STDs: Risks and Symptoms After Unprotected Sex - Urology

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Regarding sexually transmitted diseases (STDs)


Hello, Dr.
Chang! I have a question...
Six months ago, after having an encounter with a sex worker, I discovered that the condom broke.
Since then, I've felt something unusual with my glans and penis.
I went to Changhua Erlin Christian Hospital, where I had blood and urine tests done about two months later.
After two weeks, during a follow-up visit, the doctor said there was no sexually transmitted infection (STI) and no inflammation.
However, I occasionally experience sharp pain in my penis, and it seems like the pain extends to the spermatic duct of my testicles (I had a history of hernia but did not seek treatment).
Currently, there are no abnormalities with my glans or penis.
Is there a possibility that I could have contracted an STI?

Daxiong, 20~29 year old female. Ask Date: 2007/05/12

Dr. Zhang Chengye reply Urology


Hello: If the examination shows no issues, please monitor your condition for a while.
If you still feel unwell, seek medical attention for further evaluation.
Thank you.

Reply Date: 2007/05/12

More Info


After engaging in unprotected sex, especially in a situation where a condom broke, it is understandable to have concerns about potential sexually transmitted diseases (STDs). The symptoms you describe, such as occasional pain in the glans and penis, as well as discomfort in the spermatic cord, can be concerning. However, it's important to approach this situation with a clear understanding of the risks, symptoms, and appropriate actions to take.

Firstly, the risk of contracting an STD from a single encounter depends on several factors, including the sexual practices involved, the health status of both partners, and the presence of any visible symptoms. In your case, since you mentioned that the condom broke, there is a potential risk for STDs, including HIV, gonorrhea, chlamydia, and syphilis, among others. However, the fact that you underwent testing two months after the encounter and received negative results for STDs is a positive sign. Most STDs have a window period during which they may not be detectable, but many can be accurately tested for within this timeframe.

The symptoms you are experiencing, such as pain in the glans and the spermatic cord, could be related to a variety of conditions, not necessarily an STD. For instance, these symptoms could be indicative of a non-infectious issue such as inflammation, a nerve-related issue, or even a previous condition like a hernia that you mentioned. It is also worth noting that anxiety and stress about potential infections can manifest as physical symptoms, including pain and discomfort.

Given that you have already been tested and received negative results, it may be beneficial to consider a few steps moving forward:
1. Follow-Up Testing: If you are still concerned about potential STDs, especially if you have new symptoms or if it has been more than three months since your last test, consider getting retested. Some STDs, like HIV, can take longer to become detectable, so testing at the appropriate intervals is crucial.

2. Consult a Specialist: If the pain persists or worsens, it would be wise to consult a urologist or a healthcare provider specializing in sexual health. They can perform a thorough examination and may recommend additional tests to rule out other conditions.

3. Monitor Symptoms: Keep track of any new symptoms that arise, including changes in urination, discharge, or any other unusual sensations. This information can be helpful for your healthcare provider in diagnosing any potential issues.

4. Practice Safe Sex: Moving forward, using condoms consistently and correctly can significantly reduce the risk of STDs. It’s also advisable to have open discussions with sexual partners about sexual health and testing.

5. Mental Health Considerations: If anxiety about potential infections is affecting your quality of life, consider speaking with a mental health professional. They can help you manage these feelings and provide coping strategies.

In summary, while the risk of contracting an STD from a broken condom exists, your negative test results are reassuring. However, if you continue to experience discomfort, seeking further medical evaluation is important. Remember that maintaining open communication with healthcare providers and practicing safe sex are key components in managing sexual health.

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