Post-Sexual Activity: Urethral Symptoms and Concerns

After sexual intercourse

Hello Dr.
Du, I have a few questions I would like to ask you.
I had sexual intercourse with my girlfriend on February 21.
During this encounter, she performed oral sex on me without a condom, but she rinsed her mouth with hot water beforehand.
I used a condom during intercourse, and afterward, I immediately washed up.
After the encounter, I experienced some itching at the urethral opening, but that resolved after about 3 to 4 days, and I have had no symptoms since then.
It has now been almost six weeks, and there have been no unusual occurrences.
Should I still be concerned?

A Xin, 20~29 year old female. Ask Date: 2018/03/26

Dr. Du Shixi reply Urology

Please cherish our online medical resources.
When asking the same question, please specify only one physician or nutritionist.
Hello: If there are no specific symptoms, it should be fine; however, the key point is that unprotected oral sex is considered moderately risky, assuming the sexual partner has a sexually transmitted infection (STI).
You may refer to http://www.isu.edu.tw/upload/04/7/news/postfile_60883.pdf.
Wishing you good health.

Reply Date: 2018/03/26

More Info

It's great that you're reaching out with your concerns regarding post-sexual activity symptoms. Based on your description, it seems that you experienced some mild urethral itching shortly after engaging in sexual activity, but this symptom resolved itself within a few days. Given that you have not experienced any further symptoms in the weeks following the incident, it is likely that you do not have a serious issue to worry about. However, let’s explore this situation in more detail.

Firstly, it's important to understand that mild irritation or itching at the urethral opening can occur for various reasons, especially after sexual activity. This can be due to friction, the use of lubricants, or even the presence of bacteria from the skin or genital area. In your case, since you mentioned that you used a condom during intercourse and rinsed afterward, the likelihood of a sexually transmitted infection (STI) is reduced, especially if both you and your partner are monogamous and have been tested for STIs.

However, it’s also essential to consider that some STIs can be asymptomatic, meaning they may not show symptoms immediately or at all. Common STIs such as chlamydia and gonorrhea can sometimes present with mild symptoms or none at all. Therefore, if you have any concerns about potential exposure, it would be prudent to get tested, even if you are currently symptom-free. Regular testing is a responsible practice, especially if you are sexually active.

Additionally, the fact that you mentioned your partner rinsed her mouth with hot water before oral sex is a good hygiene practice, but it does not eliminate the risk of transmitting infections. Oral sex can still pose a risk for STIs, including herpes and syphilis, even if precautions are taken.
Since you experienced a transient symptom that resolved on its own, it’s a positive sign. However, if you notice any new symptoms such as persistent itching, burning during urination, unusual discharge, or any other discomfort, it would be wise to consult a healthcare provider. They can perform a thorough examination and possibly run tests to rule out any infections or other underlying conditions.

In summary, while your current lack of symptoms is reassuring, it’s always best to err on the side of caution. Regular STI screenings, open communication with your partner about sexual health, and practicing safe sex are all important steps in maintaining sexual health. If you have any lingering doubts or if symptoms arise in the future, do not hesitate to seek medical advice. Your health and peace of mind are paramount.

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