std?

I had unprotected oral sex from another male almost 4 months ago to the day.  I have had absolutely no sypmtoms since the encounter until the last couple of days I have had a dull ache in my testicles.  I have had no lesions, pus, painful sex, painful urination, nothing that I would attribute to the normal STD symptoms.  But this pain in my testicles of course lead me to do research on the internet and epididymitis is listed as a possible complication of gonorreha and chlamydia as a first symptom.  Is this possible?  To have no s/s for 4 months then this flare up?  The ache in my testicles is dull, and not even there all the time.  What are my risks from that encounter?  Could I have a STD that could be causing my symptoms?  Can it go straight to epididymitis with no other signs at all?  Could I have signs and my wife not have any?  I know what an *** I was for doing this and not dealing with it before now.  Sorry for all the questions, but I'm a little freaked out.  Thanks.

[Edward W Hook, MD]

The chances that your discomfort is due to an STD acquired through oral sex 4 months ago is very, very low.  Sexually acquired epididymitis is primarily caused by gonorrhea and chlamydial infections.  Chlamydia is not transmitted through oral sex and thus is not a consideration.  Gonorrhea can be asymptomatic and then cause epididymitis but this is a very unusual course of events.  Epididymitis can also be transmitted by other bacteria, unrelated to sex.

In your situation, you do not know that you have epididymitis. If you do, you need antibiotic therapy.  My advice would be to go see a health care provider and to get evaluated.  If epididymitis is a concern they will test you for STDs and start therapy. Similarly, if you have non-STD epididymitis, you will need treatment.  On the other hand, if there is something else going on, hopefully this will be detected by your visit to a health care provider as well.

Bottom line.  It would be unusual for this to be epididymitis acquired through receipt of oral sex 4 months ago.  You should however go get evaluated to find out what is going on.

Please let us know what your doctor says.  EWH

[worried299]

Thanks for your reply, I will go get evaluated and let you know

[worried299]

Quick update, I haven't been evaluated yet, but my wife had a well woman's visit and she didn't call me asking for a divorce so everything looked fine on her visit.  I would assume that 4 months after exposure her cervix would have shown some signs of any STD even if she wasn't having outward signs?  I still plan on seeing my MD because the discomfort in my testicles is there but still only bothersome not really painful per se.  Any comments or ideas what could be causing my symptoms?  If I get any answers before your reply I will let you know.  THanks

[marissa452]

A related discussion, save to have sex? was started.