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Doubt over STD transmission after unprotected sex - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2690 Questions
User :   hi, i am married 6 yrs before and me and my wife had enjoyed our sex life as well. But from few days back we both didnt had sax since she was pregnant. few months back i met a girl and we became friends & came close aswell by having safe sex using condoms. but last week we had sex without condoms. now since i am married obviously i used to have sex with my wife.i m scared can be there any chances of getting affected by hiv or any other diseases. m very sure the girl with whom i had se this was her first time with me.but we stopped mating after the status is my wife also wants to have sex with me but m scared that she should not get affected due to my mistake. can you please help me is it something i m infected doe to it.                          
Doctor :   Hi
Doctor :   Dr XXX here
User :   hello doctor
Doctor :   Let me read your query.
User :   sure
User :   u there doctor !!!!
Doctor :   is the infection status of the girl known?
Doctor :   yes I am here. I was reading through what you had typed.
User :   hummm, yeah she was not infected in any case
User :   since it was her first time with me only
Doctor :   ok. if she was not infected either with HIV or any of the STD's then chances of you spreading infection to your wife and baby are less
User :   k.
Doctor :   try and get an STD screening test for yourself and teh girl
Doctor :   to see if any infection is there at all
User :   k, but how to get it done !!!!
Doctor :   you need to meet your GP or healthcare provider and request for a STD screening
User :   k. doctor is there any thing we can check on ur own. so that no one get to know about it
User :   like some homely test or something like that
Doctor :   if you are sure that this was the first time the other girl had her intercourse and had only with you, then the chances of infection is less
Doctor :   there are no home tests available for all the STD's
User :   yeah m very sure about it
User :   it was her first time
Doctor :   they are lab tests and need special reagents and environment conditions. they cannot be done at home
Doctor :   avoid further contact with her
Doctor :   and see if you can get your tests done atleast
User :   k,doctor, can it be spread through me since me and my wife were having sex from long time
Doctor :   to make sure that you do not have any kind of infection that can be passed on to your wife and baby
Doctor :   having intercourse during pregnancy is fine as long as you are gentle and not rough.
Doctor :   you can have intercourse upto 7th to 8th month
User :   no actually since we didnt had baby for 5 yrs we didnt took any chances for it
Doctor :   if you or your wife has had any infections (subclinical) without much symptoms, then chances are that you could have spread it to the girl
User :   so we stopped having intercourse from the 1st month itself
Doctor :   oh ok. firt 3 months (12 weeks) and last 2-3 months are critical
Doctor :   otherwise intercourse can be done without problems
Doctor :   as long as she is in her comfort zone
Doctor :   avoid having intercourse in positions with deep penetration and avoid pressure over her tummy
User :   k doctor incase me & wife had infection before which could have been transfered to the girl i met, it culd have been detected when my wife was pregnant
User :   as she had a scissorean for delivering the baby
Doctor :   yes in the tests done for your wife, it could have got picked up
Doctor :   when did she have her delivery?
User :   humm this 20th march 2010
Doctor :   ok.
Doctor :   was your intercourse with the girl before this time or after this?
Doctor :   if the delivery is already happened, then do not worry about infection to baby now.
User :   humm. this was after this !!!!!
Doctor :   is there any itching or burning or changes in secretions for your wife or you?
User :   what si secretions ????
Doctor :   Secretions from private parts, vagina in case of your wife, and penis in case of you?
User :   no nothing happening
Doctor :   is there any foul smell associated?is there any rash associated?
User :   no nothing like that
Doctor :   ok. then do not worry about infections
User :   k
Doctor :   if you do start developing any of these then report to your doctor immediately.
User :   will that means i am having infection
User :   ???
Doctor :   if you develop any of these symptoms, it will indicate infection
User :   k. there is something called itching which happens to me everymonth before haveing intercourse with this girl as well. but its not on my penis its below the balls.
User :   for which i always used itch guards
User :   after using that itch guards it goes away
User :   i guess thats due to the sweating !!!!!
Doctor :   ok. that is fine, not an STD, but related to increased sweating and probable yeast/fungal infection
User :   yeah this is my old prob. this is when i was in school or college
Doctor :   ok. for that you might need an examination
Doctor :   avoid wearing tight undergarments
User :   ok
Doctor :   and use antifungal powder twice a day
User :   k. can there be any chances the girl may be pregnant after i had intercourse with her, since i didnt use precautions (condoms)
Doctor :   if you had intercourse while she was in her fertile period (egg release time) she could be pregnant
Doctor :   when was her last period before the unprotected intercourse?
User :   k. so i guess i should also get her pregnancy check as well
User :   honestly i didnt know. i will have to ask her about it!!!!
Doctor :   if more than 20 days have passed since your last unprotected intercourse, you can get her a check up done with a blood beta HCG level test
User :   k
Doctor :   which is a accurate test for confirming pregnancy
User :   k
Doctor :   as urine pregnancy tests can come false negative at times
User :   k
Doctor :   meaning to say show false results as negative even if patient is pregnant.
Doctor :   it usually happens due to less concentration of pregnancy hormone HCG in urine
User :   i guess this was the same situation which we suffered when we were trying to check pregnancy for my wife
User :   home test gave negative result
Doctor :   ok
User :   and when we got the sonography done it states clearly that she was pregnant
Doctor :   ok
User :   one more thing. incase if i continue having relation with the same girl by using condoms, and after that doing with my wife without condoms can there also be chances of infections
Doctor :   yes it there can be cahnces of infections
Doctor :   as almost al body sercretions will have the infections including saliva
Doctor :   so chances of infection spread is still there.
User :   but does that means using condoms is also not safe....
Doctor :   why would you want to continue intercourse with the girl, now that you can have sexual relations again with your wife?
Doctor :   yes using condoms is also risky, it does not prevent all infections from spreading
User :   yeah right. but actually after the baby my wife is not comfortable having intercourse any further
Doctor :   is the girl married or going to get married? if yes, then she stand chances of spreading infection to her partner in case you are infected.
User :   k
Doctor :   she will be comfortable once the pain is gone. if teh pain and discomfort is continuing, she should get a re-evaluation done by her gynecologist
Doctor :   it is safe to have intercourse after 6- 8 weeks
Doctor :   after child birth, c-section
User :   but i have discussed with her about consulting any doctor incase she has pains or anything like
Doctor :   if she is still not feeling comfortable, she has to be counselled. as it could be due to post pregnancy depression
Doctor :   and many women face it
Doctor :   but are beter with counselling and emotional and moral support
User :   k
Doctor :   it usually happens due to the trauma she undergoes for teh child birth and becomes apprehensive of pain
User :   as i have observed it earlier as well. that she was never intereted in having intercourse not even being got newly married
Doctor :   and fear of getting pregnant again
User :   yeah thats right. she thinks the same way
User :   this is what was concluded when i discussed with her the yesterday night... when she refused
Doctor :   ok. in that case she definitely needs a counselling done, more so a couple therapy done to get back to normal marital relationship with you
Doctor :   along with counselling to allay her fears of repeat pregnancy and pain
Doctor :   she needs more support from you now than ever
User :   should we consult the same gaenacologist who operated her for the dilvery
Doctor :   do not let her feel alone and do not let her suffer her fears alone
Doctor :   you can consult the same gynecologist and request for this couple therapy
User :   k
Doctor :   to be done for her and ten both of you together
Doctor :   *then
Doctor :   have you followed what I have said so far?
User :   yes sir
Doctor :   is there anything else you would like to ask me?
User :   yes sir. one more thing.
Doctor :   sure. please proceed
User :   earlier when we used to have intercourse i used to find it very difficult to insert my pennis in her... could it be there any other problem with her
Doctor :   yes there could be a problem, it is due to fear factor
Doctor :   many girls face it
Doctor :   it is only psychological and is overcome by good csounselling
Doctor :   and by making her understand that having intercourse is a normal part of life and a necessity and not something bad or dirty
Doctor :   these problems can be solved with counseling sessions
User :   no i meant to say, at some time she used to allow for the intercourse. and i used to take care of her comforts as well during that time.
Doctor :   ok.
Doctor :   what I meant to say is the sexual relationship of husband and wife should be based on the understanding and care and communication
User :   k
Doctor :   it solves out many problems and helps in maintaining a good sexual life
User :   k
Doctor :   so if you feel that she is having any problems with communication or participation in sexual activity
User :   k
Doctor :   then she definitely needs help to bring her back to realities and a pleasurable experience
User :   k
Doctor :   such that you can continue to have a healthy and pleasurable sexual life.
Doctor :   and successful married life
Doctor :   have you followed what I have said?
User :   yes doctor
Doctor :   is there anything else I can help you with?
User :   i will keep these things in my mind
User :   thank you so much for your best of the time and supporting me and giving your consultations... thank you very much
Doctor :   ok. thanks for consulting me. bye for now. get your wife for the counseling and start with a new and happy married life
User :   sure. thanks for your support
Doctor :   she might be herself struggling with all this
Doctor :   so help her come out of her fears and wrong beliefs if any
User :   yeah i can realise this now
Doctor :   all the best
User :   thank you sir
Doctor :   thanks for consulting me. bye for now. do get back to me if having further doubts.
User :   sure is there any contact no. or can i have to contact you the same way by means of chatting with u
Doctor :   you can come for live chat and ask for me.
Doctor :   I am available between 9 am-4pm IST
User :   ok sir...
User :   sir one more thins
User :   do these chats are kept private
Doctor :   yes they are kept confidential.
Doctor :   do not worry about it
User :   thank you sir....
Doctor :   you can get access to what you discussed with me. no one else will have access to this except you and your doctor
User :   ok sir.
User :   thank you very much
User :   bye and take care. will get in touch with u soon for more queries along with my wife sitting next to me
Doctor :   sure. thanks for consulting me.
Doctor :   bye for now.
User :   bye
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