Could I Have Contracted an STD After Recent Sexual Encounter? - Urology

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Could I have a sexually transmitted infection (STI)?


Hello, I had contact with a sex worker two weeks ago, with unprotected oral sex and protected vaginal intercourse.
Recently, I've been experiencing a burning sensation at the urethral opening (even when not urinating), dull pain in the lower abdomen, and frequent urges to urinate.
However, I've been busy with work, which has led to drinking less water, holding in urine, and social drinking.
Is there a possibility that I could have contracted a sexually transmitted infection (STI)?

Mr. Lin, 20~29 year old female. Ask Date: 2020/09/20

Dr. Cai Zhuorong reply Urology


Unprotected oral sex can transmit multiple sexually transmitted infections (STIs).
It is recommended to seek medical evaluation and testing.

Reply Date: 2020/09/20

More Info


Based on your recent sexual encounter and the symptoms you are experiencing, it is understandable to be concerned about the possibility of contracting a sexually transmitted disease (STD). You mentioned having unprotected oral sex and protected vaginal intercourse with a sex worker, followed by symptoms such as urethral pain and lower abdominal discomfort.
Firstly, it's important to note that the risk of contracting HIV through unprotected oral sex is generally considered low, but it is not zero. The risk can increase if there are cuts or sores in the mouth or if the partner is HIV positive. The protected vaginal intercourse significantly reduces the risk of HIV transmission, provided the condom did not break or slip off during the act.

Your symptoms, including urethral pain and increased urinary frequency, could be indicative of a urinary tract infection (UTI) or possibly a sexually transmitted infection (STI) such as gonorrhea or chlamydia. Both of these infections can cause similar symptoms and are transmitted through sexual contact. It is also worth considering that factors such as dehydration, holding in urine, and alcohol consumption can contribute to urinary discomfort and increased urgency.

Given your situation, it is advisable to seek medical attention for a thorough evaluation. A healthcare provider can perform tests to determine if you have an STI or UTI. Testing for STIs typically includes urine tests and blood tests, which can identify infections like chlamydia, gonorrhea, and HIV.
In terms of timing for testing, it is generally recommended to wait at least 1-2 weeks after potential exposure for accurate results for most STIs, while HIV testing can be done at 4-6 weeks for more reliable results. However, if you are experiencing significant symptoms, it is best to see a healthcare provider sooner rather than later.
In the meantime, it is important to refrain from any sexual activity until you have been evaluated and treated if necessary. This helps prevent the potential spread of any infections to partners.
Lastly, while it is natural to feel anxious about the possibility of STDs, remember that many STIs are treatable with appropriate medical care. Open communication with your healthcare provider about your concerns and symptoms will help ensure you receive the best care possible.
In summary, while there is a possibility of contracting an STD given your recent sexual encounter, the best course of action is to seek medical evaluation and testing. This will provide clarity on your health status and allow for appropriate treatment if needed.

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