Concerns About STDs After Unprotected Sex: What You Need to Know - Urology

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I don't know if I have a sexually transmitted infection (STI)?


I had sexual intercourse with my girlfriend without using protection.
She told me that she has had multiple sexual partners in the past without protection as well.
I performed oral sex on her and swallowed a significant amount of her bodily fluids.
As a result, I have been experiencing vomiting and feeling unwell this morning.
I'm unsure if this is due to a possible infection or if it's because I haven't slept more than five hours in the last two days.
Being the only child in my family, I'm very concerned that she might have an infection and could have transmitted it to me during our encounter.

Wei Ni, 20~29 year old female. Ask Date: 2016/03/29

Dr. Li Xinyi reply Urology


There are no answers that can guarantee results, nor can they alleviate your anxiety.
It is recommended that you see a urologist for examination and follow-up.

Reply Date: 2016/03/29

More Info


Engaging in unprotected sex can understandably lead to significant anxiety and concern about sexually transmitted diseases (STDs), including HIV. It’s important to address your worries with accurate information and guidance on the next steps you should take.

Firstly, it’s crucial to understand that the risk of contracting STDs, including HIV, increases with unprotected sexual contact, especially if your partner has had multiple sexual partners in the past. The act of oral sex, while generally considered lower risk than vaginal or anal intercourse, still carries some risk, particularly if there are cuts or sores in the mouth or if your partner has an active infection. Swallowing bodily fluids can also increase the risk of transmission for certain infections.

Given that you have experienced symptoms such as vomiting and general discomfort, it’s essential to consider both the possibility of an STD and the impact of other factors, such as lack of sleep or stress. Sleep deprivation can weaken your immune system, making you feel more unwell and potentially exacerbating any underlying issues. However, the symptoms you are experiencing could also be related to anxiety about your sexual encounter, which is a common reaction.

Here are some steps you should take:
1. Get Tested: It is advisable to get tested for STDs as soon as possible. Many clinics offer confidential testing, and it’s important to check for a range of infections, including HIV, gonorrhea, chlamydia, syphilis, and hepatitis. Testing for HIV is typically recommended at three months post-exposure for accurate results, but some tests can provide results sooner.

2. Monitor Symptoms: Keep an eye on any new or worsening symptoms. If you experience severe symptoms such as high fever, rash, or persistent vomiting, seek medical attention immediately. These could be signs of an acute infection that requires prompt treatment.

3. Communicate with Your Partner: It’s important to have an open and honest conversation with your girlfriend about her sexual health and any potential risks. Encourage her to get tested as well, as this can help both of you understand your health status and take appropriate precautions moving forward.

4. Practice Safe Sex in the Future: To reduce the risk of STDs in the future, always use protection, such as condoms, during sexual activity. This is the most effective way to prevent the transmission of STDs and protect both partners.

5. Seek Support: If you find that your anxiety about this situation is overwhelming, consider speaking with a healthcare professional or a counselor. They can provide support and help you manage your concerns.

In summary, while your symptoms may be related to anxiety or lack of sleep, it’s essential to take proactive steps to ensure your health and the health of your partner. Getting tested, communicating openly, and practicing safe sex are key components of responsible sexual health management. Remember, early detection and treatment of STDs can significantly improve health outcomes, so don’t hesitate to seek medical advice.

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