Gland Issues: Risks of Unprotected Sex and Symptoms - Urology

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Glans issues


On May 22, during intercourse, there were a few instances without a condom.
Is the risk of contracting HIV high in this situation? After no kissing, I noticed many red spots on the glans after masturbation, which quickly disappeared.
I consulted a urologist who said it was due to excessive cleaning and prescribed Neomycin ointment for me to apply.
Even after a long time, I still have red spots after ejaculation.
If I get tested on August 22, will the results be accurate, or should I wait another day?

A, 20~29 year old female. Ask Date: 2017/08/04

Dr. Du Shixi reply Urology


Hello: There is a possibility of transmission as long as there is contact with bodily fluids (of course, this depends on whether the sexual partner has a sexually transmitted infection).
It has been three months, so you should get tested.
Wishing you good health.

Reply Date: 2017/08/04

More Info


When it comes to understanding the risks associated with unprotected sex and the potential symptoms that may arise, it's essential to consider several factors, including the nature of the sexual encounter, the presence of symptoms, and the timing of testing for sexually transmitted infections (STIs), including HIV.

1. Risk of HIV Transmission: Engaging in unprotected sex, even if it is only for a few moments, does carry a risk of HIV transmission, especially if one partner is HIV positive. The risk is heightened if there are any open cuts or sores on either partner, as these can serve as entry points for the virus. However, the risk of transmission is not solely dependent on the act itself but also on the viral load of the HIV-positive partner, the presence of other STIs, and the overall health of both individuals involved.

2. Symptoms Following Sexual Activity: The appearance of red spots on the glans (the head of the penis) after ejaculation could be indicative of several conditions. While the doctor has suggested that this may be due to excessive cleaning, it is also important to consider other possibilities, such as irritation, allergic reactions, or even an early sign of an STI. If these red spots persist or are accompanied by other symptoms such as pain, discharge, or itching, it is crucial to seek further medical evaluation.

3. Timing of HIV Testing: Regarding HIV testing, it is important to understand the window period. HIV tests can vary in their detection capabilities. Most standard tests can reliably detect HIV antibodies within 2 to 8 weeks after exposure, but it is often recommended to wait at least 3 months for a conclusive result. If you are considering testing on August 22, it may be too soon to obtain a reliable result if the exposure occurred on May 22. However, if you are experiencing symptoms or have concerns, it is advisable to consult with a healthcare provider about the best course of action.

4. Preventive Measures: Moving forward, it is crucial to practice safer sex to reduce the risk of STIs. This includes using condoms consistently and correctly during all forms of sexual activity, getting tested regularly for STIs, and ensuring that both partners are aware of their sexual health status. Additionally, if you or your partner are at higher risk for HIV, consider discussing pre-exposure prophylaxis (PrEP) with a healthcare provider.

5. Environmental Factors: It is also worth noting that STIs are not transmitted through casual contact or shared environments (like bathtubs or towels). They are primarily transmitted through direct sexual contact or sharing needles.
In conclusion, while the risk of contracting HIV from a brief unprotected encounter exists, the actual risk depends on various factors. If you have concerns about your sexual health or symptoms, it is best to consult a healthcare professional who can provide personalized advice and testing options. Regular check-ups and open communication with partners about sexual health are key components in maintaining sexual health and preventing STIs.

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