Risk of sexually transmitted infections (STIs)
Hello doctor, on October 2nd, I had an encounter with a sex worker.
During the encounter, I had unprotected oral sex, genital rubbing (without penetration), and protected vaginal intercourse.
Two days later, I experienced a burning sensation while urinating, and after urination, there was an itching sensation at the urethral opening.
In the morning, when I squeezed from the base of the penis, I noticed a small amount of white discharge (less than a drop), which has persisted for over 10 days.
Could this be a symptom of a sexually transmitted infection?
Y, 30~39 year old female. Ask Date: 2022/10/15
Dr. Cai Zhuorong reply Urology
If there is discharge from the urethra, consider gonorrhea or chlamydia infection.
Reply Date: 2022/10/15
More Info
When assessing the risk of sexually transmitted diseases (STDs), including HIV, after a sexual encounter, it is essential to consider the nature of the activities involved, the use of protection, and any symptoms that may arise afterward. In your case, you mentioned engaging in unprotected oral sex, genital rubbing without penetration, and protected vaginal intercourse with a sex worker.
Firstly, unprotected oral sex does carry a risk of transmitting STDs, including HIV, though the risk is generally lower compared to unprotected vaginal or anal intercourse. The presence of any cuts or sores in the mouth can increase this risk, as they may provide a pathway for the virus to enter the bloodstream. However, if there were no visible injuries or bleeding in your mouth during the encounter, the risk remains relatively low.
The genital rubbing without penetration also poses a lower risk for HIV transmission, but it is still important to consider the potential for other STDs, as bodily fluids can be exchanged during such activities. The use of a condom during vaginal intercourse significantly reduces the risk of HIV and other STDs, provided the condom did not break or slip off during the act.
Now, regarding the symptoms you are experiencing—burning sensation during urination, itching at the urethral opening, and a small amount of white discharge—these could be indicative of a urinary tract infection (UTI) or a sexually transmitted infection (STI) such as gonorrhea or chlamydia. It is important to note that symptoms of STIs may not appear immediately after exposure; they can take days to weeks to manifest.
Given that you have had these symptoms for over ten days, it is advisable to seek medical attention as soon as possible. A healthcare provider can perform a thorough examination, including urine tests and possibly swabs, to determine if you have an infection and what type it may be. Early diagnosis and treatment are crucial in managing STIs effectively and preventing complications.
In summary, while the risk of contracting HIV from the activities you described is relatively low, the symptoms you are experiencing warrant further investigation. It is essential to get tested for STIs, including HIV, especially if you have concerns about potential exposure. Regular screenings are a vital part of maintaining sexual health, particularly after encounters that involve unprotected sex or multiple partners. Remember, practicing safe sex, including the consistent use of condoms and regular health check-ups, is the best way to protect yourself and your partners from STIs.
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