First Date DC

“but seriously, when should i call?”



I think he has an STD

Why do STD’s have to always be so awkard? writes,

I’ve hooked up with this guy several times, and by several I mean like 5-6. After the 3rd time or so, I noticed some bumps on the underside of his member. The first time I noticed was by touch and in the dark so I was a little taken aback, but couldn’t really tell what it was. I figured it was my imagination and didn’t think much of it. The next time we hooked up, I noticed it again but with my mouth. Again- it was in the dark so I couldn’t get a clear view. Now, don’t ask me why the hell I continued to hook up with him afterwards when he has questionable bumps on his penis, but I did.

I’ve asked him two or three times when was the last time he got tested. He said last September and I know he hasn’t had that many sex partners since then (although I know it only takes 1 person to spread the disease). And I know his ex is a slut and a half. I would also like to add that he is a medical student, so he takes health very seriously and is fully aware of STD’s. So…my question is this: how the hell do I ask him if he has an STD in the least awkward way possible? Remember: I’ve already asked him when he got tested, and he answered. If I ask again, I want it to be more direct and I want a full YES or NO. Do I ask him while we’re hooking up? (Talk about killing the mood) or when we’re fully clothed? (”hey, pass the salt please. Do you have genital warts?”) Please help. Thank you.

Kathryn says,

I have one question for you. What do you consider to be less appealing: telling him “I think I felt some bumps on you the other day,” or having a wicked awful warts outbreak that requires medication and/or the doctor burning them off, possibly multiple times, and then having to tell every partner you ever have in the future about it because the virus lives in your body forever?

It may be that he just has a couple of ingrown hairs under there or something else really benign and not contagious. But it could be HPV, HSV, molluscum contagiosum, or any other nasty, bumpy, never-gonna-go-away type of disease. And although, as a med student, he should know more about STD symptoms and transmission, medical students often also feel they know everything and rarely actually see doctors themselves. So talk to him about it ANY time - on the phone one day, when you’re about to hook up (but maybe before the clothes come off), over a private dinner at your house… just don’t let this go on any longer without addressing it. You’re putting yourself in an unnecessarily risky position, and you’re making me nervous.

DCB says,

While STD’s are serious business, I wouldn’t go as far as Kathryn’s doomsday outlook. It’s a fact that a risk of having an active sex life is contracting an STD - with something like 1 out of 4 adults infected with herpes and an even higher number for HPV. As adults we must do our absolute best to minimize the risk of contracting an STD by using condoms and being aware of warning signs such as slutty behavior, ignorance about how STD’s are spread, and physical deformities you feel in your mouth when you’re going down on someone.

I have never trusted the “I have been tested” line. Tested for what exactly? When a girl tells me that line, it comes with the assumption that she was tested for everything, but in reality it just applies to HIV. Doctors do not test for things such as herpes or HPV when there are no symptoms present, and since HIV is perhaps the hardest thing for non-IV drug-using heterosexuals to contract, “I have been tested” means absolutely nothing. It is your responsibility to be visually and physically aware of your partner’s genitals.

You continued to hook up with him because talking about STD’s are uncomfortable, and we want to deny that the person we are sleeping with has something. But I think it’s worth some discomfort now to avoid a lot more down the road. You’re an adult so talk to him like one. Tell him you are concerned about his bumps and feel uncomfortable having sex with him while neither of you know what it is. If he cares about your health and his own, he will make an appointment with a doctor immediately. My guess is he’s probably in denial and scared of a bad diagnosis that would give him a negative label. Hopefully it’s nothing and you are in the clear, but I think you need to make the assumption that it is serious enough to stop what you are doing and ask the tough questions.

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21 Comments »

Repeat after me. “Honey? You’re a doctor. What are these little bumps?”

Comment by Ibid on 04/19/06.



Just a little STF Factoid of the Day. Something along the lines of 75% of the sexually active adults in the US have HPV. It’s more common than the common cold.

Comment by Stephen on 04/19/06.



You MUST confront him about this. If he cares, he will take your concern serioulsly. If not, F’em (not literally!) and then go get yourself tested.

Comment by cosmic shambles on 04/19/06.



circumsicion scar?

Comment by fanman on 04/19/06.



I just threw up in my mouth a little.

Comment by rock creek rambler on 04/19/06.



Adding to the factoids:Each year, approximately 12,000 women are diagnosed with cervical cancer in the United States. This cancer is caused by abnormal cell development caused by the human papillomavirus, commonly known as HPV.

Why hasn’t anyone asked if the girl asking the question has been tested? If he’s got something, chances are it’s too late, and she should be the one running to get tested.

Comment by Jen on 04/19/06.



HPV is actually pretty hard to test for- it sometimes shows up on a pap smear, but not always. The best thing you can do is go to have regular pap smears at least once a year. Once you have been diagnosed w/ it, it is advised that you go more frequently.

Comment by me on 04/19/06.



And even better, some STDs, such as HPV and herpes, can be spread even with a condom. I am very honest with my girlfriends. I tell them I have always used a condom except when in an exclusive relationship and I have been tested on several occasions and always been negative for everything that is testable and spreadable without a condom, but I can make no promises about things like HPV that are so common and can be spread even with 100% perfect condom use. You can have it for years and never know it because you got it from that sweet girl who once dated the ex-quaterback who had banged 150 girls while he was in college.

I have made peace with STDs. Not a happy peace maybe, but a peace nonetheless. That is, I accept them as a risk that comes with enjoying sex. Everything thing in life carries some risk. You like to drive? There is a risk of an accident that will leave you in far worse shape than an STD. You want to fly someplace exotic? There is a risk of a plane crash. You like the night life? There is a risk of getting mugged on the walk back to your Dupont condo at 3:00AM. You want to fall in love? There is a risk of a broken heart. Life carries risks and this one of them.

Comment by Chaco on 04/19/06.



STD’s are so old school… STI’s are the new thing… What would you rather have, a disease or just an infection???

sexually transmitted infections forever!!! Don’t get unfairly labeled as disease ridden.

Comment by THRO on 04/19/06.



Fortunately, not all STI’s last forever- ghonnorhea, syphallis, and Clamydia can all be treated effectively with antibiotics. Viral infections- such as herpes, HPV, and HIV will be w/ you for life at this point in time.

Comment by me on 04/19/06.



The more you know ::shooting star::

Comment by rock creek rambler on 04/19/06.



Trust, but verify. She needs to get herself tested.

Comment by jennetic on 04/19/06.



You should definitely get yourself tested for everything and stop hooking up with him in the interim. I guess there are bonuses to monogamy.

Comment by holiday on 04/19/06.



Let’s not forget that scientists have developed a vaccine against HPV that was 100% effective in trials, but religious groups are opposing vaccination because they believe it will lead to a rise in promiscuity.

http://susiebright.blogs.com/susie_brights_journal_/2006/04/im_not_the_only.html

“I never thought that now, in the twenty-first century, we could have a debate about what to do with a vaccine that prevents cancer.”

Comment by notadoc on 04/19/06.



Well from reading the description it unequivocally clear that he has a case of molluscum. It is harmless but highly contaigious. Small red bumps that cluster around the genital area. We are pondering some legislation here in the Senate to outlaw molluscum.

Comment by Bill Frist on 04/20/06.



Gross, gross, yuck. Stay away from this man and go get yourself thoroughly tested. How reckless and irresponsible.

Comment by Jada on 04/20/06.



If you are really dumb enough to keep going after feeling that, you deserve to get an STD.

Comment by Charlotte on 04/20/06.



I was dating a guy for awhile and we broke up, didn’t use a condom once but used them throughout, after we broke up I noticed skin tag like things, just two of them. I went to the dr and sure enough they were tiny warts. I am not promiscuous at all. I researched and if warts(hpv) are going to develop they will within three months of contact. I was tested for all std’s and found that I also had Herpes,but never had an outbreak, so I am asymptomatic. I figure from this guy as well. Come to find out Herpes can look like a yeast infection and a UTI and many women never know they have it. Please Please get yourself tested and stop sleeping with that man!

Comment by Jenn on 04/20/06.



charlotte with the worst comment of the year

Comment by DCB on 04/21/06.



I got little wart like things on my penis what are they? Please let me know

Comment by Andrew on 06/13/06.



How come, in 2006, you didn’t get STD tests BEFORE sleeping with this guy?

I mean, hope you’re OK, but that was really dumb.

Comment by toomuchcoffeelady on 06/27/06.



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