[Question #10864] STD risk from multiple protected encounters
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19 months ago
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Dear Doctors,
First of all I would like to thank you for all your contributions and help towards creating awareness.
I am a 40 year old male from France, married and was very very stupid to have sex with 5 different female CSW's in the last 2 weeks, after a fight with my partner. Protected oral and vaginal sex on all ocassions, with french kissing. No visible sores seen.
1. What are my risks of all STD's ?
2. I am particularly worried about the skin to skin STD's(Herpes, Syphillis and HPV) which are maybe even possible in protected sex?
3. Should I get tested ? If so when ? I am planning to get a HIV PCR test at 2 weeks from the last encounter along with all STDs. Do I need to repeat for Syphillis and Herpes?
4. I am not going to repeat this kind of thing ever again, and want to be sure to not pass on anything to my partner. can i continue to have unprotected sex ?
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Edward W. Hook M.D.
19 months ago
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Thank you for your thanks, as well as your questions and implied confidence in our service. I'll be glad to comment. The multiple exposures you describe were virtually no risk. Most CSWs do not have STIs, most single encounters do not result in transmission of infection, and most importantly, your exposures were condom protected and as long as condoms are worn throughout an exposure they provide excellent infection from nearly all STIs. There is no appreciable risk for STI from French kissing. In response to your specific questions:
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1. What are my risks of all STD's ?
See above, virtually zero. Condoms are not quite perfect protection from lesion STIs such as syphilis or genital herpes because lesion contact may occur with a part of the penis not covered by the condom. This however is quite rare.
2. I am particularly worried about the skin to skin STD's(Herpes, Syphillis and HPV) which are maybe even possible in protected sex?
See my comment above. As a 40 YO male who is probably not vaccinated, your risk for HPV is close to zero because you (and your regular partner) both were probably infected in the past.
3. Should I get tested ? If so when ? I am planning to get a HIV PCR test at 2 weeks from the last encounter along with all STDs. Do I need to repeat for Syphillis and Herpes?
Personally, I would not bother with testing however, if you wish to test, testing for gonorrhea and chlamydia at potentially exposed sites (penis, throat) can be done any time more than 3 days after your last encounter. HIV testing (also not needed) via PCR will be conclusive at 2 weeks, Testing for syphilis will also be highly reliable at 30 days and conclusive at 6 weeks. We strongly recommend against testing for HSV unless lesions occur.
4. I am not going to repeat this kind of thing ever again, and want to be sure to not pass on anything to my partner. can i continue to have unprotected sex ?
I would not be worried about STIs and would feel comfortable having unprotected sex.
I hope this information and perspective is helpful. EWH
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19 months ago
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At 2 weeks from last exposure I got a HIV PCR, Gonnorhea and Chlamydia tests done.Awaiting results.
I plan to get Syphillis at 6 weeks and Herpes at 3 months, because I would like to know what I can pass to my wife before doing so. We plan to have kid and it seems Herpes can be transmitted to child during birth. The doctor(an 15 experienced Infectiologist) said that the chances of Herpes from protected exposures is quite high. He was almost certain I would have Herpes and/or HPV by now. The more I read about Herpes, HPV risks from protected exposures it is very mixed opinion.
My question to you is : Are there any chances I would still NOT have contracted Herpes ? What are the chances of having contacted Herpes - 1 in 10, 100 or 10000 ? What are the chances of a mother transmitting it to a newborn ? How accurate is a Herpes test at 3 months ?
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18 months ago
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Dr HHH or DR Hook can one of you please reply ?
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Edward W. Hook M.D.
18 months ago
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I anticipate that your tests will be negative. Your plan for testing for syphilis and HIV is quite conservative and when you test, I anticipate the results will be negative. Testing for syphilis, and HIV at 30 days will be a very strong indicator that you are not infected as I anticipate is the case.
I think you may be misinterpreting what your doctor said. Herpes can certainly be transmitted at the time of childbirth but this is quite uncommon even among persons with the infection. Most adults have HSV-1 ( about 70-80%), the virus that causes cold sores whether they know it or not, and about 15% have HSV-2. Your risk of acquiring a new herpes infection from the encounters you describe is less than 1 in 1000 and probably far less.
In the absence of symptoms suggesting herpes, we recommend against testing- the results are often misleading and unreliable. If you have specific questions about herpes, you should take them to Terri Warren, the expert who answers herpes questions on the Forum.
You have one follow up remaining. EWH
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18 months ago
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I did not have any symptoms or herpes sores in 2 weeks. Does that many any lesser chances of having acquired Herpes ?
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Edward W. Hook M.D.
18 months ago
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As you know, this will be the final reply to your questions. There should be no need to return to the forum regarding the very low risk encounters that you described.
If you were going to develop herpes lesions, they would’ve occurred within 10 days of your last exposure. The fact that they have not makes it unlikely that you acquired herpes. This is one less thing for you to worry about.
I encourage you to put your concerns aside and move forward without continuing concern. This now completes this threat, which will be closed shortly. EWH
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18 months ago
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In protected encounters like mine where the condom is used correctly is the chance of high risk HPV(which as i understand is usually in the cervix or vulva, where the chances of the skin to skin contact with the condom protected penis is fairly low) much lower or any lower than low-risk genital warts( which could be in the labia or pubic region and hence a greater chance or skin to skin contact) ? I am just trying to understand the chances or HPV and odds of passing HR HPV to my wife(who has been monogamous forever).
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Edward W. Hook M.D.
18 months ago
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This thread was completed and should have been closed. I’ll provide a brief additional reply
Condoms provide imperfect protection against HPV as portions of the genitals not covered by the condom can be infected with HPV, and therefore be a source of HPV acquisition or transmission.
This thread is now closed. EWH.
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