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Avatar universal

How to explain my symptom?

Hi, doc,
I am a male in middle 30's. In the past two weeks, I have two encounters with csw, protected oral only. After the first encounter(2 weeks ago from now), I started took doxycycline leftover from last time treatment for 6days(100mg X2 day) for prevention. The second time was last Sunday. I was taking Azithromycin for my upper respiratory tract infection at that time( from last Thursday, 500mg per day). The Azithromycin was finished this Tuesday.
But I felt some tingling in my urethritis, kind of hot in it sometimes since the morning of Friday. The symptom get more obvious later on till now. Some times, I feel kind of pain in the urethritis, totally durable and not heavy. But the uncomfortable feeling seems moving up along the urethritis and gets more irritating.
Doc, do you think if I got some kind of NGU?
Do I need to get tested and treated immediately?
If I wants to be treated immediately, can I still take Azithromycin or doxycycline?  
Can I have unprotected sex with my wife?

Thanks in advance

3 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
No problem.  No STDs are transmitted by hand-genital contact or fingering.
Helpful - 0
Avatar universal
Dear Doc, thanks for your prompt reply. I am kind of relived. But I forgot to mention one thing: Last Sunday, during the oral, I fingered her. When I was finished, she cleaned my hand with wet wipe and used the same wipe to clean my penis head. Will this cause more risk for any kind of STD?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
Welcome to the forum. Thanks for your question.

It is impossible you acquired any STD that could explain your symptoms.  No STD can be acquired from condom-protected oral sex, assuming there was no oral exposure before or after the condom was in place.  (Even without a condom, oral sex is pretty safe.)  Further, tingling or othe rurethral dsicomfort is rarely the only symptom of STD; and the treatments you had also would prevent any such infection from taking hold.

In other words, there are numerous reasons that your symptoms are not due to STD from the exposure described.  As to what the cause actually is, we don't generally speculate in detail about non-STD explanations.  I'll just say that by far the most common explanation for symptoms like yours, in a setting like this, is genitally focused anxiety.

If the symptoms continue and/or you remain concerned, you'll have to see a doctor or clinic for direct examination.  But I doubt that's really necessary, and I believe you should continue unprotected sex with your wife and should not have any testing at all.

Really, no worries here.  Whatever you have, it isn't an STD or any other infection from the oral sex event.

Regards--  HHH, MD
Helpful - 0

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