[Question #10035] STDs / STIs Transmission Chance from this Encounter
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26 months ago
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So last weekend I did the following acts with a sex worker from a bar pickup.
- Kissing, Deep and French kissing, exchange of tongues and saliva
- Hand job
Questions I have:
1. Does the kissing and exchanging of tongue and saliva pose any sort of risk for any STD or STI?
If yes, which ones and how much of a risk?
2. I realize hand to genital poses no risk, but what if her hand had her vaginal fluid on it, and thereafter she touched my penis, would that pose any sort of risk? If yes, which ones and how much of a risk?
3. What if my hand had her vaginal fluid on it? Would be touching my penis or any other part of myself initiate a risk for any STI or STD? If If yes, which ones and how much of a risk?
Thank you in advance for your expertise!
- Kissing, Deep and French kissing, exchange of tongues and saliva
- Hand job
Questions I have:
1. Does the kissing and exchanging of tongue and saliva pose any sort of risk for any STD or STI?
If yes, which ones and how much of a risk?
2. I realize hand to genital poses no risk, but what if her hand had her vaginal fluid on it, and thereafter she touched my penis, would that pose any sort of risk? If yes, which ones and how much of a risk?
3. What if my hand had her vaginal fluid on it? Would be touching my penis or any other part of myself initiate a risk for any STI or STD? If If yes, which ones and how much of a risk?
Thank you in advance for your expertise!
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H. Hunter Handsfield, MD
26 months ago
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Welcome. Thanks for your confidence in our services.
There is a hierarchy of STD risks from various sexual behaviors. The bacteria and viruses that cause them evolved to require genital contact (generally with penetration) for efficient transmission. In general, the risks are lower for other kinds of sexual contact, and kissing and hand-genital contact are risk free for all practical purposes. Even among those at highest risk for STDs, at any point in time most are not infected. To your specific questions:
1. These events were free of any significant risk of transmission of any STI...
2. ...even if genital fluids are used for lubrication. Still no risk.
3. Same question in different words. Same answer.
Don't worry about these events. You do not need testing for anything, and if you have a regular partner, you can safely continue unprotected sex without risk of transmitting anything.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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26 months ago
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Thank you for your response Doctor. My initial worry stemmed from her being a sex worker and from a bar pickup.
For my future encounters I have the following questions:
1. What if I performed cunilingus on the woman, does that pose any risk for me for any STDs/STIs?
2. And also the opposite, what if she performed oral sex on my penis, what kind of risks would that pose for me?
My main worry is of Syphilis, HIV, Genital Hepatitis, and HPV. DO any of these encounters warent a risk for said infections?
Thank you again in advance!
For my future encounters I have the following questions:
1. What if I performed cunilingus on the woman, does that pose any risk for me for any STDs/STIs?
2. And also the opposite, what if she performed oral sex on my penis, what kind of risks would that pose for me?
My main worry is of Syphilis, HIV, Genital Hepatitis, and HPV. DO any of these encounters warent a risk for said infections?
Thank you again in advance!
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H. Hunter Handsfield, MD
25 months ago
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Greetings again. I have to apologize for the extreme delay in responding to your follow-up comments and questions, I don't know how I missed them. Not our usual standard! I hope you see this reply.
However, my initial reply remains valid. Even with a very high risk partner (bar pick-up), the events described carried no risk for any STD. As for these additional kinds of exposure, oral sex can be viewed as safe sex. It's not entirely free of risk, but all STDs are transmitted much less frequently than by vaginal or anal sex. Performing cunnilingus is especially low risk: there would be low risks for gonorrhea, oral herpes due HSV2, syphilis, and oral HPV. Receiving oral sex is somewhat higher risk mainly for gonorrhea, genital herpes due to HSV1, syphilis, and nongonococcal urethritis (NGU). The last doesn't matter much: NGU from oral sex probably is often caused by normal oral bacteria and generally harmless. Viral hepatitis is not transmitted by either form of oral sex.
I do hope you see this after the long delay. If so, let me know if anything isn't clear or if you have other concerns.
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