Risks and Symptoms After Unprotected Sexual Encounter - Urology

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Engaged in unsafe sexual practices?


Hello Doctor: A week ago, I had sexual intercourse with a woman.
Initially, I did not use a condom, but after about 30 seconds, I put one on.
Afterward, I noticed blood stains on the condom.
A few days later, I experienced slight pain while urinating.
On Friday, I accidentally injured the glans during masturbation, causing it to bleed.
The next day, I noticed redness and swelling at the tip of the glans, with a whitish, odorless discharge.
My underwear also had some white discharge, and I experienced pain while urinating.
After asking my partner, I learned that she had a severe case of urethritis a few years ago.
The next day, I saw a doctor, and she informed me that I have urethritis and I am currently taking antibiotics.
My current symptoms include redness and swelling of the glans, slight purulent discharge (whitish, odorless), some ulceration at the tip of the glans (dark), and mild pain while urinating (especially when I drink less water).
I would like to ask the doctor a few questions: 1.
Is this likely gonorrhea or balanitis? 2.
Is there a high risk of contracting HIV from this situation? Can I still seek treatment after a week? 3.
Is it necessary to report this? Thank you, Doctor!

Kris, 20~29 year old female. Ask Date: 2021/11/09

Dr. Chen Jiansheng reply Urology


Please seek medical attention.

Reply Date: 2021/11/09

More Info


When it comes to understanding the risks and symptoms associated with unprotected sexual encounters, it is crucial to approach the situation with a clear understanding of sexually transmitted infections (STIs), including HIV, and the potential complications that can arise from such encounters.

From your description, it appears that you engaged in sexual activity without a condom for a brief period, which can increase the risk of transmitting STIs, including HIV. The fact that you noticed blood on the condom afterward is concerning, as it may indicate that there was some form of trauma or infection present. The symptoms you are experiencing, such as pain during urination, redness and swelling of the glans (the head of the penis), and the presence of a white discharge, suggest that you may have developed a urethral infection, possibly urethritis, which can be caused by various pathogens, including Neisseria gonorrhoeae (the bacteria that causes gonorrhea) or Chlamydia trachomatis.

1. Diagnosis of Gonorrhea or Balanitis: Given your symptoms, it is essential to consult a healthcare provider for a proper diagnosis. Gonorrhea can present with symptoms similar to what you are experiencing, including painful urination and discharge. Balanitis, which is inflammation of the glans, can also occur due to irritation, infection, or an allergic reaction. A healthcare provider can perform tests to determine the exact cause of your symptoms and prescribe appropriate treatment.

2. Risk of HIV Infection: The risk of HIV transmission during unprotected sexual intercourse depends on several factors, including the viral load of the HIV-positive partner, the presence of cuts or sores, and the type of sexual activity. Since you mentioned that the condom had blood on it, there is a potential risk of exposure to HIV if your partner is HIV-positive. However, using a condom significantly reduces the risk of transmission. It is advisable to get tested for HIV and other STIs, especially if you have engaged in unprotected sex. Testing is typically recommended at baseline and again at three months post-exposure for accurate results.

3. Reporting and Follow-Up: If you are diagnosed with an STI, it is important to inform any sexual partners so they can also get tested and treated if necessary. This is not only a responsible action but also helps in controlling the spread of infections. If you are prescribed antibiotics for your current symptoms, it is crucial to complete the full course of medication, even if symptoms improve before finishing the treatment.

4. Seeking Medical Attention: Given the symptoms you are experiencing, it is advisable to seek medical attention as soon as possible. Delaying treatment can lead to complications, including the potential for the infection to spread or worsen. If you are experiencing severe pain, fever, or any other concerning symptoms, do not hesitate to go to the emergency room.

In summary, it is essential to take your symptoms seriously and seek medical evaluation promptly. Engaging in safe sexual practices, including the consistent use of condoms, is crucial in reducing the risk of STIs, including HIV. Regular testing and open communication with partners about sexual health are also key components of maintaining sexual health.

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