Burning sensation in penis

[BusyMind]

Hi Doc,


I am a male and I met a Lebanese escort lady in Lebanon (she works between Dubai and Lebanon) and she charged me 1000$ for one day. The funny thing is that she spent with me extra 2 days for free but we had only one sexual encounter for one hour only, the rest was chatting and hanging out. Any how, the sexual encounter was as follow:

French kissing, body to body touches, penis touching her vagina from outside no penetration, penis torching her *** from outside no penetration. The problem is she offered me a below job and I asked her to use a condom but she refused. I told her I am afraid of getting STDs and then she laughed at me and said do not tell any body about this because u never get STD from below jobs especially SIDA. SIDA I think it is HIV. Any how and beyond my control at that time she proceeds and gave me unprotected below job for 2 minutes maybe.

She looks clean but u never knows if she is really clean of any STD. and the fact she gave unprotected below jobs means that she gave the same to many customers before me.

Now 2 weeks after this exposure and I feel Burning sensation in penis so I began to think about that exposure. By the way I got the same sensation feeling one month before the exposure and my doctor said nothing to worry about, u need just to drink extra water. It went away but comes again now 2 weeks after that exposure.

Questions:

1- what could this sensation be?
2- what kind of STDs can I get from this exposure? what are the symptoms that could warrant my attention and testing?
3- Is there a risk for HIV? What if she got some blood in her mouth? Even though I did not notice any
4- Is there a risk when touching her vagina by my penis from the outside with no penetration? In this case maybe some vaginal fluids had touched my penis.
5- Do I need testing for any?
6- My girlfriend wants me not to use condom with her? is it safe based on that exposure
7-what will u do if u were me?

[Edward W Hook, MD]

You can be testing at any time now for NGU.  The test is best when perfromed at a time when you have not urinated for at least an hour.  At the imte most docotrs test for NGU, the also test for gonorrhea.  EWH

[BusyMind]

thanks alot for the information.

just to confirm, I should test for NGU only? no other testing are warranted, correct?

usually when shouild I get the NGU test?

Thanks

[Edward W Hook, MD]

Welcome to the Forum.  The exposure you describe is very, very low risk.  The only part of what you describe that carries any STD risk (including HIV) is the receipt of oral sex.  Oral sex is an inefficient way to transmit STDs.  Of the bacterial STDs only gonorrhea and nongonococcal urethritis (NGU) are transmitted through oral sex; chlamydia is not and without an obvious sore or lesion on your partner’s mouth, the chances of syphilis and herpes is likewise tiny.   Gonorrhea or NGU cause symptoms of urethritis (penile infection), including burning on urination.  Even if your partner had an STD (any STD and it is likely she did not), most exposures do not lead to infection.  Your partner is correct, there is no risk of HIV (and yes SIDA is HIV) from oral sex.  In answer to your specific questions:

1.  You could have urethritis and this would most likely be NGU (nongonococcal urethritis) from the bacterial in your partner's mouth.  Alternately you could have similar sensations from anxiety and worrying about your exposure.  Your doctor can check for this by looking for white blood cells in a swab or urine specimen.  If you have  urethritis, it is easily treated.  
2.  See above.
3.  No risk for HIV.
4.  No risk from touching in this way.
5.  you may need testing for NGU -discuss this with your doctor.
6.  I would wait to have unprotected sex with your GF until you are checked for possible NGU.
7.  See my doctor.

Hope these comments help. Take care.  EWH