Penis Pain: Oral Sex Risks and STD Concerns

Penile issues, oral sex issues, sexually transmitted disease issues?

Hello, five days ago I had unprotected oral sex with a massage worker (but the technique was poor and it seemed to cause me some pain).
At the time, I didn't feel anything unusual, but later that afternoon I had unprotected vaginal intercourse.
Since that day, my penis has been experiencing a tingling pain, but there are no visible injuries.
On the fifth day, the symptoms persist, and the location of the tingling seems to change (in the glans area).
What should I do? I'm very worried.
What could this be?

JACKSON, 20~29 year old female. Ask Date: 2019/01/16

Dr. Cai Zhuorong reply Urology

Trauma or sexually transmitted urethritis could both present with the symptoms you described.
Please visit a urology clinic for further evaluation.

Reply Date: 2019/01/16

More Info

It's understandable to feel anxious after engaging in sexual activities, especially when they involve potential risks for sexually transmitted diseases (STDs). Based on your description, it seems that you had unprotected oral sex followed by unprotected vaginal intercourse, which can indeed raise concerns about STDs. Let's break down your situation and address your concerns.

1. Pain After Oral Sex: The pain you're experiencing in your penis, particularly after having unprotected oral sex, could be due to several factors. It's possible that the technique used during oral sex caused some irritation or micro-trauma to the sensitive skin of the penis. This can lead to localized pain or discomfort, especially if there was any roughness involved. Additionally, if the individual you engaged with had any oral infections, there is a risk of transmitting infections like herpes or gonorrhea, even if you did not notice any symptoms at the time.

2. Symptoms and Timing: The fact that you are experiencing a change in the location of the pain could suggest that it is not solely related to an infection but could also be due to irritation or inflammation. If the pain persists or worsens, it is crucial to seek medical attention. A healthcare provider can perform a thorough examination and may recommend tests to rule out any STDs or other underlying conditions.

3. STD Testing: Given that you had unprotected sex, it is advisable to get tested for STDs, even if you do not have visible symptoms. Many STDs can be asymptomatic, meaning you could be infected without showing any signs. Common tests include those for chlamydia, gonorrhea, syphilis, and HIV. It's generally recommended to wait about 1-2 weeks after potential exposure for accurate testing results, but some tests can be done sooner.

4. Psychological Factors: Anxiety about potential infections can exacerbate physical symptoms. It's not uncommon for individuals to experience heightened sensitivity or discomfort due to stress and worry about their health. This is sometimes referred to as psychosomatic pain, where psychological factors manifest as physical symptoms. If you find that your anxiety is overwhelming, consider speaking with a mental health professional for support.

5. Prevention and Future Considerations: Moving forward, it's essential to practice safer sex to reduce the risk of STDs. This includes using condoms during oral and vaginal sex, as they significantly lower the risk of transmission. Additionally, regular STD screenings are a good practice, especially if you have multiple partners or engage in high-risk behaviors.

6. Follow-Up Care: If your symptoms persist or worsen, or if you develop new symptoms such as discharge, fever, or swelling, seek medical attention promptly. A urologist or a healthcare provider specializing in sexual health can provide you with the necessary care and guidance.

In summary, while your symptoms could be due to irritation from the sexual encounter, it is essential to rule out any infections through testing and to consult with a healthcare provider for a proper diagnosis and treatment plan. Taking proactive steps in your sexual health can help alleviate your concerns and ensure your well-being.

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