STD Concerns: Symptoms, Diagnosis, and Treatment - Urology

Share to:

Sexually transmitted infections (STIs) issues?


Hello Doctor, I would like to ask you about a situation.
On July 5th, I had sexual relations with a woman whose health status I am unsure of regarding sexually transmitted infections (STIs).
We used a condom during the encounter.
Since that day, I have been feeling quite complicated emotionally, so I did not masturbate until today, July 22nd.
I started to masturbate again, but on July 25th, during ejaculation, I noticed a slight bleeding on the side of the glans.
I checked and did not see any obvious wounds, but I feel a bit of redness on the side, which seems like a minor abrasion.
I am unsure if this is due to excessive friction or if I might have contracted an STI.
So far, I have not experienced any significant discomfort while urinating, but during masturbation, I feel a slight sensation similar to an abrasion on the side of the glans.
I am very worried.

1.
Is it possible that this situation indicates an STI, or could it just be due to excessive friction?
2.
If I want to see a urologist for an examination, how long after the encounter should I wait for accurate results?
3.
If I go to see a doctor now, how should I explain my symptoms?

Chen, 20~29 year old female. Ask Date: 2019/07/26

Dr. Du Shixi reply Urology


Hello: You can assess the level of risk based on the following principles -
No risk: masturbation
Low risk: mutual masturbation, light kissing, mutual rubbing, sexual intercourse with condoms
Moderate risk: deep kissing, oral sex, withdrawal method
High risk: unprotected sexual activities, causing wounds or bleeding.

1) Both scenarios are possible; wounds should be properly cared for, and the likelihood of friction causing issues is higher.

2) If symptoms are present, medical attention should be sought.
Regarding sexually transmitted infections (STIs), testing is recommended after about three months due to the possibility of the window period.
Some facilities may offer earlier testing.

3) Just describe your situation as it is.
There is no need to withhold information from the doctor.
Wishing you good health.

Reply Date: 2019/07/26

More Info


When it comes to concerns about sexually transmitted diseases (STDs), it's important to approach the situation with a clear understanding of symptoms, diagnosis, and treatment options. Based on your description, let’s address your concerns systematically.

1. Possibility of STDs: Given that you engaged in sexual activity with a partner whose STD status is unknown, there is a potential risk for STDs, even if you used a condom. Condoms significantly reduce the risk of transmission but do not eliminate it entirely. The symptoms you describe—mild bleeding from the side of the glans penis and a sensation of irritation—could be due to several factors. These include friction or irritation from masturbation, especially if it was vigorous or if there was insufficient lubrication. However, they could also indicate an STD, particularly if you notice other symptoms such as unusual discharge, pain during urination, or persistent irritation.

2. Timing for Accurate Testing: If you are concerned about STDs, it’s advisable to wait at least 1-2 weeks after potential exposure before getting tested for most STDs, as this allows enough time for the infections to become detectable. However, some STDs have different window periods. For example, HIV testing is recommended at 2-4 weeks for initial screening, but a conclusive result is typically obtained at 3 months. If you are experiencing symptoms, it is best to consult a healthcare provider sooner rather than later.

3. Communicating with Your Doctor: When you visit a urologist or any healthcare provider, it’s essential to be open and honest about your symptoms and concerns. You can explain that you had a sexual encounter with an unknown partner and describe the symptoms you are experiencing, such as the mild bleeding and irritation. You might say something like, "I had a sexual encounter on July 5th, and since then, I've noticed some irritation on the side of my glans penis, along with a slight bleeding during ejaculation. I’m concerned about the possibility of an STD." This information will help the doctor assess your situation more effectively.

In addition to these points, here are some general recommendations:
- Avoid Irritation: Until you see a doctor, try to avoid any activities that may further irritate the area, such as vigorous masturbation or sexual activity.

- Monitor Symptoms: Keep an eye on any changes in your symptoms. If you develop additional symptoms such as discharge, pain during urination, or fever, seek medical attention promptly.

- Testing for STDs: Be prepared for a range of tests, which may include urine tests, blood tests, or swabs from the genital area, depending on the symptoms and the doctor's assessment.

In conclusion, while your symptoms may be due to friction or irritation, it’s crucial to rule out any potential STDs, especially given the circumstances of your recent sexual encounter. Seeking medical advice and testing is the best course of action to ensure your health and peace of mind.

Similar Q&A

Understanding STD Symptoms and Treatment: A Urology Perspective

Hello Doctor: I had unprotected sexual intercourse 15 days ago. A week later, I noticed small red bumps on the glans. After consulting a urologist, I was diagnosed with a fungal infection (Candida) and received medication. During the treatment, initially, I experienced occasional...


Dr. Du Shixi reply Urology
Hello: 1) Syphilis requires a blood test for diagnosis because the symptoms can vary, and no physician can diagnose it based solely on symptoms. 2) HIV should be tested again after about 100 days for more reliable results. 3) Both syphilis and HIV are transmitted through sexual c...

[Read More] Understanding STD Symptoms and Treatment: A Urology Perspective


Understanding STDs: Symptoms, Testing, and Health Insurance Coverage

I am concerned because my ex-boyfriend has been with many partners, and I am afraid of contracting sexually transmitted infections (STIs), particularly HIV/AIDS. Could you please explain the symptoms of diseases like syphilis, gonorrhea, and AIDS? Additionally, what type of tests...


Dr. Wei Fumao reply Obstetrics and Gynecology
Some parts will require out-of-pocket expenses, while others may be covered by health insurance. Syphilis can present with certain symptoms, and gonorrhea may cause an increase in discharge and discomfort during urination; however, some individuals may be asymptomatic. If you are...

[Read More] Understanding STDs: Symptoms, Testing, and Health Insurance Coverage


Understanding STDs: Symptoms, Risks, and Insights on HIV

Sure, I can explain sexually transmitted infections (STIs), including HIV/AIDS, and their symptoms. Sexually transmitted infections are infections that are primarily spread through sexual contact. Common STIs include chlamydia, gonorrhea, syphilis, herpes, and HIV/AIDS. 1. Ch...


Dr. Xu Weikai reply Urology
This user: Hello, each type of sexually transmitted infection (STI) has different clinical symptoms. Most have specific symptoms, while a few do not. It is difficult to answer your question one by one, so I will provide a brief introduction to the more common STIs. Gonorrhea: I...

[Read More] Understanding STDs: Symptoms, Risks, and Insights on HIV


Understanding STD Testing and Symptoms: Your Concerns Addressed

Hello, doctor. I would like to ask a question. I had unprotected sexual intercourse in mid-August 2015, followed by unprotected oral sex. Because I was worried about sexually transmitted infections (STIs), I got tested three times: at the end of August, mid-October, and mid-Decem...


Dr. Xu Weikai reply Urology
Hello, theoretically, there is no HIV infection. If there are any unclear points, feel free to ask again, and we can discuss and research further. Answers from the internet should only serve as a reference; if necessary, it is important to seek medical care at a healthcare facili...

[Read More] Understanding STD Testing and Symptoms: Your Concerns Addressed


Related FAQ