Does a Clean Male Genitalia Mean No STDs? Risks

Maintaining excellent hygiene of the male genitalia does not necessarily indicate the absence of sexually transmitted infections (STIs)?

I recently started dating a man who is significantly older than me.
He is an obstetrician-gynecologist and has a condition called anejaculation, which allows him to maintain an erection for an entire night, but he can only ejaculate through masturbation.
Strangely, he doesn't use condoms, claiming that he values cleanliness and that it’s impossible for sperm to escape.
I also find him to be "very" clean, which made me feel comfortable having unprotected sex with him.
However, two weeks later, I started experiencing some symptoms of inflammation.
Could this be caused by him? Does a man's clean genital area mean he has no sexually transmitted infections (STIs)? I can't help but wonder if he is deceiving me, this young girl.

Mei Shao Nu Zhan Shi, 10~19 year old female. Ask Date: 2016/03/04

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, based on your description of symptoms, it is recommended that you seek a physician's diagnosis and treatment if the symptoms persist or worsen.
Thank you! Wishing you peace and good health.
Dr.
Chang

Reply Date: 2016/03/04

More Info

When it comes to sexual health, the assumption that a clean male genitalia equates to the absence of sexually transmitted diseases (STDs) is a common misconception. While personal hygiene is undoubtedly important for overall health and can reduce the risk of certain infections, it does not guarantee that an individual is free from STDs.

Firstly, it is essential to understand that many STDs can be asymptomatic, meaning that an infected person may not show any visible signs or symptoms of the disease. For instance, infections such as chlamydia, gonorrhea, and even HIV can exist without any noticeable symptoms. Therefore, just because a partner appears clean and claims to practice good hygiene does not mean they are free from STDs.
In your situation, the fact that your partner is a gynecologist and emphasizes cleanliness might give you a sense of security, but it is crucial to remember that STDs can be transmitted through unprotected sexual contact, regardless of the cleanliness of the genital area. The absence of ejaculation during intercourse does not eliminate the risk of transmission, as pre-ejaculate fluid can still carry pathogens.

Regarding your symptoms of inflammation two weeks after engaging in unprotected sex, it is possible that this could be related to an STD, especially if the symptoms are consistent with an infection. Symptoms such as irritation, redness, or discharge should not be ignored, and it is advisable to seek medical attention for a thorough evaluation. A healthcare provider can perform the necessary tests to determine if an STD is present and provide appropriate treatment if needed.

Moreover, it is important to have open and honest communication with your partner about sexual health. Discussing sexual history, testing, and safe sex practices can help build trust and ensure both partners are informed about potential risks. Regular testing for STDs is recommended for sexually active individuals, especially when engaging in unprotected sex with new partners.

In conclusion, while maintaining good hygiene is important, it is not a foolproof method for preventing STDs. Engaging in safe sex practices, such as using condoms, and getting regular health check-ups are essential steps in protecting yourself and your partner from sexually transmitted infections. If you have any concerns about your health or symptoms, do not hesitate to consult a healthcare professional for guidance and support.

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