[Question #10848] Analingus & Oral without condom
 |
19 months ago
|
Hi Doctors - Yesterday I visited an Asian Massage Parlor. The masseuse gave me Analingus for about 8-10 minutes, sticking her tongue deep inside and going over the whole rectal/anal area for several minutes. She also rubbed her body against mine and kissed my body in numerous places. It was rather surprising and in the moment I just went with it. She then French kissed me and eventually gave me oral sex without a condom. I ejaculated in her mouth.
Another piece of info to consider is that I've have an Anal Fissure that is in the process of healing, I can go days without any blood in the toilet and then others when it's a few days in a row. So, I have that injury to consider. For the last few days I didn't have any blood in my stool, while this morning there was a small amount.
All of that said, my sense is that you'll advise this was a low risk event. However, I'd like to hear your comments to ensure I'm thinking about this accurately. I am inclined to get tested in the coming weeks just to be on the safe side.
Thanks in advance.
 |
H. Hunter Handsfield, MD
19 months ago
|
Welcome to the forum. Thanks for your confidence in our services.
Your assumption is correct: all things considered, you probably are at little if any risk for any STD from this event. Oral STDs are relatively uncommon -- much less frequent than genital infections -- and when present are infrequently transmitted by saliva. Contact with the back of the throat probably is higher risk than with tongue, lips and saliva. That said, I cannot say there was no risk of gonorrhea, for example; and oral herpes is pretty common. Oral herpes, almost always caused by HSV1, is not considered an STD but it certainly could be transmitted if the oral partner is infected. Syphilis could be a risk as well. I wouldn't worry at all about HIV.
Could your anal fissure have raised the risk? Maybe, but probably not by much since the overall risk is so low to start with.
Unprotected fellatio (oral-penile contact), as implied above, is not completely risk free but STDs are quite uncommon after any single exposure.
All in all, analingus is a significant health risk primarily for the oral partner, on account of various gastrointestinal infections -- diarrheal diseases, sometimes parasitic infections, and so on. But of course these depend on the health of the anal partner.
Assuming no symptoms in the next two weeks after the event -- urethral (penile) or anal discharge, sores, etc, testing is certainly optional. However, if you would like further reassurance, you could consider having urine and anal swab testing for gonorrhea and chlamydia, valid any time 3-4 days or more after exposure; and syphilis and HIV blood tests after 6 weeks.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
--- |
19 months ago
|
Hi Doc - Follow-up questions...
1) For herpes, do sores need to be present for transmission?
2) To your comment.... Assuming no symptoms, testing is certainly optional ....
*How often do people have infections that show no symptoms? Many sources of information make it sound as if "no symptoms" is somewhat common.... Any insight on this?
3) Finally, for further reassurance, you could consider having urine and anal swab testing for gonorrhea and chlamydia, valid any time 3-4 days or more after exposure; and syphilis and HIV blood tests after 6 weeks." ....
*Provided no symptoms, if I wait six weeks to get blood tests to check for everything, rather than swab testing .... Will blood tests be accurate or is swab testing the only way to check an anal infection?
|
H. Hunter Handsfield, MD
19 months ago
|
1) No, there need be no outbreak. The virus often is present at infected sites without symptoms (referred to as asymptomatic viral shedding). However, this is uncommon for oral herpes; it's an issue primarily for genital infection with the type 2 virus (HSV2).
---
2) Asymptomatic STDs are common. Most but not all new infections cause symptoms. The exposure you describe probably has well under a 1% chance of any infection at all, but nobody can guarantee it and absence of symptoms is helpful but not conclusive.
3) Yes, it would be safe to wait and have all tests at 6 weeks. However, rectal swabs are the only way to test for rectal gonorrhea and chlamydia. Urethral infection testing requires either urine or urethral swab.
|
19 months ago
|
Hi Doc - A final question for you...
Most of the postings I've read here to seem to be highly anxiety driven... There's even a term for this called Venereophobia.
I feel like I'm definitely in this camp, even though you've made it clear that I'm "at little if any risk for any STD from this event". I'm sitting here thinking I'm itchy, tingly, examining myself, wondering "do I need to pee" ....
My sense is that this all must be in my head as from what I know, symptoms often don't present very quickly or sometimes not at all. Any final words of wisdom to help gain a better perspective?
Thanks again for your attention to my questions. All the best!
|
H. Hunter Handsfield, MD
19 months ago
|
Although we haven't much used the term on this forum, "venereophobia" certainly is a feature of many questions. Your symptoms are typical, and our collective years as hands-on physicians -- for numerous medical issues other than STDs -- is that whenever a patient suspects his or her own symptoms have a psychological or emotional origin, usually they are right. The good news is that with time and reflection, and with increasing understanding (emotionally as well as intellectually) that nothing serious is going on, the symptoms usually fade. Beyond that, all I can do is suggest seeing a caring, sensitive physician if you continue to have symptoms of concern for what likely would be a reassuring comprehensive medical evaluation.
Thanks for the thanks. I do hope the discussion has been helpful. Best wishes and stay safe.
---