[Question #10333] Worried - Oral and past protected anal

Avatar photo
23 months ago
Hi, trying to calm down my anxiety while waiting out time.  I've read a lot of your forum recently and it has helped. I am male. 3 days ago I gave unprotected oral to a male with no ejaculation for maybe 10 minutes, no obvious sti.  He gave me oral for about 30 seconds also no ejaculation. Within an hour I had washed myself and rinsed with Listerine. How much risk for STI, especially HSV1 and Gonorrhea from this? Also in the past, 10 years ago I had protected receptive anal 2 times, no condom breakage, 1 with no ejaculation. Then 3 years ago I had protected receptive anal also with no condom breakage. I know its really low and that I should get tested but been so afraid of a positive. I know its all very low risk but anxiety is what it is.  How bad are my risks, like 1 in 100, 1 in 1000? 
Avatar photo
Edward W. Hook M.D.
23 months ago
Welcome to our forum. Thanks for your confidence in our service. I’ll do my best to provide information which I hope will help be helpful. Your questions addressed several different topics. I will try to address them each.
:
Oral sex. Most forms of unprotected penetrative sex giving and receiving oral sex is almost the lowest risk. With regard to HIV the estimated risk for acquiring HIV from performing oral sex on an untreated, HIV infected person is less than one infection per 10,00o sex acts. The risk for acquisition of HIV from receipt of oral sex is even lower. There’s never been a case of HIV proven to have been acquired from receiving oral sex from an infected partner.  With respect to other STI’s, the risk of acquiring and STI for giving or receiving STI is relatively low.  There is close to no risk of acquiring HSV-1 from performing oral sex on a partner, even if that person does have genital herpes. Similarly, the risk of acquiring gonorrhea is quite low.

Condoms. Condoms are highly effective for reducing risk of acquisition of HIV, and for other STI‘s. When used throughout a sexual encounter, a Condom, virtually eliminates the risk of HIV as long as the condom does not break. FYI, when condoms break, they break wide open leaving no doubt that it has failed and there is no reason for concern that a condom may have failed if it appears intact at the end of a sex act. 

Finally, let me urge you to test. It is important for me to point out to you the testing will not change whether or not you are infected, and it is unlikely that you are. On the other hand, when persons are at risk, test, and discover that they have been infected, that knowledge gives them the opportunity to take steps to address the problem. There are no STI‘s, including HIV, which cannot be treated.  Worrying about a possible positive test, particularly for someone who is at close to no risk for having an STI such as yourself is nonsensical. I urge you to go and get tested. I am confident the results will be negative and will help to address your anxiety. EWH.
---
Avatar photo
23 months ago
Sorry for the long delay, but for some reason it had me locked out to reply.

I just wanted to follow up.  8 days after receiving the very short unprotected oral sex, I was urine tested for gonorrhea, trich, and chlamydia all negative, gram-negative urine negative and dipstick test all negative no wbc.

Are these tests quite reliable at only 8 days post exposure?

Should I worry about NGU? At about 3 weeks after encounter, I've felt a kind of wetness at penis tip but only seen clear discharge once or twice. No real pain on urination, minor irritation maybe?

After more reading here, I imagine it's probably just anxiety and I am hyperfocused on my genitals? Chances good that I can return to having sex?
Avatar photo
Edward W. Hook M.D.
23 months ago
Your urine tests rule out any possibility that you were infected by receipt of oral sex. Your tests are reliable and should be believed.   On the other hand, testing your urine does not rule out the very small possibility that you acquired a throat infection with gonorrhea. The only way to do that would be to have a throat swab.  

Your tests prove that you do not have a transmissible form of NGU- I would not worry further.  A small amount of detectable urethral discharge is normal if you look hard enough.  

You are in the clear.  I would not worry about resuming unprotected sex with your regular partner.  EWH
---