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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Semen Leakage, Diarrhea, And Fever After Intercourse?

22 yrz of age,had unprotected sex with a gal on the 8 Nov 2011...Afta two week i noticed some semen cumin out of ma penis...then i went to da doctor had ma hiv test nd were Neg,nd gave me medicine for std...Afta startng wt the treatment i noticed diarrhea,weakness,fever...so am afraid..What could thse be...
posted on Fri, 14 Mar 2014
Twitter Thu, 11 Dec 2014 Answered on
Twitter Thu, 11 Dec 2014 Last reviewed on
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Dermatologist 's  Response
Hello. Thank you for writing to us at healthcaremagic

Unprotected sex is risky in terms of STD's.
The discharge that you noticed 2 weeks later is unlikely to be semen as ejaculation of semen cannot happen in the resting state.
Most likely the urethral discharge that you noticed was part of an STD, which is likely to be non-gonococcal urethritis (NGU).
NGU is commonly caused by either Chlamydia Or Mycoplasma. The discharge is thick, gluey and transparent in nature unlike in gonorrhea which causes pus discharge per urethrum.
If I was the treating doctor I would have taken a urethral swab for chalamydia and treated you empirically for NGU.
Regarding testing, your HIV test was too soon after unprotected sex (only 2 weeks later); testing too soon could give a false negative result.
Ideally screening for HIV should be done earliest at 1 month after sexual contact. Therefore you should get yourself tested again for HIV at 1 month and then again at 3 months for a conclusive result.
Also get tested for other STD's like herpes, syphilis and hepatitis B as well.
I suggest you to visit a venereologist for the needful. Moreover, if you notice any ulcer or growth/wart or swelling in the genital area you should get yourself checked with a venereologist.
Your symptoms are non-specific and it would be difficult to assign them to NGU. They could be due to an unrelated cause

Regards
Always practice safe sex with a condom!
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What Causes Semen Leakage, Diarrhea, And Fever After Intercourse?

Hello. Thank you for writing to us at healthcaremagic Unprotected sex is risky in terms of STD s. The discharge that you noticed 2 weeks later is unlikely to be semen as ejaculation of semen cannot happen in the resting state. Most likely the urethral discharge that you noticed was part of an STD, which is likely to be non-gonococcal urethritis (NGU). NGU is commonly caused by either Chlamydia Or Mycoplasma. The discharge is thick, gluey and transparent in nature unlike in gonorrhea which causes pus discharge per urethrum. If I was the treating doctor I would have taken a urethral swab for chalamydia and treated you empirically for NGU. Regarding testing, your HIV test was too soon after unprotected sex (only 2 weeks later); testing too soon could give a false negative result. Ideally screening for HIV should be done earliest at 1 month after sexual contact. Therefore you should get yourself tested again for HIV at 1 month and then again at 3 months for a conclusive result. Also get tested for other STD s like herpes, syphilis and hepatitis B as well. I suggest you to visit a venereologist for the needful. Moreover, if you notice any ulcer or growth/wart or swelling in the genital area you should get yourself checked with a venereologist. Your symptoms are non-specific and it would be difficult to assign them to NGU. They could be due to an unrelated cause Regards Always practice safe sex with a condom!