Had protected sex. Started burning throat and bumps on tongue. Got bacterial infection. Any advice?
1. New sexual contact
2. Onset of oral lesions / pharyngitis (sore throat)
3. Later onset of a "bacterial infection" - you do not specify where!
4. Later onset of right leg / foot pain
While I think that it is unlikely that you have an STD, just the fact that you are questioning this is an indication that there is some concern about this partner and her unknown STD status.
If I were to approach this from a strictly "what STD could this be" approach, two things come to mind:
1. Oral herpes - can be acquired through oral sex and you could have lesions within the throat. With a new exposure, there might also be a flu-like illness that would accompany the outbreak of ulcers in and around the mouth or on the genital area
2. Gonoccoal infection - also can be acquired through oral sex, and can cause a pharyngitis (sore throat) and disseminated disease (i.e. it spreads) can manifest as skin lesions like you describe. Disseminated disease can also cause an arthritis that can affect the foot and ankle commonly.
While I think that this is likely a common viral infection acquired through normal contact, with a host of other symptoms that are probably easier to explain as unconnected to sexual activity, I think that you need to do the following:
1. You need to go to your doctor
2. You need to ask for full STD screening (mention the concern about gonococcal pharyngitis)
3. Write down your symptoms as they occur over time in the simplest most succinct way possible.
I do not mean to alarm you with my answer. You asked me to suppose that this might be an STD and this is my answer. Go get checked out and I am sure that everything will turn out okay! Good luck. I hope this helped. - DR XXXXXXX
Herpes, while unlikely, would not be covered with antibiotics. It requires treatment with an antiviral medication, such as Valtrex. My guess is that the mouth sores would have been extremely painful.
In terms of HIV, the transmission rate with one sexual encounter is actually quite low. You also state that this was a rather healthy woman and "protection" was used. So I think that this is unlikely.
Being a mouth breather, and hot coffee burning your throat might explain the sores in your throat.
Overall, it sounds like this was a low-risk encounter. It is never wrong to go in for STD screening, though. While I take care of women almost exclusively, your story is really not gender-specific, and I would recommend the same to a female with the same questions.
I hope this helps and good luck! - DR XXXXXXX
Thank you so much for answering these questions.
And yes, if she had HIV and you had sex once, your risk if HIV is less than if you had sex multiple times.
Finally, oral herpes would usually involve painful ulcerations in your mouth on the gums, not on the tongue. So I am saying that while this might be a concern, it seems unlikely as an explanation for you sore throat.
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