Risk of possible STD from my first sexual exposure?

[Latrell1990]

hi doc, approximately 9weeks ago i had received unprotected oral sex from a prostitute, then i put on my latex condom and inseted it into her vagina for about 3/4 seconds and decided it was a mistake, anyway the oral sex lasted about 3/4minutes, i also fingered her during the same time, and we kissed too...anyway here is my concern, i have not had any symptoms that are abnormal at all up until about 3 weeks ago, i came home and decided to masturbate (i masturbate daily using shampoo/hand wash as i am circumcised) anyway i masturbated for like 1hr40minutes and then went to sleep, any way i woke up the next morning and the skin on the left side of my penis rod was swollen, i panicked a bit but it came down considerably in 10hours or so back to normal. No discharge from my penis, no weird lesions or bumps

anyway last 2 weeks (about 7-9weeks after exposure) i began examining my penis loads worried in case i may have caught something and just noticed that my penis appears to be really wrinkled which i assumed would be due to me using shampoo regularly so ive stopped and its less wrinkled and less dry..

having researched about herpes etc i got really worried mostly because statistics say something like 90% of people experience no/little symptoms to genital herpes, but as far as i know everything has been normal except for the odd itch which i experienced well before this exposure.

This was my first and only sexual exposure to anyone (including oral sex)

I havent been tested for anything apart from chlaymdia last week which came back negative.

My question is:
1) Am i likely to have contracted anything at all?
2) Does it make a difference whether it was my first sexual exposure or not?
3) How common is it the woman had HSV-2 in her mouth and could have passed it on to my genitals yet i am asympotamatic?

Thanks alot doc,
hope to hear from you soon

[Latrell1990]

once again thanks for your advice, i can be one to testify that the whole pledge i made was all worthless when the situation arose, thankfully on ANY night out i take a condom with me and will continue to do so.

Your help has really been great for me and i can now move on with my life and concentrate on my university studies, i am training to be a doctor in my 2nd year now at the university of birmingham in the UK.

Thanks so much to you and to all the other doctors on this board, latrell

[H. Hunter Handsfield, M.D.]

Glad to have helped.  However, a final word of caution:  Most people who make pledges of no sex until marriage do not stick to them, so keep those condoms handy.  Research studies show that persons who pledge abstinence until marriage actually have higher STD rates over time than those who do not make such pledges.  One of the main reasons is that when the opportunity presents itself, they don't have condoms available.

You should also be aware that marriage between two virgins is rare in western society -- always has been, but even rarer in the past 30 years than earlier.  If you set yourself up to not have sex yourself and expect the same in a partner, you will greatly limit your potential mates -- including many you would truly fall in love with.  Also, most sexual behavior experts believe that premarital sexual experience is a valuable factor, perhaps indispensible, on long term sexual satisfaction and happy marriage.  This isn't to say that abstinence until marriage isn't the right path for some people -- but it doesn't work for most.  So please be a little flexible in your attitude about it.  (As you might be able to tell, I'm hoping to counteract some of the ideas that might have been presented in those same sex education classes, especially if you were at a school where those programs were influenced by social or religious conservatives.)

[Latrell1990]

thank you so much Doctor, you do not realise the comfort this has caused me, i am in fact 20 and never really been in much of a position to be sexually active, my parents have always taught me to stay till marriage until this one drunken incident.

Once again, this is the best ive felt in these 2 weeks and hope to learn from my mistakes and not undergo any further sexual activity till marriage.

Best $15 i have spent in a long time,
regards,
Latrell

[H. Hunter Handsfield, M.D.]

Welcome to the STD forum.  I'll start with congratulations for having safe sex.  You were at little or no risk for STD.

Since this is your first sexual exposure, presumably you are young.  I have the impression that, like many of today's youth, you have had a biased and frightening form of sex-related education.  Although sexual safety is important and STDs (including HIV) are common in one sense, many school-based education programs make the problem seem bigger than it is.  Also, they do not sufficiently emphasize the details of how STDs are transmitted.  In general, the risk is low or zero if a bare penis (no condom) gets inside someone's vagina or rectum.  Even then, the large majority of sexual encounters do not result in any infection.

Statistically, it would be rare for anyone to acquire an STD during his or her first sexual encounter.  In any case, you had safe sex.  And your symptoms don't suggest any STD. You have an obvious explanation for the penile swelling and irritation:  an hour and 40 minutes of masturbation is very long and undoubtedly very irritating.  As for your penile skin being "wrinkled", this doesn't sound abnormal at all and certainly cannot result from any STD.  My guess is that your anxieties are making you more alert to normal variations in penile skin.  And as men age, the penile skin naturally takes on a more mature appearance that can have prominent wrinkes.  These changes are common between ages 15 snd 25, and they continue thereafter.  (Just glance at older men when you're next to them in public toilets.  You'll see quite a difference and quite a lot of variation.)

To your psecific questions:

1) Zero risk for practical purposes.  There is nothing here to suggest you have any STD.
2) As I said above, it would be statistically unusual to catch an STD during one's first sexual exposure.  Of course it could happen, but not likely with the kinds of exposure you describe.
3) There is nothing here that even hints at herpes.  You can't catch HSV-2 by oral sex, only HSV-1.  Use the search link to look for symptoms of genital herpes, how it is transmitted, and the differences between HSV-1 and 2; or visit the herpes community forum.  But just forget herpes as a cause of your symptoms.  No chance.

Like the wrinkles, the small "bumps" are normal.  Just sweat or sebaceous glands.  Every penis has this.  You need to stop examining yourself so closely.  Finally, I have no comment about the "weird feeling" during masturbation.  It doesn't sound abnormal and certainly not due to any STD.

Here is a thread that explains in detail how STDs are transmitted and why there is little risk without unprotected vaginal or anal sex.  Start reading with the follow-up comments that start December 14:  http://www.medhelp.org/posts/show/1119533

Regards--  HHH, MD

[H. Hunter Handsfield, M.D.]

My reply follows your comments below.

HHH, MD

[Latrell1990]

sorry for all these additions but i have just remembered something odd that happened to me:
While masturbating (approx 3-5) weeks post exposure, i would occasionally be masturbating using shampoo and feel a slight weird feeling in the base of the side of my penis, almost like an itch but its not if that makes sense just that bit felt a bit funny about 3 times while i masturbated, its gone since and i continue to use shampoo normal with no itch down there

thanks again hope to hear from you soon

[Latrell1990]

if this adds anything: because it was reletively short i didnt ejaculate either

[Latrell1990]

btw it was dark but i didnt see obvious lesions on her face or around the mouth

[Latrell1990]

also can i just add:
when flaccid, my penis seems to be still a bit wrinkly and when examining closely i occasionally notice some bumps, but when i stretch the skin a bit the bumps dissappear, so i was thinking it could still be due to the wrinkly flaccid penis i have as it isnt present at all when my penis is erect?