STD Risks: Symptoms and Concerns After Intimate Contact - Urology

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Sexually transmitted infections (STIs) issues?


Hello Doctor, regarding my previous question #172069, I recently had deep kissing with my girlfriend and also kissed her breasts.
My hand touched her vagina, and I also licked it (it was my first time).
I accidentally licked some of the vaginal fluid off my hand, and that same hand briefly touched my penis for about a second.
Is there a risk of infection? Since that day, it has been 6 days, and on the 6th day, I experienced symptoms of dizziness and vomiting.
I visited a family doctor and was only given pain medication and other medications.
Could these symptoms possibly be related to a sexually transmitted infection?

K, 20~29 year old female. Ask Date: 2021/08/15

Dr. Du Shixi reply Urology


Hello: This information is for reference only and cannot replace a physician's examination.
If you experience painful urination or discharge, or if there are blisters, lumps, or rashes on the genitals, you should seek medical attention immediately.
Your symptoms are atypical.
Regarding testing, there is currently an issue with the incubation period, and any contact with bodily fluids carries a risk.
You can assess your risk based on the level of sexual activity:
- No risk activities include masturbation, hugging, and touching areas other than the genitals.
- Low-risk activities include mutual masturbation, light kissing, mutual rubbing, and sexual intercourse with a condom.
- Moderate-risk activities include deep kissing, oral sex, and withdrawal before ejaculation.
- High-risk activities include unprotected intercourse and intercourse that causes wounds or bleeding.
Wishing you good health.

Reply Date: 2021/08/15

More Info


When it comes to understanding the risks associated with sexually transmitted diseases (STDs) after intimate contact, it is essential to consider several factors, including the nature of the contact, the symptoms you are experiencing, and the timeline of those symptoms.

From your description, it appears that you engaged in intimate activities that involved kissing and manual and oral stimulation. While these activities can carry some risk of STD transmission, the level of risk varies depending on several factors, including the presence of any infections in either partner, the type of contact, and the specific STDs in question.

1. Risk of Transmission:
- Kissing: Deep kissing can transmit infections like herpes simplex virus (HSV) if one partner has an active outbreak. However, the risk of transmission through kissing is generally low for most other STDs.

- Oral Contact: Oral sex can transmit STDs such as gonorrhea, chlamydia, syphilis, and herpes. If your girlfriend had any of these infections, there could be a risk of transmission through oral contact.

- Manual Stimulation: Touching the vagina and then your own genitals can pose a risk if there are infectious fluids involved. However, the risk is lower compared to penetrative sex.

2. Symptoms:
- The symptoms you are experiencing, such as dizziness and vomiting, are not typical initial symptoms of STDs. Common early symptoms of STDs can include unusual discharge, burning during urination, sores, or rashes. However, it is important to note that some STDs can be asymptomatic, meaning that a person can carry the infection without showing any symptoms.

- Dizziness and nausea can be caused by various factors unrelated to STDs, such as anxiety, stress, or even a viral infection. It is crucial to consider other potential causes for your symptoms.

3. Timeline:
- You mentioned that your symptoms appeared six days after the intimate contact. While some STDs can show symptoms within a few days, others may take weeks or even months to manifest. For example, symptoms of gonorrhea and chlamydia can appear within a week, while HIV symptoms may take longer to show.

4. Next Steps:
- It is advisable to consult a healthcare professional for a thorough evaluation. They may recommend STD testing, which can provide clarity on your situation. Testing is particularly important if you have concerns about potential exposure to STDs.

- In the meantime, try to manage your anxiety regarding the situation. Stress and worry can exacerbate physical symptoms, so finding ways to relax and cope with your concerns is essential.

5. Prevention:
- In the future, consider using protection, such as condoms, during sexual activities to reduce the risk of STD transmission. Regular testing for sexually active individuals is also a good practice, as it helps in early detection and treatment of STDs.

In conclusion, while there is a potential risk of STD transmission based on the activities you described, the symptoms you are experiencing may not be directly related to an STD. It is crucial to seek medical advice for appropriate testing and to address your symptoms. Remember, open communication with your partner about sexual health is also vital for both of your well-being.

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