Hi,

Thanks for writing.

Without doing an assessment in person it’s hard to give you a specific answer, but I can give you some general information.

If you used a condom (and there wasn’t any penetration before the condom went on, and it was still intact when you withdrew) then we would say the chance of getting an STI is very low.

Did you receive unprotected oral the same night? It’s possible to get an STI from the back of someone’s throat… Or, did you have any unprotected sex in the last 3-6 months? Sometimes it can take a while for STIs to show up but we only notice it after new encounter…

If you had unprotected oral or other recent unprotected sex, then there’s still a possibility your symptoms are caused by an STI. Not all STIs cause discharge or pain when we pee.

If you haven’t had any unprotected oral or other recent sex, I would say the chance you have some soft tissue/ nerve damage seems likely. Friction injuries are quiet common, and usually resolve on their own. Our doctor says to compare it to an ankle sprain—for some people it can take 6 weeks for things to feel normal again.

It’s not a bad idea to have taken the Azithromycin and Cefixime, and I’m glad you were able to access that. Did the medication help with the pain? If you feel better after the meds we can assume there was an STI component to your symptoms.

If your pain is persisting after taking the meds, I would continue to monitor it. Likely it will resolve on its own in a few more weeks. However, if your pain worsens, or you notice new swelling, or pain in your scrotum (testes), then I would recommend going to see a health care professional right away.

Please let us know if this answers your question or if you need any additional information.

Health Nurse