condom on. I tried to bottom in the shower, but stopped after his head went in a few inches because it hurt (I never bottomed before). When he pulled out, the condom was still intact, no tears, and he didn't ***. But there was blood from my anus on the tip of the condom.
He said he is DD free, and gets tested for HIV once per month because of his profession. He said he doesn't have any diseases.
11/10: I have this white dot on my right tonsile. I thought it might be gonoreah because of the green mucus I saw on his head. Went to the hospital and checked for tonsilitus. She scraped it, and puss came out. Culture came back negative for tonsilitus. I told the doctor I was concerned about STDs, so she prescribed 4 tablets (250mg each) of Azithromycin and 1 tablet (500mg) of Ciprofloxacin. I took all dosage that same day.
I still have that white dot on my tonsile. I don't have burning when I urinate, but my anus is still a little sore.
1) What are the chances I got an STD from this episode?
2) Which STDs should I be concerned about?
3) Could that green mucus have originated from his penis in the form of gonoreah? Or might that just be mucus from the back of my throat since I was gagging?
4) Could that white dot on my right tonsile have come from an STD?
5) If it was gonoreah, was the dose of medicine prescribed by the doctor enough?
6) If it was gonoreah, should I be concerned about HIV even though he didn't *** in my mouth? And even though we used a condom when I tried to bottom?
I haven't gone to get checked out yet.
11/3: Met a male CSW/male massage therapist on Craigslist (Phoenix). Showered together. Briefly performed unprotected oral on him. He's well endowed, and I stopped performing oral on him because it was gagging me. When he pulled his penis out, I saw soft green colored mucus on the head of the penis (it wasn't coming out of the penis, but was just to the side on the head).
He then put a condom on. I tried to bottom in the shower, but stopped after his head went in a few inches because it hurt (I never bottomed before). When he pulled out, the condom was still intact, no tears, and he didn't ***. But there was blood from my anus on the tip of the condom.
He said he is DD free, and gets tested for HIV once per month because of his profession. He said he doesn't have any diseases.
11/10: I have this white dot on my right tonsile. I thought it might be gonoreah because of the green mucus I saw on his head. Went to the hospital and checked for tonsilitus. She scraped it, and puss came out. Culture came back negative for tonsilitus. I told the doctor I was concerned about STDs, so she prescribed 4 tablets (250mg each) of Azithromycin and 1 tablet (500mg) of Ciprofloxacin. I took all dosage that same day.
I still have that white dot on my tonsile. I don't have burning when I urinate, but my anus is still a little sore.
1) What are the chances I got an STD from this episode?
2) Which STDs should I be concerned about?
3) Could that green mucus have originated from his penis in the form of gonoreah? Or might that just be mucus from the back of my throat since I was gagging?
4) Could that white dot on my right tonsile have come from an STD?
5) If it was gonoreah, was the dose of medicine prescribed by the doctor enough?
6) If it was gonoreah, should I be concerned about HIV even though he didn't *** in my mouth? And even though we used a condom when I tried to bottom?
I haven't gone to get checked out yet.
MEDICAL PROFESSIONAL
Hepatitis B might theoretically be a risk, but too low to measure or worry about.
Almost certainly you have nothing that you caught during your sexual encounter last month. It is time for you to accept the reassurance I gave you about STDs, and to see a health care provider for personal evaluation for your nausea or any other symptoms that may show up. HIV doesn't cause such symptoms. This forum can't help you further.
Almost certainly you have nothing that you caught during your sexual encounter last month. It is time for you to accept the reassurance I gave you about STDs, and to see a health care provider for personal evaluation for your nausea or any other symptoms that may show up. HIV doesn't cause such symptoms. This forum can't help you further.
Dr HHH - I'm not sure if I'm violating rules or if I have to pay to ask another question as part of this.
I forgot I had a sore in my mouth at the time of the episode. Today I'm feeling nausea and my stomach hurts on my right side under the abdomen.
Was I at risk for Hep B? Should I get tested? Can HIV cause this symptom?
I forgot I had a sore in my mouth at the time of the episode. Today I'm feeling nausea and my stomach hurts on my right side under the abdomen.
Was I at risk for Hep B? Should I get tested? Can HIV cause this symptom?
MEDICAL PROFESSIONAL
Penicillin is active against about 80-90% of gonorrhea strains. It is statistically very unlikely that any gonorrhea would be resistant to all 3 antibiotics you have received, i.e. cipro, azithromycin, and penicillin. Gonorrhea is no longer a concern.
The penicillin definitely will cure syphilis if you were exposed.
The penicillin definitely will cure syphilis if you were exposed.
Thank you for the info, but I have two more questions.
When I went to the hospital, the doctor gave me a prescription for a ten (10) day supply of Penicillin (500mg tablets) 3 times per day just incase the step culture came back positive.
1) Since the treatment with Cipro was marginal, could I take this Penicillin to eradicate the gonoreah?
2) Would this dosage also cure any exposure to syphilis?
You help is much appreciated. Thank you very much.
When I went to the hospital, the doctor gave me a prescription for a ten (10) day supply of Penicillin (500mg tablets) 3 times per day just incase the step culture came back positive.
1) Since the treatment with Cipro was marginal, could I take this Penicillin to eradicate the gonoreah?
2) Would this dosage also cure any exposure to syphilis?
You help is much appreciated. Thank you very much.
MEDICAL PROFESSIONAL
STDs rarely cause white spots on the tonsils. That sort of thing is far more commonly due to garden-variety respiratory viruses or bacteria, like strep. Gonorrhea could do it but unlikely; most gonorrhea infections of the throat are asymptomatic. However, the treatment you received was borderline: many gonorrhea strains are resistant to cipro, especially in men who have sex with men; and azithromycin in the dose you received is around 80-90% effective. To the specific questions:
1) Low risk, since oral sex is pretty safe -- not completely risk free for STDs, but much less risky than vaginal or anal sex -- and the anal sex was condom-protected.
2) As discussed above, gonorrhea is the only one likely. Syphilis is a slight risk, except that it can't cause a visible lesion earlier than 2 weeks after exposure; and most cases would be prevented by azithromycin. Theoretical risk for herpes, but this would be a most unusual presentation for that disease.
3) You're the one who seems sure the mucus was from you, but if it was from his penis, gonorrhea or chlamydia would be a definite possibility. (Chlamydia rarely takes hold in the mouth or throat, however, which is why I didn't mention it above -- and it would have been eradicated by azithromycin.)
4) Probably no STD; see above.
5) The treatment was pretty good against gonorrhea, but not ideal. To be completely safe, you could have a throat culture to check for it. But first check with the doc or hospital where you were examined and treated; since you expressed concern about STD, they might have done the test already. If it was negative, you don't need another one. If not done, you could visit your local health department to be tested.
6) Even if you have (or had) oral gonorrhea, I see no significant risk of HIV. Oral sex is low risk for HIV; the anal sex was protected; and most people don't lie when asked directly, so you can be reasonably sure your partner wasn't infected. But of course I cannot guarantee it, and certainly you describe a partner at very high risk of catching HIV someday.
Bottom lines (no pun intended): It is unlikely any STD is the cause of the spot on your tonsil, but because of the slim chance of gonorrhea and borderline treatment, you could be tested for it. To be maximally safe, also have an HIV test in a few weeks -- but don't lose a lot of sleep about it in the meantime; almost certainly it will be negative.
Good luck-- HHH, MD
1) Low risk, since oral sex is pretty safe -- not completely risk free for STDs, but much less risky than vaginal or anal sex -- and the anal sex was condom-protected.
2) As discussed above, gonorrhea is the only one likely. Syphilis is a slight risk, except that it can't cause a visible lesion earlier than 2 weeks after exposure; and most cases would be prevented by azithromycin. Theoretical risk for herpes, but this would be a most unusual presentation for that disease.
3) You're the one who seems sure the mucus was from you, but if it was from his penis, gonorrhea or chlamydia would be a definite possibility. (Chlamydia rarely takes hold in the mouth or throat, however, which is why I didn't mention it above -- and it would have been eradicated by azithromycin.)
4) Probably no STD; see above.
5) The treatment was pretty good against gonorrhea, but not ideal. To be completely safe, you could have a throat culture to check for it. But first check with the doc or hospital where you were examined and treated; since you expressed concern about STD, they might have done the test already. If it was negative, you don't need another one. If not done, you could visit your local health department to be tested.
6) Even if you have (or had) oral gonorrhea, I see no significant risk of HIV. Oral sex is low risk for HIV; the anal sex was protected; and most people don't lie when asked directly, so you can be reasonably sure your partner wasn't infected. But of course I cannot guarantee it, and certainly you describe a partner at very high risk of catching HIV someday.
Bottom lines (no pun intended): It is unlikely any STD is the cause of the spot on your tonsil, but because of the slim chance of gonorrhea and borderline treatment, you could be tested for it. To be maximally safe, also have an HIV test in a few weeks -- but don't lose a lot of sleep about it in the meantime; almost certainly it will be negative.
Good luck-- 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.
