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On Sunday Night I (male) Had Unprotected Sex With An
Question: On Sunday night I (male) had unprotected sex with an unknown female, I had been drinking and it was certainly one of my worst ideas. It consisted of mainly unprotected oral, and perhaps 2-3 vaginal. I could not fully perform so it returned to oral. I did nothing more but I did climax. That night, returning home, I freaked out and urinated (perhaps 2 hours later). I hopped in the shower and heavily soaked my genitals and repeatedly washed with a bar of soap. A few hours later I finally got out and fell asleep. The next morning, I woke to find my morning urination darker color and burning. Later that day (while working in 97F degree weather in full clothing my foreskin(circumcised)/penis head became to burn. i worked all day and went home to shower yet again with warm water and less soap. The next day it still bothered me so I bought and antifungal cream for women and applied it to my penis. The burning subsided over the work day and by the afternoon hardly burned at all. All the while there still was a slight burn during urination. I kept applying the antifungal in the morning after I showered from work, and then again before bed - there is a chance that i could have over applied. Regardless, the burning on the outside (foreskin/head) had basically gone away. On day 3 I realized that the buring urination still existed so I called MeMD and they prescribed a single dose Chlemydia Rx, which I took. Today, (day 5 after sexual contact) there still is a small burning when I urinate, and a continuous burning on the tip of my penis. I have inspected myself and see no rashes, red spots, bumps, and no discharge. These are my only symptoms. My question is: While I am going get checked with a 10 panel regardless, what is the likelihood this was caused by a yeast infection vs STI.
Brief Answer:
In the context of unprotected intercourse, an STI is more likely suspected as the cause of the symptoms than a yeast infection
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,
I carefully read your query and understand your concern.
Unprotected intercourse may transmit both yeast infection and STIs. Oral intercourse may also trigger a local yeast infection (from the local yeast cells).
A yeast infection does not develop as fast as bacterial infection and it is not very common to produce symptoms within hours unless you already had some local mild infection and it got worse (irritated) by oral intercourse.
Another possible scenario in your case would be that the skin irritation and the burning could also be due to heavy soaking and use of soap (causing local irritation in the skin and urethra- the tube that passes urine) and the dark color urine could be due to dehydration from alcohol use.
On the other hand, in the terrain of unprotected intercourse, especially with an unknown partner, chances are higher for symptoms to be due to an STI than due to a yeast infection.
I noticed you mentioned the 10-panel test- this is a test to check for the presence of drugs in the urine and does not check for yeast infections or STIs.
Even though some of your symptoms have improved with the treatment given for chlamydia, I would recommend you to see your doctor and have a physical examination. According to the history and the findings the doctor may order urinary tests (for chlamydia, gonorrhea, trichomonas) and also blood tests such as Hep B, HIV, and syphilis.
To conclude:
- genital and urinary symptoms after unprotected intercourse with an unknown partner are in the great majority of time attributed to an STI till proven otherwise (thus, it is more likely to be due to an STI than yeast infection).
- yeast infection is not so acute unless you already had some yeast infection which got aggravated
- local irritation due to eager washing and dehydration from alcohol use may also be possible contributors
- To be on the safer side, I would recommend you to have a check with your doctor and rule out/in STIs (possibly urinary tests and blood tests).
- repeat tests in 3 months may be needed (to confirm no recurrence of chlamydia if it is isolated in tests, or to confirm that Hep B and HIV are negative).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
In the context of unprotected intercourse, an STI is more likely suspected as the cause of the symptoms than a yeast infection
Detailed Answer:
Hello and welcome to 'Ask A Doctor' service,
I carefully read your query and understand your concern.
Unprotected intercourse may transmit both yeast infection and STIs. Oral intercourse may also trigger a local yeast infection (from the local yeast cells).
A yeast infection does not develop as fast as bacterial infection and it is not very common to produce symptoms within hours unless you already had some local mild infection and it got worse (irritated) by oral intercourse.
Another possible scenario in your case would be that the skin irritation and the burning could also be due to heavy soaking and use of soap (causing local irritation in the skin and urethra- the tube that passes urine) and the dark color urine could be due to dehydration from alcohol use.
On the other hand, in the terrain of unprotected intercourse, especially with an unknown partner, chances are higher for symptoms to be due to an STI than due to a yeast infection.
I noticed you mentioned the 10-panel test- this is a test to check for the presence of drugs in the urine and does not check for yeast infections or STIs.
Even though some of your symptoms have improved with the treatment given for chlamydia, I would recommend you to see your doctor and have a physical examination. According to the history and the findings the doctor may order urinary tests (for chlamydia, gonorrhea, trichomonas) and also blood tests such as Hep B, HIV, and syphilis.
To conclude:
- genital and urinary symptoms after unprotected intercourse with an unknown partner are in the great majority of time attributed to an STI till proven otherwise (thus, it is more likely to be due to an STI than yeast infection).
- yeast infection is not so acute unless you already had some yeast infection which got aggravated
- local irritation due to eager washing and dehydration from alcohol use may also be possible contributors
- To be on the safer side, I would recommend you to have a check with your doctor and rule out/in STIs (possibly urinary tests and blood tests).
- repeat tests in 3 months may be needed (to confirm no recurrence of chlamydia if it is isolated in tests, or to confirm that Hep B and HIV are negative).
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Brief Answer:
The presence of other STIs does increase the risk of HIV transmission
Detailed Answer:
Hello and welcome back,
The presence of other STIs increase the risk of HIV transmission so if she had other STIs other than HIV, unfortunately, this increases the risk of HIV transmission.
On the other hand, the average risk of HIV transmission through one unprotected vaginal intercourse with an HIV infected woman is only 0.04%, which is very small (4 in 10,000). Thus, I would not worry at the moment but just do the checks to be on the safe side.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
The presence of other STIs does increase the risk of HIV transmission
Detailed Answer:
Hello and welcome back,
The presence of other STIs increase the risk of HIV transmission so if she had other STIs other than HIV, unfortunately, this increases the risk of HIV transmission.
On the other hand, the average risk of HIV transmission through one unprotected vaginal intercourse with an HIV infected woman is only 0.04%, which is very small (4 in 10,000). Thus, I would not worry at the moment but just do the checks to be on the safe side.
I hope this answers your query.
I remain at your disposal in case further medical assistance is needed.
Kind regards,
Dr. Antoneta Zotaj,
General and Family Physician
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I do plan to have a full STD test along with an HIV RMA from stdcheck.com. I know that it would be early to test for HIV, but the site advertises a 9-12 day detection. One question I have though: If she was HIV positive, and either untreated or newly infected, does my contraction of another STI mean I more than likely also contracted HIV
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