June 18, 2019 at 10:37 am #38477
I wanted to share my case with you.
7th June I had a risk encounter: protected vaginal but unprotected oral (her to me). Oral (3 min), protected vaginal (4 min) and Oral (4 min). No clear visible sores on her, it was low light so not 100% sure.
10th June I found 2 red bumps (1 cm apart), they where tiny (not bigger than 1mm), to see them properly I had to really stare / use camera zoom. Sort of flat and shiny, no water filled, it didn’t look like blisters or online herpes pics but hard to tell due to size. Located on the skin you see just below the head only after you pull fully down the foreskin (left side). 2 days later a few more appeared on the right side.
I went to 2 urologists (not specific STD specialists) and both said that it didn’t look like herpes, more like irritation. They gave a non-prescriptive antibacterial ointment and in 24h bumps are gone.
I took a swab test for DNA PCR that came negative for I&II (not doc requirement, just for my peace); also a swab cultive and came positive with Candida Albicans, I spoke with the microbiologist and said it was small colonies not a massive outbreak.
No pain during urination. No discharge, some feeling of discharge but I look and there is nothing. Recurrent mild discomfort/burn in the area and surroundings (guess that probably due to the candida although bumps are gone). I have been very very anxious this time. That is
1) With all of the above (2 visuals and PCR negative) can I cross-out herpes from the exposure?
2) Feeling of discharge without real discharge is common due to Candida or Anxiety? I have looked really throughly in underwear and “milking” when I had the feeling and nothing.
3) With no “real discharge” in 11 days can I cross out gonorreah and NGU?
4) What are the STD risks of my encounter with all above considered, what should I get tested for?
5) I have not started antifungal ointment treatment, I guess is normal that I still have a very very mild disconfort/burn feeling?
June 20, 2019 at 7:43 am #38690
Have you ever in your life had a cold sore on your lip or in your nose? If yes, then it is highly unlikely that you would acquire HSV 1 genitally as you already have this infection and are highly unlikely to get it in a new location, and that’s the herpes that comes from receiving oral sex. If the answer is no, then I still think the risk from the above encounter is really low.
You’ve had negative swab testing AND what you describe sounds absolutely nothing at all like herpes lesions. I think if you had candida in the urethra, it could cause the feeling of having a discharge with no actual discharge. And I’m assuming you were tested for other things like gonorrhea and chlamydia. If not, I would recommend that. And I don’t know that you need to do an antifungal – is it a topical or a pill?
June 22, 2019 at 4:51 pm #38759
Thanks for the answer.
Yes, I think that I had a couple of times cold sores as a kid (one actually big).
In less than 2 days with topical anti-fungal treatment, everything is normal not even mild discomfort or “fake discharge” feelings. Points it was due to the candida and or anxiety
Yes, I was tested for Chlamydia and gnorreah, both also negative. Also a urine cultive with all normal and no WBC.
Over 2 weeks have passed and no lesions or symptoms have appeared.
I have read all posts of D. Handsfield, Hook and your’s about oral-genital STD and I see consensus of low overall risk in a single exposure because of different reasons (except for the 3 things I already tested): Hep B I am vaccinate, Hep C mostly anal, Syphilis uncommon especially in female orally, HSV2 very uncommon oral to genital, HIV not documented case. Is a fair summary?
I did my full std tests earlier this same year (all negative) and this has been my only risk exposure (I am not promiscuous). Where I live (Chile) the tests are very expensive (300$), do I need to do more? Can I put this behind me?
June 28, 2019 at 8:50 am #39696
It is a fair summary, yes, you have done adequate testing. I see zero reason to do any more testing at this time, and I believe you can put this behind you, yes.
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