First, thank you to any medical professional that takes the time to read and respond to this post. After reading many posts here, I sense that the risk is low, but not none. But, I am no expert. Therefore, I am looking for the opinion of one. The focus here is on the "male," only because we don't know the female beyond what follows. Here is the situation:
05NOV: Genital rubbing, unprotected, between a 35 y/o female and 33 y/o male, duration = less than 2 minutes. No penetration in any orifice. Leading up to the interaction the male was in a monogamous relationship with another partner, long term girlfriend. Female claimed to have abstained from intercourse for the 18 months prior.
06NOV: 12 hours post: Male administered 1 gram Azithromycin
13NOV: 7 days post: Male has unprotected intercourse w/ his partner that he was previously "monogamous" with i.e. his long term girlfriend
15NOV: 10 days post: Male experiences intermittent, dull, ache in right testicle. On a scale of 1-10, pain is a 1. No swelling, discoloration, or discharge observed.
19NOV: 14 days post: Male experiences intermittent, dull, ache in right testicle. On a scale of 1-10, pain is a 1. No swelling, discoloration, or discharge observed. Administered 100mg of doxycycline hyclate to be taken twice a day, for seven days.
23NOV: 18 days post: Male has raised red bump 1.5" below anus, on the perineum
Additional info:
- The day the nondescript, intermittent, single testicle pain appeared, the male mentioned, it could have resulted intercourse with his girlfriend, a tight pair of pants, or his anxiety about the situation.
- While concerned about the raised red bump on the perineum, the male acknowledges it could have resulted from his athletic lifestyle. I.E. Time spent on various excises bikes, sauna, etc.
Based on this, the questions are:
1) What STIs is the male at risk for? And, what are the corresponding levels of risk? Example response: "HIV: Low" or "HPV: High" Further, please explain where relevant.
2) What STIs is the male's long term girlfriend at risk for? And, at what level of risk?
3) How concerning is the males "intermittent, dull, ache in right testicle?"
4) How concerning is the males "raised red bump 1.5" below anus, on the perineum?"
Thank you for the input / advice.