Aa
Exposure Risk
My intent had been to post this to the STD section. If there is any way to move it there, I would appreciate that rather than post a new question as I know my HIV risk is quite low.
Back in late April, I had an encounter with a CSW. I do remember several key details. She appeared to have some discharge coming from her vagina. While I wore a condom, it did slip off at one point but replaced with a new one. I am in a relationship so there is a moral dillema on top of the physical symptoms.
Two days after the exposure, I began to experience frequent and painful urination, an inflamed penis tip, thin white discharge in the first urination in the morning. I went to the clinic on day three where I was asked for a urine test (which was lost) and a prescription for 2Gs of azithromycin in order to kill any possible Gonorrhoea or Chlamydia infection.
Over the past few months, most of my symptoms have passed but what remains is an irritated penis tip, what appears to be an inflammation of the prostate gland that comes and goes, what feels like some scratching in my urethra and some tenderness in my pubic area. I have had multiple urine tests and a urethral swap that have been negative, three courses of antibiotics (5 days on cipro for an apparent UTI, 10 days to treat acute prostatitis and most recently 2G's of flagyl for potentially trich). The last course of cipro did seem to help the prostatitis but the penis irritation persists. The flagyl, which I took about 10 days ago, appeared to have cleared the irritation on the tip about 3 days in but the inflammation came back with some minor prostate discomfort and pelvic discomfort. The tip of my penis seems to get irritated the most after I ejaculate.
Im slated to see a urologist in about a month, but I still would like some insight on what may be causing the persistent discomfort. My GP told me that I shouldn't worry about giving anything to my gf, but I still have the "What if' concern.
Thank you for your insight.
Back in late April, I had an encounter with a CSW. I do remember several key details. She appeared to have some discharge coming from her vagina. While I wore a condom, it did slip off at one point but replaced with a new one. I am in a relationship so there is a moral dillema on top of the physical symptoms.
Two days after the exposure, I began to experience frequent and painful urination, an inflamed penis tip, thin white discharge in the first urination in the morning. I went to the clinic on day three where I was asked for a urine test (which was lost) and a prescription for 2Gs of azithromycin in order to kill any possible Gonorrhoea or Chlamydia infection.
Over the past few months, most of my symptoms have passed but what remains is an irritated penis tip, what appears to be an inflammation of the prostate gland that comes and goes, what feels like some scratching in my urethra and some tenderness in my pubic area. I have had multiple urine tests and a urethral swap that have been negative, three courses of antibiotics (5 days on cipro for an apparent UTI, 10 days to treat acute prostatitis and most recently 2G's of flagyl for potentially trich). The last course of cipro did seem to help the prostatitis but the penis irritation persists. The flagyl, which I took about 10 days ago, appeared to have cleared the irritation on the tip about 3 days in but the inflammation came back with some minor prostate discomfort and pelvic discomfort. The tip of my penis seems to get irritated the most after I ejaculate.
Im slated to see a urologist in about a month, but I still would like some insight on what may be causing the persistent discomfort. My GP told me that I shouldn't worry about giving anything to my gf, but I still have the "What if' concern.
Thank you for your insight.
MEDICAL PROFESSIONAL
Yes, testing would be primarily for peace of mind....and that is not such a bad thing. But, you only need a single test EWH
Thank you so much for the straight forward answers. None of them are a huge surprise given that I have read many of your replies to other concerned individuals in similar situations but it is reassuring to hear it for my specific case.
With respect to HIV, I understand my risk is quite low due to the odds of transmission and the instance of CSW's with HIV.
Would an test at this point merely be for peace of mind rather than for any legitimate concerns?
With respect to HIV, I understand my risk is quite low due to the odds of transmission and the instance of CSW's with HIV.
Would an test at this point merely be for peace of mind rather than for any legitimate concerns?
MEDICAL PROFESSIONAL
Welcome to the Forum. I will answer your question here but the opportunities for follow-up questions will be limited since this is the wrong Forum.
When you say that your condom slipped off, I presume that this means it was completely off. If that was the case, then this was an unprotected (albeit brief) exposure and may or may not explain the discharge you noticed 2 days (rather soon for an STD) following the event. As you point out however, the 2.0 gram dose of azithromycin would cure gonorrhea, chlamydial infection and NGU. since then the multiple courses of different antibiotics you mention would be expected to resolve any residual STDs which might (but almost certainly were not) present. Thus, from an STD perspective, there is really no reason for concern, for further testing, or for additional antibiotics. Similarly there is no reason to abstain from unprotected sex with your GF.
You mention prostatitis and I do not know how that diagnosis was made but I should mention several things related to this possibility. First, prostatitis is almost never an STD and if you have prostatitis it is almost certainly a coincidence unrelated to your condom mishap, although your experience could conceivably led to discovery of something that might have been smoldering for some time. Second, if indeed you have prostatitis, the course of antibiotics you received was rather short as prostatitis is difficult to treat and sometimes requires multiple courses of antibiotics for successful therapy. I think seeing a urologist is a good idea,
Finally, I get the sense that since this all began, you have probably been hyper-aware of genital sensations, possible irritations and may have been repeatedly examining yourself. All of this might lead to genital irritation, or the sensation of genital sensation when it was not present.
I hope these comments are helpful and provide some reassurance. The chance that you have a lingering STD from the exposure you have described is virtually zero. EWH
When you say that your condom slipped off, I presume that this means it was completely off. If that was the case, then this was an unprotected (albeit brief) exposure and may or may not explain the discharge you noticed 2 days (rather soon for an STD) following the event. As you point out however, the 2.0 gram dose of azithromycin would cure gonorrhea, chlamydial infection and NGU. since then the multiple courses of different antibiotics you mention would be expected to resolve any residual STDs which might (but almost certainly were not) present. Thus, from an STD perspective, there is really no reason for concern, for further testing, or for additional antibiotics. Similarly there is no reason to abstain from unprotected sex with your GF.
You mention prostatitis and I do not know how that diagnosis was made but I should mention several things related to this possibility. First, prostatitis is almost never an STD and if you have prostatitis it is almost certainly a coincidence unrelated to your condom mishap, although your experience could conceivably led to discovery of something that might have been smoldering for some time. Second, if indeed you have prostatitis, the course of antibiotics you received was rather short as prostatitis is difficult to treat and sometimes requires multiple courses of antibiotics for successful therapy. I think seeing a urologist is a good idea,
Finally, I get the sense that since this all began, you have probably been hyper-aware of genital sensations, possible irritations and may have been repeatedly examining yourself. All of this might lead to genital irritation, or the sensation of genital sensation when it was not present.
I hope these comments are helpful and provide some reassurance. The chance that you have a lingering STD from the exposure you have described is virtually zero. EWH
I also want to say that I have read a lot of the advice given out by by the Doctor's here and appreciate the level of insight you provide. While I have a feeling that I already may know what your answers will be, I am still compelled to hear it from the horse's mouth.
You are reading content posted in the HIV - Prevention Forum
Condoms are the most effective way to prevent HIV and STDs.
PrEP is used by people with high risk to prevent HIV infection.
Can I get HIV from surfaces, like toilet seats?
Can you get HIV from casual contact, like hugging?
Frequency of HIV testing depends on your risk.
Post-exposure prophylaxis (PEP) may help prevent HIV infection.
