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STDs (Expert Forum)
Help Please!!!
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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Help Please!!!
by Concern123, Nov 08, 2005 12:00AM
I'm a 37 year old male that had unprotected oral sex with a female for about 45 seconds in April 2005. About a week or two later after the expisode I started to have a burning sensation in my penis and in my urethra. I had a mild burn when I urinated and there were no blister or lesions. I went to the doctor and got tested for UTI, all STDs except for herpes and HIV. He also gave me antibotic for the infection. The test came back negative. About a month later the pain came back. I really started to get anxiety and depressed because of the situation. I went to see a Urologist and and he gave a Herpesselect I and II test and a HIV test. Everything came back negative except the HSV-1 test. I never had a cold sore before. The irritation went away after two weeks. A month later I been having a mild stinging sensation.I've been seeing a physicologist and he told me that the penis irritation might be anxiety and it's nothing but muscle spasms. Currently I'm still have the irritation.
1.)Do my symptoms sound like genital herpes type-1?
2.)Is it true that 60-90% of the US population has HSV-1? Do I have to tell my future partner that I have HSV-1 (oral or genital)?
3.)Will I be able to have children in the future?
4.)It is easy to pass the virus with out blister?
5.)Can herpes manifest itself this way?
6.)Should I get another opinion?
7.)Are these common smyptoms that men have?
8.)Should I abstain from sex until it fades away?
9.)Can my Symptoms be NSU?
Please help!!
1.)Do my symptoms sound like genital herpes type-1?
2.)Is it true that 60-90% of the US population has HSV-1? Do I have to tell my future partner that I have HSV-1 (oral or genital)?
3.)Will I be able to have children in the future?
4.)It is easy to pass the virus with out blister?
5.)Can herpes manifest itself this way?
6.)Should I get another opinion?
7.)Are these common smyptoms that men have?
8.)Should I abstain from sex until it fades away?
9.)Can my Symptoms be NSU?
Please help!!
Doctor's Answer
by H. Hunter Handsfield, M.D., Nov 08, 2005 12:00AM
, Nov 08, 2005 12:00AM
The risk of any STD was low. If you acuqired anything, it probably was nongonococcal urethritis (NGU), which sometimes follows fellatio--probably due to normal oral bacteria that cause inflammation in the urethra. Depending on what antibiotic your doctor used, it likely would have taken care of it, although sometimes symptoms persist on and off even though the infection is gone; but anxiety is a common contributing factor, so your psychologist likely is on the right track. To your specific questions:
1) No, these symptoms do not suggest HSV at all.
2) Yes, 50-90% of us have HSV-1, usually acquired in childhood. It is part of the human condition. Most people have no symptoms, and unless you have overt open sores on or near your mouth (cold sores, fever blisters), you are unlikely to transmit it to a sex partner. Most people do not consider it ethically necessary for people with asymptomatic HSV-1 infection to routinely inform their sex partners.
3) Yes, none of your symptoms suggests any problem with your fertility, and you aren't going to be a source of infecting a baby with HSV-1.
4) Herpes can be transmitted without blisters, but it is rare for oral herpes; and you can be 100% sure you don't have genital herpes.
5) See no. 1.
6) It sounds like you have had good health care for this problem; I see no reason for a second opinion, unless you don't have confidence in your doctor and psychologist.
7) Yes, pretty common.
8) There is no reason to abstain from sex, unless your doctor says he thinks you still have an active infection--and even then, it probably would be safe.
9) NSU is just a different name for NGU. See my opening comment.
Relax and don't worry about this. As long as your doctor says there is no sign of continuing infection, you can be sure nothing bad will ever come of this. The symptoms probably will just fade away over time. It's not an important health problem, unless you make it so by overreacting to it (something to discuss with your psychologist).
Good luck-- HHH, MD
1) No, these symptoms do not suggest HSV at all.
2) Yes, 50-90% of us have HSV-1, usually acquired in childhood. It is part of the human condition. Most people have no symptoms, and unless you have overt open sores on or near your mouth (cold sores, fever blisters), you are unlikely to transmit it to a sex partner. Most people do not consider it ethically necessary for people with asymptomatic HSV-1 infection to routinely inform their sex partners.
3) Yes, none of your symptoms suggests any problem with your fertility, and you aren't going to be a source of infecting a baby with HSV-1.
4) Herpes can be transmitted without blisters, but it is rare for oral herpes; and you can be 100% sure you don't have genital herpes.
5) See no. 1.
6) It sounds like you have had good health care for this problem; I see no reason for a second opinion, unless you don't have confidence in your doctor and psychologist.
7) Yes, pretty common.
8) There is no reason to abstain from sex, unless your doctor says he thinks you still have an active infection--and even then, it probably would be safe.
9) NSU is just a different name for NGU. See my opening comment.
Relax and don't worry about this. As long as your doctor says there is no sign of continuing infection, you can be sure nothing bad will ever come of this. The symptoms probably will just fade away over time. It's not an important health problem, unless you make it so by overreacting to it (something to discuss with your psychologist).
Good luck-- HHH, MD
