Should I go get tested

[jk77]

Ok, so a month ago I started seeing a girl. She said she was in the clear as far as not having anything, was tested for stds before we met. Had unprotected sex a few times. About two weeks ago I got too drunk and regrettably received brief oral sex from a stranger I met at the bar. We had brief protected sex for maybe two minutes. I used 2 condoms because they both didnt fit right and I remember one was halfway on at one point. It was very brief. I was very paranoid about it coming off so I just stopped after a min or so.  She really wanted to have unprotected sex and I refused.
Last week I noticed a single small bump at the shaft of my penis. It seems to be going away. What im worried about is  for the last 4-5 days ive been experiencing a slight burning sensation at the tip of my penis which is relieved when I go pee. Its very slight, but noticable and makes me want to urinate more frequently than normal. Are these symptoms a cause for alarm and should I go get tested for an std? There is no discharge or anything. Thanks.

[Edward W Hook, MD]

No change in my assessment or advice. See above.  EWH

[jk77]

Ok so its been over 2 weeks and I still have this slight burning in the tip of my penis. Its more noticeable after I ejaculate and goes away for a bit after I urinate. Im pretty sure its not anxiety anymore. What would you suggest I do?What could it be? Prostatitis? Is it complete coincidence that im having this symptom after my sexual encounter with the stranger a few weeks ago?
I also still have this very small bump at the shaft of my penis. getting smaller but still there. NP said it didnt look like anything but I still cant help but wonder.

I do remember now having something like this about ten years ago and went to a couple doctors including a urologist, all saw nothing.

[Edward W Hook, MD]

Glad you sought testing.  I anticipate the result will be negative.  I also suspect that if there was a true abnormality, the clinician you saw would have commented.  If so, one possibility of the continuing burning is awareness of normal sensations due to increased focus on the area (I.e. anxiety).  Try not to worry.  EWH

[jk77]

After your recommendation I went to the STD clinic and the NP said she didnt see any std nor a urinary tract infection after I gave a urine sample. Theyre sending the urine specimen to a lab and ill have a definite answer in a week. Should I put aside concern it is not an STD? And do you have any idea what would cause a slight burning at the tip of my penis? She also said the bump I have did not look like anything. Thanks.

[Edward W Hook, MD]

Welcome to the Forum.  I'll go straight to your questions.  My sense is that your oral sex may have been unprotected while the vaginal sex, was condom protected.  Condoms, even when they do not cover the entire penis, provide excellent protection form STDs and would prevent any risk for infection.  If the oral sex however was unprotected there are several STDs which might have been obtained.    Burning on urination may be a sign of “urethritis” (penile infection) even in the absence of discharge or could be a manifestation of anxiety related to your recent dalliance.

Fortunately, oral sex is an inefficient way to transmit STDs.   Nonetheless your burring on urination is of concern and probably warrants evaluation (testing) for NGU and gonorrhea.  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.  The symptoms you report (burning on urination) do suggest the possibility of NGU.  I would suggest that you seek testing, having the health care provider look for both the presence of signs of inflammation (white blood cells) in a urine specimen collected at the beginning of urination, as well as testing for gonorrhea.  Given your circumstance, I would urge you to seek TESTING so you can be sure, rather than taking treatment for something that you may or may not have.

I hope this comment is helpful. EWH