Urological Concerns After Oral Sex: A Case Study

Oral sex with a condom in a hotel?

On August 6, 2018, I visited a hotel and had oral sex with a sex worker using a condom, as well as manual stimulation.
I did not ejaculate.
Later, I found another sex worker at a different hotel who helped me put on a condom using her mouth for oral sex and manual stimulation.
The next day, I noticed a slight redness on my foreskin.
I was unsure if it was due to my frequent touching.
About two days later, when I wiped with tissue, there was a little blood.
I subsequently saw a doctor who said it was a skin tear and prescribed ointment.
I also got tested for herpes, and the result was type 1.
After applying the medication, I felt better the next day, but I experienced intermittent inflammation of the foreskin.
On September 6, 2018, on the 28th day, I went to the Veterans General Hospital for anonymous testing, and both HIV and syphilis tests were negative.
On September 14, I noticed small red spots on the glans and thought it might be inflammation again.
After manual stimulation, I discovered the red spots had eroded the next day, and there was blood when I wiped with tissue.
I used the ointment prescribed by the doctor for the skin tear, but after three days, there was no improvement.
I returned to the doctor and informed him that I had tested negative for HIV and syphilis a month prior.
The doctor said it looked like a herpes lesion that had ruptured.
However, I noticed that the area appeared white, possibly due to moisture, but when I wiped it with tissue, it returned to a red, eroded appearance.
Feeling uneasy, I went back to the Veterans General Hospital for anonymous testing on September 20, and the results were still negative.
During this period, another red spot developed, and the next day, I visited the urology department at Chang Gung Memorial Hospital.
The doctor noted that the appearance resembled an ulcer.
I informed the doctor that I had tested negative for HIV and syphilis the day before, and he said that sexually transmitted infections could be ruled out.
He prescribed medication and ointment.
I researched online and found that if syphilis is tested negative after one month, it is likely not an infection.
Am I at risk for syphilis? Strictly speaking, I was tested one and a half months later.

Luòtuó, 20~29 year old female. Ask Date: 2018/09/22

Dr. Xu Wencang reply Urology

The incubation period for syphilis can last up to three months; if you're concerned, you may consider getting tested again.

Reply Date: 2018/09/22

More Info

When it comes to concerns about sexually transmitted infections (STIs) following oral sex, it's essential to understand the risks involved and the nature of the symptoms you're experiencing. Based on your case, it appears that you have undergone multiple tests for STIs, including HIV and syphilis, all of which returned negative results. This is a positive indication, especially since you have been tested at intervals following your sexual encounters.

1. Understanding STI Risks from Oral Sex: Oral sex can transmit certain STIs, including herpes, gonorrhea, and syphilis, but the risk is generally lower compared to vaginal or anal intercourse. In your case, you mentioned that you had protected oral sex, which significantly reduces the risk of transmission. However, if there were any breaks in the condom or if the condom was not used properly, there could still be a risk.

2. Symptoms and Their Implications: The symptoms you described, such as redness and irritation of the glans and foreskin, could be due to several factors. These include friction from sexual activity, irritation from personal hygiene products, or even a mild yeast infection. The presence of blood when wiping could indicate a minor injury or irritation rather than an STI. The fact that your doctor has examined you and suggested that the symptoms appear consistent with a herpes outbreak is important. Herpes can cause localized symptoms, including redness and ulceration, which can sometimes be mistaken for other conditions.

3. Testing and Follow-Up: Since you have tested negative for HIV and syphilis, and given that your symptoms have been evaluated by a healthcare professional, it is reasonable to conclude that you are not infected with these STIs. The general guideline is that if you test negative for syphilis one month after potential exposure, the likelihood of infection is very low. However, if you continue to experience symptoms or if new symptoms arise, it is crucial to follow up with your healthcare provider for further evaluation. They may recommend additional tests or treatments based on your ongoing symptoms.

4. Psychological Factors: It's also worth noting that anxiety and stress about potential STIs can exacerbate physical symptoms. The mind-body connection is powerful, and sometimes the fear of infection can lead to heightened awareness of bodily sensations, which may be interpreted as symptoms. If you find that anxiety is affecting your quality of life, consider speaking with a mental health professional who can help you manage these feelings.

5. Communication with Partners: If you have concerns about your sexual health, it’s important to communicate openly with your sexual partners. Discussing STI testing and safe sex practices can help alleviate anxiety and promote a healthier sexual relationship.

In summary, based on the information provided, it seems that your risk of having contracted an STI is low, especially given the negative test results. However, if symptoms persist or worsen, further medical evaluation is warranted. Always prioritize open communication with healthcare providers and partners to ensure a healthy sexual experience.

Similar Q&A

Understanding Urological Concerns After Unprotected Oral Sex

Hello Doctor: On October 12, I just received my salary and became a bit curious about sexual activities, so I contacted a woman via Line. She performed oral sex on me without a condom, but I used a condom during intercourse. The next day, I occasionally felt a slight soreness or ...

Dr. Sun Hongshun reply Urology
Hello: I'm not sure if the illness you mentioned is genital warts, HIV, or a common urinary tract infection. In fact, all of the above conditions cannot be ruled out, and it may simply be due to pulling or strain on the penis or testicles after sexual activity. I recommend v...

Urgent Urology Concerns: Understanding Risks and Symptoms After Oral Sex

Hello, Doctor... About two weeks ago, on December 11, I engaged in risky oral sex. Since then, I've been very anxious. Previously, I experienced a stinging sensation when urinating, so I went to see a doctor who performed a brief urinalysis. The doctor said there were no sig...

Dr. Huang Chikai reply Urology
Hello, Ajie: The gas sounds and discomfort in your lower abdomen you described are likely unrelated to the oral sex on December 11. However, if you are concerned about the possibility of infections such as gonorrhea, syphilis, or other conditions, please visit a urology specialis...

Understanding Infection Risks in Urology: Oral Sex and Health Concerns

The likelihood of contracting a disease after receiving oral sex for one to two minutes can vary based on several factors, including the presence of sexually transmitted infections (STIs) in either partner, the use of protection, and overall sexual health. It is advisable to cons...

Dr. Xu Wencang reply Urology
If you are concerned, you can visit the outpatient clinic for screening.

Urgent Urology Concerns: Addressing Post-Encounter Anxiety and Symptoms

Dr. Hsu: I would like to ask you, on February 13th, I was very intoxicated and had oral sex for a few seconds. After a few seconds of penetration, I was unable to continue. The female partner is very worried about the possibility of infection and has been feeling anxious every da...

Dr. Xu Weikai reply Urology
Hello, if it's really urgent, you can go to a large hospital for medical care. Large hospitals have departments such as Urology, Infectious Diseases, and Family Medicine available every day, which can perform relevant tests. If there are any unclear points, feel free to ask ...