Worried about STD

[r0amer]

I had unprotected oral sex from a woman. I did use a condom for vaginal sex. Couple hours later, I noticed that there was a small circular light pink mark on the top shaft of my penis. It's about the size of the tip of a pencil.

Is that attributed to an STD? When I rub my finger through it, it seems rough like a scab. Do you think it was just a tear on the skin?  Could her teeth, hands, or clothing scrape a small piece of the skin off the penis when it was hard? Could it be a tear from having vaginal sex? I don't have any discharge or pain from peeing. Also, there are no other marks on the penis.

Any feedback or advice would be greatly appreciated? I'm worried and if it's a STD, I want to go to the doctor, and have it taken care of.

[H. Hunter Handsfield, M.D.]

I cannot comment on the cause of a "pink mark" I can't see.  If it looks like a traumatic injury that healed, that's probably what it is.  Or perhaps you have recurrent genital herpes (not recently acquired).  Or any number of other possibilities.  All I can do is speculate, which is useless to you.  If you have further concerns about it, see a health care provider in person; you're never going to get any definitive answer on line, whether in this forum or anywhere else.

If you had an open genital ulcer at the time of oral sex, perhaps it would slightly increase the chance of infection.  But STDs are so rare from oral sex that it really can't make much real difference.  And if it was a healed lesion -- intact skin, even if still pink -- then there was no chnage in risk.

The symptoms of STD from oral sex are penile blisters/sores (herpes, syphilis) or discharge from the penis (gonorrhea, NGU).

[r0amer]

Hello doctor. The last time i engaged in unprotected oral sex and protected vaginal sex was about one month ago. Do you think the small pink mark was caused by a std then?

If the pink mark is caused by injury, is there an increased risk of std or hiv if i engage in unprotected oral sex and protected oral sex? Is there a period of time that i should wait for it to heal before engaging in sex? Today is the third day since i noticed the mark. I feel no pain in the area when i rub it and there is no blood.  The small area is just slightly pink compared to the rest of the penis.

For unprotected oral sex, what symptoms should be an alert that it might be an std?

[H. Hunter Handsfield, M.D.]

Welcome to the forum.

Oral sex is quite safe from an STD perspective; not totally free of STD risk, but a lot lower chance of infection than for vaginal or anal sex.

But more important, no STD can cause a skin problem or any other symptom sooner than 2 days after exposure. Anything you noticed only a couple hours after sex either had to be due to an injury during sex, as you suggest yourself; or it had to be there before the event.

If you remain concerned, see a health care provider.  But it is simply impossible that it's due to an STD from the oral sex event.

Regards--  HHH, MD