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

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Sexually transmitted infections - unprotected oral sex


Hello doctor, I apologize for bothering you.
On January 15th, I had unprotected oral sex at a massage parlor for about 2 minutes.
I already have a history of scrotal eczema and glans inflammation (the dermatologist said it was due to dryness and friction).
I regret it and am worried about sexually transmitted infections (STIs) affecting my family and children.
I would like to ask:
1.
Is scrotal eczema (which is red but not itchy) and slight glans inflammation considered an open wound?
2.
It has been 10 days since the incident.
What can I do to rule out STI infections?
3.
Can I go for STI screening now?
4.
I visited a urology clinic, and the doctor advised me to return only if I have symptoms.
Should I see an infectious disease specialist if I feel unwell?
5.
Recently, my throat has felt a bit uncomfortable.
I saw a doctor who said it was slightly red (I tend to get anxious and have a history of gastric ulcers).
I'm unsure if this discomfort is related to my stomach issues, as I read online that early HIV infection can present with flu-like symptoms, which makes me anxious.
6.
Since I have not been tested yet, what precautions should I take with my family, especially since there is a baby at home? I am very worried about affecting him, and I have been feeling anxious these past few days.

Thank you for your assistance.

Hòuhuǐ, 30~39 year old female. Ask Date: 2018/01/25

Dr. Du Shixi reply Urology


Hello: 1) There will often be small wounds, which may not be visible.
2 & 3) It is recommended to have check-ups at 6 weeks and again after 3 months (if there are any growths or pain during urination, consult a physician immediately).
4) Both urology and infectious disease specialists are suitable.
5) If it is HIV, it may not be detectable in blood tests at this time.
6) Sexually transmitted infections (STIs) are not easily transmitted; just avoid contact with saliva and secretions, especially with family members who have weakened immune systems.
STIs require sexual contact for transmission to occur.
Wishing you good health.

Reply Date: 2018/01/25

More Info


It’s understandable to feel anxious after engaging in unprotected oral sex, especially when considering the potential risks of sexually transmitted infections (STIs). Let’s address your concerns systematically.

1. Are the symptoms of eczema and mild inflammation considered wounds?
Eczema and mild inflammation of the glans (the head of the penis) can create a compromised skin barrier, which may increase susceptibility to infections, including STIs. However, these conditions themselves are not classified as open wounds. It’s important to maintain good hygiene and avoid further irritation to these areas.

2. Is it too late to worry about STI infection after 10 days?
The window period for many STIs varies, but many can be detected within a week to a few weeks after exposure. For example, HIV can typically be detected within 10 to 14 days using an antibody test, while other STIs like gonorrhea and chlamydia may show up sooner. Since it has been 10 days, it is advisable to get tested for STIs, including HIV, to alleviate your concerns.

3. Can I get tested for STIs now?
Yes, you can and should get tested for STIs. Many clinics offer confidential testing, and it’s a proactive step to ensure your health and the health of your loved ones. Testing can provide peace of mind and help you understand if any treatment is necessary.

4. Should I see an infectious disease specialist?
If you are experiencing symptoms or have ongoing concerns about potential infections, it may be beneficial to consult with an infectious disease specialist. They can provide more targeted testing and advice based on your specific situation. However, if your symptoms are mild and you have already seen a urologist, it may be reasonable to follow their advice and return if symptoms worsen.

5. What about my throat discomfort?
Throat discomfort can arise from various causes, including anxiety, allergies, or even gastrointestinal issues, especially if you have a history of ulcers. While some STIs can cause throat symptoms, the likelihood of this being related to HIV is low if you have been tested and the results are negative. It’s essential to monitor your symptoms and consult a healthcare provider if they persist or worsen.

6. What precautions should I take at home, especially with a baby?
STIs are primarily transmitted through sexual contact, and the risk of transmission to a non-sexually active infant is extremely low. However, it’s always wise to practice good hygiene. Wash your hands frequently, avoid sharing personal items like towels, and ensure that any open sores are covered. If you are concerned about your health, it’s best to seek medical advice and follow the recommendations of your healthcare provider.

In summary, it’s crucial to get tested for STIs as soon as possible to address your concerns. Maintaining open communication with your healthcare provider will help you navigate this situation effectively. Remember, many STIs are treatable, and early detection is key to managing your health. Take care of yourself, and don’t hesitate to reach out for support from medical professionals.

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