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.
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