[Question #10167] Protected sex and protected oral
25 months ago
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Hi dr hhh dr hook
I stepped out my marriage again i received protected oral and protected sex with an escort. I stuck it in 3 times and couldnt do it anymore! Took off the condom and let her finish me. Check the condom and had some pre cum so im praying it didnt rip in any way.
What are my risks For hiv trick gc syphillis hsv and hepatitis?
Should i get tested for everything at the 10th day mark on monday? Including hiv rna
I havent had sex with my wife yet and its going to be a week tomorrow. Im fighting with her on purpose so we dont do it.
Plz help
25 months ago
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I also asked her if shes clean and she said yea look at my teeth. Only people with bad teeth have hiv.
She also mentioned that she uses organic condoms idk what that means but is that still ok? She said she gets it from her doctor
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H. Hunter Handsfield, MD
25 months ago
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Welcome back to the forum. Thank you for your continued confidence in our services.
Having made the decision to have extramarital sex, you did it very safely: congratulations! "Escort" usually means a female sex worker by appointment and at high cost. If that describes your partner, there is little chance she had a transmissible STD. Most such women are health-aware, care about their health, use condoms consistently, get tested frequently, and generally have low risk partners (men like you). In addition, you used condoms, even for oral sex. All in all, there is very little chance you acquired any STD, specifically near zero risk for all the infections you mention.
Therefore, from a medical/risk standpoint you don't need testing for anything and can safely continue unprotected sex with your wife. If you feel you must be tested despite absence of risk, you could have a valid urine test for gonorrhea and chlamydia at any time, no need to wait. You would need to wait 6 weeks after the exposure to have valid blood tests for HIV and syphilis; testing at 10 days would be meaningless. For sure do not test for anything else: everything else is truly zero risk and/or the tests are not sufficiently accurate to be helpful.
I'm saddened to hear you are picking fights with your wife to avoid sex: please stop! You're overreacting to a zero risk situation.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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25 months ago
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I understand. Im doing over kill.
I shouldnt do a hiv rna test on the 10 or 11th day. Just to calm my self?
Can u give me any advice on the organic condom situation?
Also can u tell me anything about trichmonisis?
Thank you for the quick response
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H. Hunter Handsfield, MD
25 months ago
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Yes, definitely overkill. If somehow I were your situation, I definitely would not spend the money (or emotional energy) on an HIV RNA test. If you do it, wait until day 14 or so. By emphasizing HIV, you're focused on the rarest of all possibilities; it was little or no risk even had you not used a condom. Gonorrhea and chlamydia probably are 100 to a thousand times more likely (although still near zero risk themselves).
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I've never heard the term "organic" condom, but a quick google search has filled me in. Any barrier is basically 100% protective. It's an urban myth that some condoms, such as those made from animal membranes, have pores of sufficient size to permit infection. They are just as effective as latex condoms and I would assume organic one are as well.
Trichomonas is exceedingly unlikely even unprotected and certainly not possible with an intact condom.
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25 months ago
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Good day i couldnt resist so i went nd did a rna and duo and both came negative 11 days after what happened.
I did resume sex with my wife
Can i confirm with the small risk i had and the rna and duo negative at 11 day that i dont have hiv?
And do i need to test again at 4 weeks?
Sorry again thanks
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H. Hunter Handsfield, MD
25 months ago
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I'm glad to hear you have resumed sex with your wife!
HIV RNA detects around 90% of infections at day 11. That doesn't mean a 10% chance you have HIV. If your risk of infection was one in a million (which probably is too high!), it's now one chance in 10 million. In other words, zero.
Whether you "need" test again at 4 weeks is entirely up to you. From a medical/risk standpoint, no. Only you can decide if you need still more reassurance than you already have. If you get tested, you can be sure the result will again be negative. There is no chance you have HIV unless you have had another exposure not yet mentioned!
That completes the two follow-up exchanges included with each question and so ends this thread. I hope the discussion has been helpful. Best wishes and stay safe.
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