Intense Encounter and Very Concerned.

[Mavrick666]

Hello,

I am a very fit married professional male, 48, I have been tested in the past for all stds  for piece of mind. I never had any symptoms of any STD. I did test positive for hsv1 years ago but I have never had a cold sore in my life. The result was 1.29 IG Herpes Select.

Five days ago I meet a very fit married yoga instructor who was hyper sexual to say the least. She told me she had breast cancer last year, I saw the scars and was working through it. She said she was clean.

We spend about 3 hours together in the most intense sex I have ever had. We did the following:

1) French kissed for a few minutes
2) I gave her oral both vagina and anal for under 5 minuteds. Unprotected.
3) she gave me oral protected for about 5 minutes ad unptrotected got about 3 minutes
4 I fingered both vagina and anus unprotected for at least 10 minutes
5) I had protected vagina and Anal sex. I climaxed 3 times and changed the new condoms I brought each time. We had intercourse for about 10 to 15 minutes.

I touched base with her this morning and she said she just got tested and tested positive for a " few STD. I asked here which and she said she was going through a personal cancer, which I suspect is hpv. She never answered my first quest nor did she tell me when she was tested, such as before our encounter.

So now I am worried sick. I have no symptoms 5 days thus far no pain, discharge, burning, rash, swollen nodes, fever or nothing. Our intercourse was through my pants and underwear, through the zipper. I never got mu pants down so I had extra protection there.

So, if you were me, would you test for every STD now and get on a z pack? Wait to test? Get a z pack anyway? Not even worry about the event and have unprotected sex with my wife.

Help doc, I am freaking out.

Thanks

[Edward W Hook, MD]

Welcome to our Forum.  I'll make a few comments about your exposures, then the information you received from your recent partner.  Of the various activities you describe, the only ones which might put you at risk for STD are your unprotected cunnilingus and analingus as well as your receipt of fellatio. And the risk of getting an STD from either giving or receiving unprotected sex is rather low  There is no meaningful risk for STD from your protected exposures, your masturbation ("fingering"), or from your French kissing.  If you wish, getting tested in your mouth for gonorrhea and at your penis for gonorrhea an NGU is reasonable although I anticipate that the tests will show that you are not infected.  I would not take a Z-pack, both because it is not effective therapy for STD (the recommended therapy for NGU is 1.0 gram as a single dose - this is more effective than the Z-pack, despite the fact that more total azithromycin is ingested as a dose pack)

It would certainly be helpful to find out what you partner was diagnosed with.  Your post suggests this might be an HPV-related problem and if this is the case, there is no need for you to worry (you can search this site for the many discussions of why possible exposure to HPV should not worry you).  If she is unclear as to what is going on, questions which might help to clarify things include whether or not she has receive any antibiotic therapy for this newly diagnosed STD (HPV would not be treated with usual medications) or whether or not her infection was diagnosed with a PAP smear or some other test.

All in all, my guess is that you are not at risk and certainly would not recommend treatment for some unknown possibility of infection.  If you get more information from her, I would be happy to comment further.  EWH

[Edward W Hook, MD]

The trace of blood in your urine is not suggestive of any STD.  Your exercise regimen might account for it and indeed, aspirin can increase risk for bleeding as well.  Take care. EWH

[Mavrick666]

Good day doc, I wanted to get back to you and let you know that I did speak with my last partner and she was treated for chlamydia. It has been 2 plus weeks and no issues with me what so ever. As a precaution, I did take 1000 mg of a z pack just in case NGU was an issue. I took that 7 days back. I want to see my doc for my yearly physical that I set up prior to my encounter last month. I did all my blood work work and everything come back perfect with a PSA of .47. That was 2 weeks prior to the encounter.  I gave a urine sample yesterday as part of the physical and there was no indication of any bacteria in my urine. Simple urine test. I did not go into the sexual romp with that smoking hot yoga instructor. Anyway I was surprise to here that my urine had a trace of blood. That has never happen before. He said not to worry as it is very common very diet, vitamins, too much exercise, stress etc. I also have a knee injury that I need to repair. Torn menuscis per a MRI. They check for gonorrahea as standard protocol prior to MRI. I was clean. Again about 2 weeks prior to the yoga instructor encounter. So if I may ask more question, could the trace blood in urine really be nothing and has nothing to do with that encounter 2 weeks back. My uninstall looks perfect, clear etc and I want to put this behind me. I want to resume unprotected sex with my wife. I was thinking that perhaps the z pack or mu aggressive intake of l argine is the reason for the trace blood. Maybe my daily aspirin is at fault.

Your thoughts are appreciated. Thanks

[Edward W Hook, MD]

Glad to help. EWH

[Mavrick666]

Thanks for the information. It greatly pits my mind at ease.