Concerns About STDs After Oral Sex: Symptoms and Testing Explained

Three years ago, I only had unprotected oral sex and I'm worried about sexually transmitted infections or HIV?

Hello doctor, I had an encounter in 2015 with a girl of the same age.
The only sexual activity was unprotected oral sex, and there were no further actions.
However, I later learned that she had also engaged in unprotected oral sex with another guy, who has a fairly active sexual life.
Since that encounter, I have not had any other sexual activities until now (2018).
In December 2017, I experienced symptoms of urethral and bladder inflammation, and the doctor prescribed antibiotics.
After finishing the antibiotics, the pain subsided, but I still have symptoms of frequent urination.
A few weeks ago, I noticed some slight peeling of the glans, but I didn’t pay much attention to it, and the peeling did not worsen.
I am very worried about having a sexually transmitted infection (STI).
Does the slight peeling of the glans indicate an STI? Given that I have had no symptoms during this time, could I still have HIV, gonorrhea, syphilis, genital warts, or chlamydia? After such a long time without symptoms, which STIs should I get tested for? I am really concerned.

Danxin de nansheng, 20~29 year old female. Ask Date: 2018/03/16

Dr. Xu Wencang reply Urology

You can visit the outpatient clinic for follow-up examinations.

Reply Date: 2018/03/16

More Info

It's understandable to have concerns about sexually transmitted diseases (STDs) after engaging in oral sex, especially when there are multiple partners involved. Let's break down your situation and address your concerns regarding symptoms, testing, and potential risks associated with STDs.

Understanding the Risks of Oral Sex
Oral sex can transmit several STDs, including but not limited to:
1. Gonorrhea: This bacterial infection can infect the throat and may not always present symptoms.

2. Chlamydia: Similar to gonorrhea, it can also infect the throat and may be asymptomatic.

3. Syphilis: This can be transmitted through direct contact with syphilis sores.

4. Herpes: Oral herpes (HSV-1) can be transmitted through oral sex, especially if the partner has an active outbreak.

5. HIV: While the risk is lower compared to vaginal or anal sex, transmission is still possible, particularly if there are cuts or sores in the mouth.

Symptoms and Their Implications
You mentioned experiencing a few symptoms, such as:
- Urethral pain and frequent urination: These could indicate a urinary tract infection (UTI) or possibly a sexually transmitted infection affecting the urethra.

- Glenal peeling: This could be due to irritation, an allergic reaction, or a mild infection. It is not specific to STDs.

The absence of symptoms for an extended period (from 2015 to 2018) is a positive sign, as many STDs would typically present symptoms sooner. However, some infections can remain asymptomatic for long periods.

Testing Recommendations
Given your history and concerns, it is advisable to get tested for the following STDs:
1. HIV: A standard test can determine if you are HIV positive.

2. Gonorrhea and Chlamydia: A urine test or throat swab can check for these infections.

3. Syphilis: A blood test can detect syphilis.

4. Herpes: A blood test can determine if you have been exposed to HSV-1 or HSV-2.

5. Hepatitis A and B: These can also be tested through blood tests.

Conclusion
While your concerns are valid, the absence of symptoms for several years is a reassuring factor. However, testing is the only way to confirm your status regarding STDs. It is essential to consult with a healthcare provider who can guide you through the testing process and interpret the results accurately.
Additionally, if you experience any new symptoms or changes in your health, do not hesitate to seek medical attention. Regular check-ups and open communication with sexual partners about sexual health can significantly reduce the risk of STDs. Remember, early detection and treatment are crucial for maintaining sexual health.

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