Symptoms After Unprotected Sex: What You Need to Know - Urology

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Hello, Dr.
Hsu.
I had a one-night stand with a woman yesterday, but the condom disappeared during intercourse, and I ejaculated inside her vagina.
After pulling out, I noticed a foul odor coming from her vagina.
Since last night, I've also developed a rash all over my body.
Could this be a sign of a sexually transmitted infection (STI)? What specific diseases should I be concerned about, and what is their incubation period? The rash makes me feel uneasy, and what symptoms should I watch for? I live in Pingtung; where can I go for testing, and can it be done anonymously? I am not married; will this affect my future fertility?

Niming, 20~29 year old female. Ask Date: 2010/05/06

Dr. Xu Weikai reply Urology


Hello, there are many types of sexually transmitted infections (STIs), and it's not possible to address them all here.
If you're concerned about confidentiality, you can visit the Centers for Disease Control website, which has a list of designated medical facilities that offer anonymous STI testing, completely free of charge.
If you have any further questions or need more detailed information, feel free to ask, and we can discuss and research together.
This response is from Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2010/05/06

More Info


After engaging in unprotected sex, especially when a condom is lost during intercourse, it is crucial to be aware of potential health risks and symptoms that may arise. The situation you described, where you experienced an unusual odor from the woman's vagina and subsequently developed a rash all over your body, raises several concerns that warrant immediate attention.

First and foremost, the loss of a condom during intercourse can increase the risk of sexually transmitted infections (STIs), including but not limited to chlamydia, gonorrhea, syphilis, and HIV. The odor you noticed could indicate a possible infection, either in you or your partner. Vaginal odors can be caused by bacterial vaginosis, yeast infections, or STIs, and it is essential to have both partners evaluated to determine the cause.

The rash you are experiencing could be a reaction to various factors, including an allergic reaction to latex (if the condom was latex), irritation from sexual activity, or a symptom of an STI. Rashes can also be associated with conditions like herpes or syphilis, which may present with additional symptoms such as sores or lesions.
Regarding the incubation periods for STIs, they can vary significantly:
- Chlamydia and gonorrhea may show symptoms within 1 to 3 weeks after exposure.

- Syphilis can take anywhere from 10 days to 3 months to show symptoms.

- HIV may take 2 to 4 weeks for acute symptoms to appear, but some individuals may remain asymptomatic for years.

Given your symptoms and the circumstances, it is advisable to seek medical attention as soon as possible. You should visit a healthcare provider, preferably a urologist or a sexual health clinic, where you can receive a thorough examination and appropriate testing for STIs. Many clinics offer anonymous testing, which can help alleviate concerns about privacy.
In terms of your concerns about future fertility, most STIs can be treated effectively if caught early. However, untreated infections can lead to complications, including pelvic inflammatory disease (PID) in women and potential fertility issues in both men and women. Therefore, prompt diagnosis and treatment are critical.

When you visit a healthcare provider, be prepared to discuss your symptoms in detail, including the rash and any other changes you may have noticed. The provider may conduct a physical examination, urine tests, and possibly blood tests to check for STIs.
In summary, it is essential to act quickly in response to your symptoms. Seek medical care, get tested for STIs, and discuss your concerns about future fertility with your healthcare provider. Remember, open communication with your partner about sexual health is vital to ensure both of you remain healthy and informed.

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