Sexually Transmitted Diseases/stomach pain, STD?



My name is Nick, I am a 22 year old male from NJ, USA. About 3 weeks ago I was with a provider off of crigslist. During the session the condom slipped off without me knowing for 5 or so minutes. Ever sine then i have been freaking out that i have caught some sort of STD.

I have not been having any sort of signs of common STD's that i look out. Such as headaches, fever, rashes and burning when peeing.

I have been having stomach pain and been ver worried thinking i might have caught a STD that i will forever regret in my life!

It feels like i need to pass gas or use the toilet but i cant/dont. I went for a blood test to get checked out for many STD including HIV but the results have not come back yet and its getting me a bit worried.

Maybe i am just stressing over this issue so much that is causing my to have stomach pain?!

Is it common for stomach pain to happen when you have a STD?

Hello Nick,
Your abdominal pain sounds very much like constipation, probably triggered by the stress that you have regarding your recent sexual encounter. That also accounts for the gas you have.

STDs include many different bacteria, viruses, fungi, protozoa, and skin parasites. Depending on the type of infectious agent, and what type of sex you may have had (oral, anal, vaginal, etc.), that will determine what type of symptoms you may experience. Some bacterial or viral infections of the lower abdominal tract (intestines) may cause terrible cramping. But, more likely, is constipation.

My guess, is that if you relieve the constipation, you'll stop your symptoms.

Good luck!

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Mark P. Behar


Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!


Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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