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STD's risk question

To whom it may concern,

My concern centers around a visit i made to a massage parlor where i received deep oral sex:
Actual situation
1. I did not ejaculate inside the mouth.
2. I washed up with gel made for the genitals right afterwards.
3. I forced urination right afterwards.
4. 2 days on and slightly enlarged lymph are appearing in my groin area on one side.
5. I have no cuts or scrapes on my penis nor did i notice any sores or cuts in and around her mouth.
History
1. Enlarged lymph nodes are a regularity in my body; usually occurring in my groin due to acne around the genitals and buttocks but there is no profound acne visible at this time nor are the nodules as enlarged as they usually get from acne.
2. I have no history of STD's but some infections detected about a year ago through high white blood cell count in spermogram and CBC. I have been tested rigorously for STD's since it was a sort of obsession.
Questions and Comments
1. Am i at risk, if so, for what?
2. I have started on an antibiotic treatment just to be safe and since i have not taken any in a long time. Medication is Augmentin.
3. General question: Does washing up and urinating after sexual activities have any effect on STD transmission?
Sincerely,
hipnotikbionik
7 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Not in that location.  The the lymphatic drainage of the anal area and rectum goes primarily alongside the rectum to nodes deep in the pelvic cavity.

Do your best to ignore any and all further "what if" or "is it possible" sorts of questions that come to mind.  None of it is likely to change my opinion or advicd.  So that will end this thread.  Do your best to accept the science-based reassurance I have tried to give and go on with your life.
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Avatar universal
but what if the hemorrhoid is inflamed wouldnt that cause lymph swelling?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No.
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Avatar universal
Doctor i am currently experiencing hemorrhoids, could those be the cause of my swollen groin lymph nodes?
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Noted.
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239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

Oral sex is safe sex.  Not completely risk free, but with little risk compared with unprotected vaginal or anal sex.

First set of circumstances:

1) Ejaculation in a body cavity increases risk for the recipient, but has no bearing on STD/HIV risk for the ejaculator.  (Obviously.  I don't understand wny so mean people seem not to get this.)
2) Can't hurt, but I doubt it helps much.
3) Urinating after sex is time-honored to help prevent STDs, but probably makes little or no difference.
4) Probably irrelevant. Most self-observed lymph node enlargements cannot be confirmed by health professionals.
5) Probably makes no difference.

History

1) See no. 4 above.  Unless and until lymph node enlargements are confirmed by professional evaluation, I would ignore them.
2) Elevated or variable WBC counts are irrelevant in evaluating patients for STD.

Questions and Comments

1) Receiving oral sex carries little risk for STDs.  See this thread from earlier today (as well as almost daily questions about it):  http://www.medhelp.org/posts/STDs/Negative-std-test/show/1880931

2) Augmentin is not a recommended treatment for any STD that might be acquired by oral sex.  However, it probably would prevent or abort gonorrhea and for sure would prevent syphilis.

3) See above.  This has never been carefully studied, but probably makes little difference.  One study actually shows the opposite, that washing with soap and water after sex increases the risk of HIV.  But I doubt that study was valid.

The standard advice about oral sex, as discussed in the thread linked above, is to not worry about it if symptoms of STD don't appear.

Regards--   HHH, MD
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Avatar universal
No other symptoms are present.
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