Unprotected oral sex from massage...

[worried800834]

I am a 35 year old bi-sexual married man.  This past week I received two massages on back to back days from different male massage therapists.  Why I did this, I am not sure... I keep asking myself that same question.  Anyway, both massages were quite similar in nature.  They started off as any massage normally would, but then turned more sexual towards the end.  In both cases, the other male laid on top of me, penis to penis, for a brief duration of time (one for about 2 min and the other more like 4 min).  In addition to lying on top of me, one of them masturbated while holding his and my penis together (about 1 min total).    In addition, I received oral sex from both men although it didn't last for more than a minute or so, honestly.  

I feel incredibly guilty and stupid.  In addition, I am very anxious that I have contracted some sort of an STD and am going to pass it on to my wife.  I want to do anything and everything in my power to prevent that from happening.  We would like to try to get pregnant next month and I don't want to jeopardize her health or the baby's.  

I am pretty sure that it is not possible to be symptomatic yet as it has only been 48 hours from the first and 24 hours since the second massage, but today I did feel the need to urinate frequently.  Also, I may have been imagining it but it seemed as though off and on the tip of my penis was burning... just a little bit.  I know that these STD's take time to incubate but I am considering going to an urgent care tomorrow to get tested... is it worth it?  Should I ask for an anti-biotic just in case?

Also, about 4 weeks ago my wife noticed a small red patch of skin on my penis (no pain, itching, or anything) and noticed on the same day that she had a yeast infection.  Could I have had a yeast infection and if so, would I be more likely to contract an STD?  The redness comes and goes, mostly there after sex or masturbation and then goes away.

[Edward W Hook, MD]

Welcome to the Forum. These were low risk encounters.  STDs are not transmitted by masturbation and receipt of oral sex is a low risk activity. 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.   If you had gotten gonorrhea or NGU you will most likely develop symptoms of urethritis (penile infection) with 3 to 5 days of your exposure.  Getting tested will detect infection earlier, if present and is a reasonable way to address your concerns.  Even if your partners had an STD (any STD and it is likely they did not), most exposures do not lead to infection.   I would not be worried but as I siad, going to be evaluated is certainly reasonable.

As for the red patch you have noticed, this could well be a fungal infection.  I suggest you show it to the person who examines you and ask.  EWH

[worried800834]

Thank you Dr. for your response.  

Just to follow up, I went to a walk-in-clinic today and got blood based STD testing as well as a urinalysis done.  I opted not to have the Herpes blood test done as I am not symptomatic and I have read that it is not always consistent (was that smart?).  In addition, I spoke with the MD on staff about my situation and as suggested by you, showed him my penis to get his opinion.

According to him, you were right!  The red patch was indeed a fungal infection.  He prescribed me Econazole Nitrate 1% cream 30GM.  He also prescribed 1 Fluconazole 150 MG tablet.  He advised me to try the cream first and if it didn't work (how long I am not sure) to take the pill.  Is it ill advised to take both (I forgot to ask him)?  As far as the fungal infection is concerned, he advised me to wear a condom during sex until it went away to prevent further irritation.  Can you pass fungal infections from one person to another?

As far as the STD's are concerned, he had told me that if I was exposed 2 and 3 days ago, today's tests would not show results... is that true?  If so, should I go back in a week or two and get retested?  Or should I wait to see if I am symptomatic.  

Lastly, if not symptomatic, when is it safe to have unprotected sexual intercourse again with my wife, considering both the risk or the fungal infection as well as the possibility of STD transmission?

Again, I thank you for your time and expertise.

[Edward W Hook, MD]

Thanks for the follow-up.  In answer to your comments and questions:

1.  You did nthe right thing not to take the HSV test.

2.  If I were you, I'd go on and take the fluconazole now, while you continue the cream.  this should take car eof things.

3.  Fungal infections are not typically passed from person to person.  The use of a condom is up to you.  I wouldn't worry about it.  

4.  He was incorrect about testing- it would be reliable after three days for sure and probably after 2 days.  

5.  I suspect things will be fine if you have unprotected sex with your wife.  At this time, any infection is quite unlikely.  EWH

[worried800834]

Thank you again for your response and your time.

Just to clarify one thing, in your first point I think there may have been a typo... You wrote "1.  You did nthe right thing not to take the HSV test. ".

Were you saying that I DID the right thing not to take the HSV test OR were you saying that I DID NOT do the right thing to take the HDV test?  I am pretty sure that you were in support or my decision but due to te typo, I just wanted to clarify.

Thanks again and have a great weekend!

[Edward W Hook, MD]

Sorry for the typo.  I wanted to say - "you did the right thing by not taking the HSV blood test."

EWH