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Avatar universal

Worried after one oral exposure

Im male of 38, About  5 weeks ago whilst away on buisniess I made the biggest mistake of my life.  Cut story short Drunk and picked up women in Bar.  we had mutal unprotected Oral sex for about 5mins before I came to my senses and walked out. I did not ejaculate.

However since this I cant stop thinking about it and checking myself whilst researching just about every day on the internet.

Many sites state STDs can be passed on with ease through Oral sex however after reading the forum and posts on this site, it states its realtively low risk.  Do you still have this type encounter as low risk. What is the actual risk of me catching an STd from  this encounter and what?

I have been checking myself everyday about 10-15 times and washing everyday , however yesterday I got a shock that when Pulled my forseskin back, I noticed 2-3 (1-2mm) tiny red blemishes (looked sticky) and in a perfect line, slightly raised on the head of my penis towards the bottom.  No where else on penis is effected. This morning they had become filled with pus and where popped and by this evening they are now not as prominent and just the skin aroun them is blotchy red. What could they be?  I work in oily enviroment so wonder if it could be related to me constantly checking them.

The more I research the internet the more Im convinced I have one and actually start feeling the symptoms if I think about it too much.  Its convinced me that I have one!!
I have took 7 days of 100mg doxcycyline to ensure that if Stds is present it will Zap it.

Im sure that i have tingling sensation at tip at minute.

If the women was infected by any STD does that mean that it would be transmitted.
What is the biggest risk in penile to oral exposure.
What is the biggest risk Vagina to oral exposure

I hope you can assisst
7 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I already told you these symptoms do not suggest syphilis.  The chance of it, from this type of exposure, is zero or close to it.  But if you are convinced the "red spots" are abnormal or new, see a doctor or clinic and have them exmained.

If you keep asking anxiety driven "yes but" or "did you really understand" questions, the entire thread will be deleted without reply.  This thread is over.
Helpful - 0
Avatar universal
I asked a few questions with regards to syphillis transmission could you please answer.

What is the chance of syphillis transmission throug oral sex?

Could these spots have been due to syphillis (ie part of the healing process).  I never checked weeks ago or pulled back foreskin that far to check.  


Also is it normal for skin around these spots that I have to be inflamed or red?

I hope you can answer as Im beside myself, I really appreciate your answers.
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
These comments do not change my opinion or advice.  Your symptoms do not suggest syphilis, which requires a blood test for diagnosis (not urine).  Your anxiety is making you notice things that otherwise you would never see or care about.  Stop examining yourself.

There is no chance you caught anything you can give to your wife.  From an STD/infection standpoint, there is no need to say anything to her.  However, because of your fears and your guilt, you might consider discussing it with her.  But this is an STD information site, not one that advises about relationships, and I am not recommending you speak with her; this is entirely up to you.

This thread is now closed.  There is nothing more I can say.
Helpful - 0
Avatar universal
Thanks for last post.
For the first few weeks I havent been looking just last week or so for symptoms.

Would you feel it if you had contacted syphillis.

How easily is syphillis spread from oral to penis? (one time encounter)
Is it possible that these spots could have been syphillis. Could these have been part of the healing process.Could my mouth ulcer be a result of this.

If you are infected is it 100% certain that it would be transmitted.
Im petrifiied that I have passed it onto my wife if I did have it.

My spots have gone down again today and just three blemishes but have noticed the skin beneath them is red and blemishes  look moist/shiny.

Will Urine test determine syphillis.

Will appreciate your advice. Should I tell my wife.

Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
"With ease" is a subjective term.  Lots of people would consider a transmission efficiency of, say, 10% as being "easy".

Whenever a person suggests his or her own symptoms may be due to anxiety, usually s/he is correct; and genitally focused anxiety certainly is common for some people following a sexual experience they regret.  Your recurrent oral canker sores do not hint at STD.  Your urethral moisture and feeling of "not quite emptied" don't sound abnormal, or anxiety related -- again, I think you're just looking too closely and should stop.  If you had abnormal discharge, you would definite pus or mucus, or stains on your underwear. And you're well beyond the incubation period for such symptoms, which would have appeared within 2 weeks.

The oral cavity is not very hospitable to the genital HPV strains, so oral infection is uncommon -- therefore little if any risk for you to have acquired oral HPV by cunnilingus and genital HPV has never been known to be acquired by oral sex.

As to my being "pretty certain", I'm not going to summarize my experience or cite the literature.  Trust my judgment about it or not, I don't really care -- but I'm not going to explain it.

You need to move on and stop examining yourself obsessing about a sexual experience that you obviously regret.  That should end this thread.  Really, don't worry about it.
Helpful - 0
Avatar universal
Thanks for reply.

Whys is it that 90% of wedsites state that STDs can be passed with ease?

You seem to be pretty certain  that risk is "low".  Is there a specific reason for this view.

Since the incident I have thought Ive seen a clear discharge at tip of penis. But looking closely its just the uretha opening that looks moist under bright light.  Would I know if I had discharge?

Also I feel as though my penis tip is not quite emptied? Does this have any bearing? Could this be anxiety!

I did have a mouth ulcer last week that cleared pretty quick!! But I frequently get mouth ulcers when i change climates. Could this be STD?

CAn you get genital warts from oral sex?

Just to clarify your view is that Oral sex is near enough safe sex. Is this right

I appreciate your views


Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum.

Your own research apparently was well done; you correctly state the nature of the risk for STDs by oral sex.  You seem to understand intellectually that there is little risk from any single exposure, but are having trouble believing it at a personal/emotional level.  Some might call it a left brain/right brain disconnect.  But your left brain is correct:  almost certainly you caught no STD.

Your penile symptoms do not suggest any STD, only maybe a minor case of balanitis -- i.e. nonspecific inflammation that is common in uncircumcised men.  My guess is you simply are examining yourself more closely that before and noticing nothing new.  If it doesn't clear up after 3-4 days of increased local hygiene -- retract and wash with soap and water a couple times a day -- get examined professionally.  But I doubt it's an STD and see no obvious connection with the sexual exposure described.  Penile "tingling" is usually due to genitally focused anxiety, which you already seem to recognize as a likely explanation.

The first of your closing questions is asking the efficiency of STD transmission if one partner is infected.  It is nowhere near 100%; even for unprotected vaginal sex, most exposures don't result in transmission.  For oral sex, the efficiency for most STDs probably is under 10%, perhaps usually 1% or less  All thing considered -- that your partner wasn't necessarily infected with anything, plus low transmission efficiency, I would judge the global risk of any infection at all somewhere in the range of 1 in a thousand.  Actually lower, since you haven't had any symptoms that suggest you were infected.

Specific STD risks for oral to penile exposure: gonorrhea, nongonococcal urethritis (NGU), herpes due to HSV-1, syphilis; none for chlamydia, HPV, or (for practical purposes) HIV.  For cunnilingus, genital to oral:  gonorrhea of the throat, oral herpes due to HSV-1, syphilis, in theory for oral HPV -- all too rare to be a realistic concern.  In absence of symptoms -- penile discharge or sores, oral sores, sore throat -- the chance of infection is too low to warrant routine testing.  In any case, your self-treatment with doxycycline (which I would not have recommended) was effective in the event you were exposed to syphilis or NGU, and probably also for gonorrhea.

Of course you're always free to be professionally evaluated if you would like the reassurance of being tested despite minimal risk.  But I see no need -- and at a personal level, if I were in your situation, I would feel no need for it and would continue unprotected sex with my wife with no concern for her health (even without the doxycycline).

I hope this helps.  Best wishes--  HHH, MD
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