[Question #11237] STD risk query
16 months ago
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Hello and thank you for your helpful answers in this forum. I am writing due to anxiety and out an abundance of caution regarding a recent event.
I (33 male) had a hookup with a 33yo female, 48 hours ago. We had protected penetrative sex twice (condom), and we both gave and received unprotected oral sex once. I did not ejaculate during oral.
Please reiterate whether I have cause to worry about STD transmission from unprotected fellatio and unprotected cunnilingus.
Furthermore, I do not know her STD status. Considering she brought her own condoms due to her latex allergy, and her prompt urination following intercourse—as well as her general sensitivity towards others and broad intelligence—I hope I am correct in assuming she is careful about her health. But that remains an assumption.
I am most concerned about not wanting to infect my longterm female partner. I want to understand when I should test so that I can be sure nothing will affect her during future unprotected intercourse (oral and penetrative).
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Edward W. Hook M.D.
16 months ago
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Welcome to our Forum and thanks for your questions, as well as your implied confidence in our service. I'll be glad to comment.
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As your question suggests, having used a condom for vaginal intercourse makes that portion of your encounter virtually no risk. I also agree with you that she sounds to be at low risk for having any STI, even without knowing her STI status.
Among penetrative sexual encounters oral sex (both fellatio and cunnilingus) are those with the lowest risk for STI transmission/acquistion. Among the STIs to be concerned about, gonorrhea is the chief concern. Chlamydial throat infections are very uncommon and poorly transmitted. If you had acquired penile gonorrhea from receipt of fellatio, there is about a 90% chance that you would be symptomatic with an obvious penile discharge and/or burning on urination. On the other hand, oral gonorrhea is often asymptomatic. To reassure yourself that you were not infected, you can test with a urine test and a throat swab (the tests typically test for both gonorrhea and chlamydia) any time more than 3-4 days following your encounter and anticipate conclusive results. I anticipate that when you test, your tests will show that you were not infected.
I hope that this information is helpful. EWH