Answered Questions

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

In Canada we do not currently have any routine testing for HPV.

The Human Papilloma Virus (HPV) is a virus that is passed through skin-to-skin contact. There are hundreds of different strains of HPV, and anyone who has been sexually active will likely carry one or more of these strains. Most of the strains are not dangerous, and most people who carry them won’t develop symptoms.

Some of the strains of HPV can cause genital warts and after being exposed to the virus someone might develop warts on their genitals. These warts are diagnosed as “HPV” by visual assessment by a doctor or nurse, they are not diagnosed through a test. These warts usually go away on their own in 1-2 years, and there is treatment that makes them go away sooner if desired.

Other stains of HPV do not cause genital warts, but they can cause an increased risk for cancer. The strains that can be risky for cancer are always invisible, and you can’t see by looking at person if they have it or not. Women over age 25 are encouraged to go for the 3-year PAP test to check for the pre-cancerous kinds, but no other precautions are recommended.

I am not sure if your girlfriend is concerned about genital warts or cancer, but it might be worth having a look at our HPV information page together. Condoms can certainly reduce the likelihood of passing HPV between partners, but because condoms don’t cover all skin they’re not a 100% guarantee.

Generally when people ask their partner to get tested for STIs they mean: Chalmydia, Gonorrhea, Syphilis, and HIV. If you need help finding an STI clinic near you check-out our Clinic Finder.

Hope this helps. Please let us know if you have any more questions.

Health Nurse

Without seeing the red bumps in-person, it’s very difficult to give an exact answer but I will give you some general information.

There are lots of different things that can appear on the skin, and they are not always related to sexually transmitted infections. For example, you mentioned heat rash. However, we don’t usually see heat rash on the penis shaft. Also, fungal infections are very common, especially in hot weather, but we don’t usually see fungal infections on the arms. It could be a combination of heat rash/ fungal infection.

There are some red bumps/rashes that can be caused by sexually transmitted infections, but few that are so widespread over the body. It doesn’t sounds like Herpes to me, as Herpes usually appears as 1-10 bumps in an isolated area (not on thighs, arms, stomach etc.). With bedbugs we don’t usually see bites on the penis, but it is possible. Scabies can affect the genitals as well as other parts of the body, and that is possible as well. Scabies is typically very itchy, especially at night, have you noticed the bumps being itchy?

Lastly, red bumps/rash that appears over the body can be associated with Syphilis. There is not a lot of syphilis in the heterosexual population in Canada, but it is possible.

I would recommend going to see a medical professional about these symptoms. If it is something like Syphilis it’s important that both you and your partner get treated.

It can be difficult to navigate these symptoms, especially when you know your partner may have been at risk. The only way to know for sure is to get tested for STIs.

For these symptoms you can go to your regular doctor, a walk-in clinic, or an STI clinic. You can also get tested for STIs at the same places. If you need help finding an STI clinic near you check out our Clinic Finder tool.

Let us know if you have any other questions.

Health Nurse

Hep C tests are usually not offered to clients unless they are at-risk for getting Hep C. Hep C is spread through blood-to-blood contact (not through sexual fluids). The primary means of Hep C transmission is through drug use, and if you answer “no” to questions about drug use you may not be screened for Hep C. You can always ask your doctor to add atest for Hep C. 

Please feel free to comment below with any additional questions.

Hope this helps,

Health Nurse

It would be easier if you went to the same place where your partner was tested as they would know if you just need to be tested or need the syphilis treatment as well. If you are unable to go there feel free to send us a private message about your situation and we can assist you. You can also call the Provincial STI clinic on 604-707-5600 and ask to speak with a nurse as well.

Also have a look at our Syphilis web page for additional information.

Let us know if you have any more questions or concerns.

Health Nurse

Unfortunately, the only way to know if you have an STD (or not) is to get tested.

Like you mentioned, some STDs don’t create any symptoms, and it’s not possible to tell if someone has an STD based on the presence or absence of symptoms.

Further, there is no timeframe by which we can say a person would have either cleared, or become aware of having, an STD. We know that some STDs like Syphilis and Chlamydia can live in the body for years without creating symptoms… In the case of syphilis this can even be 20-30 years!

That said, condoms protect against most STDs, so the chance of getting an STD from protected sex is much lower than that of unprotected sex. However, some STDs (like Syphilis) are passed through skin-to-skin contact, which can occur even when using a condom.

If you’re concerned that you have been exposed to an STD we would recommend getting tested. Testing can be easy and confidential, and can be done with your regular family doctor, at a walk-in clinic, or at an STD Clinic. For a list of STD clinics near you check out our Clinic Finder page.

Hope this helps. Please feel free to comment below or submit another question as needed.

Health Nurse

To be on the safe side we recommend that you do not have sex until:

– one week after your 1-day treatment; or
– your 7-day treatment is complete, and
– your sex partner(s) have also been treated, even if their test results are negative.

Chlamydia is passed between people through unprotected oral, anal or vaginal sex. The bacteria can be found in semen, vaginal fluids, and rectal fluids.

Condoms work well at preventing chlamydia, but if condoms are not used correctly for example having some genital to genital contact before putting the condom on or if someone had oral sex without a condom, it could be possible to pass chlamydia to someone else or get it back from an untreated partner. Chlamydia usually does not show any symptoms so it can be difficult to know if you have it back again unless you do another test.

If you did have sex with a condom during the 7 day period it would be best to talk about your personal situation with the person who did the test for you. In some situations they will recommend that you and your partner(s) get re-treated or they may suggest that you come back for a follow up test in 4weeks.

Please leave a comment to let us know if this answers your question or if you need more information.

Health Nurse

For other readers, please feel free to leave a comment, or let us know if this was helpful.

Untreated chlamydia and gonorrhea can potentially cause the following complications:

• Pelvic inflammatory disease (PID) is an infection of the reproductive organs, including the uterus (womb), fallopian tubes, and ovaries. Because PID can damage the reproductive organs (and potentially cause infertility), it is important to seek health care quickly. To learn more about PID, click here.
• Epididymitis is when the epididymis is inflamed. The epididymis is a long, tightly coiled tube that lies above and behind each testicle. To learn more about epididymitis, click here.
• Infertility – challenges with getting pregnant.
• Ongoing pelvic pain, including painful periods.
• Ectopic pregnancy is when a pregnancy occurs outside of the uterus (usually in the fallopian tube). If left untreated, this can be life-threatening.
• Reactive arthritis is an autoimmune response, causing ongoing symptoms of urethritis, conjunctivitis and arthritis.

If you think you have an untreated STI, or are experiencing any symptoms, we would recommend seeing a health care professional. You can to go your regular family doctor, a walk-in clinic, or an STI clinic for these concerns. If you need help finding an STI clinic in your area, check out our ’Find a clinic’ tool.

Resources

• HealthLinkBC (2020) Epididymitis
• HealthLinkBC (2020) Pelvic Inflammatory Disease
• PHAC (2021) Chlamydia & LGV guide: Public Health Importance
• PHAC (2021) Gonorrhea guide: Public Health Importance
• Gov. of Canada (2020) Booklet: Sexually Transmitted Infections

The STIs that are passed through contact with sexual fluid are: Chlamydia, Gonorrhea, HIV.

It sounds like there was limited exposure to your partner’s sexual fluids (which makes the chance of getting an STI lower). However, the only way to know for sure is to get tested.

For more information about STIs and fingering see our Know Your Chances table.

If you’re interested in getting an STI test check out our Clinic Finder page.

Hope this helps,

Health Nurse

It sounds like the doctor you saw was pretty confident when diagnosing the Molluscum. Every doctor has different specialities and experiences, and if the doctor you saw doesn’t have a lot of experience with genital warts or Molluscum it’s possible that there was a miss diagnosis. However, Molluscum is very common and it would not be unusual to be diagnosed with it.

Without seeing you in person it is hard for me to confirm the diagnosis you have been given, but here is some general information:

Molluscum Contagiosum is a virus that can be passed through skin-to-skin contact. It usually appears as round bumps with a small indent in the centre of the bump (almost like a ‘donut’). Molluscum can also have a white head in the centre of the bump. Molluscum can appear anywhere on the body, including: genitals, buttocks, stomach, legs, arms, neck, face. The bumps are painless but often feel itchy.

Genital warts are also caused by a virus that is passed through skin-to-skin contact. Warts usually appear as oddly-shaped textured bumps, and are often confused with skin tags. Genital warts only appear on the genitals and do not occur on the stomach, legs, arms, neck, or face. Genital warts are painless and usually not itchy.

Generally, Molluscum Contagiosum is not dangerous, and you should not be worried. The virus can be treated (either with a light spray of liquid nitrogen or by “unroofing” the bumps), and once the virus is gone it does not stay in the body (unlike genital warts and HPV). While the bumps are present it is possible to pass the virus to another person or to other parts of your body. To lessen the chance of spreading the virus to other parts of your body it’s best to avoid shaving that area until the bumps are gone. Also, after showering/bathing it’s a good idea to use a separate towel when drying the area of your body where the bumps are, as using the same towel on all of your body can spread the bumps.

If you’d like a second opinion you can always go to an STI clinic for a consult. Check out our Clinic Finder to access an STI clinic near you.

Hope this helps! Please feel free to submit another question and/or comment below if you need more clarification.

Health Nurse