[Question #11413] Unprotected Oral and Protected Vaginal Sex

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14 months ago
I received unprotected oral on my penis(fellatio) from a asian massage spa couple of weeks ago. It lasted about 15-20 seconds. Further had a protected vaginal sex. When done the condom was still on.

Came home and ejaculated and urinated to clear the pipes within 30mins.

Till now did not have any foul smell, discharge or burning while peeing. No visible infections on penis. Had minor scratchy throat the next day that lasted a day.

1. How soon can I get a comprehensive STI test?

2. How likely I may have contracted anything? Should I stop worrying and put this to bed?

I don’t want to commit this mistake again.
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Edward W. Hook M.D.
14 months ago
Welcome to our Forum. Thanks for your questions and your implied confidence in our service.  The encounter you describe was low risk for STIs.  Most people do not have STIs and most single exposures do not lead to infection. Condom protected sex is safe sex as long as the condom remained in place throughout the encounter and receipt of oral sex is relatively low risk for STIs.  Oral STIs are relatively uncommon, not efficiently transmitted through fellatio, and the brief duration of your exposure likely reduces risk as well.  Most STIs acquired from oral sex are also symptomatic.  All of this suggests that you were not infected.  In response to your specific questions:

1. How soon can I get a comprehensive STI test?
You indicate that the exposure took place several weeks ago.  Testing for the most common STIs, gonorrhea and chlamydia can be performed with conclusive results any time more than a few days after exposure. You can test now.  Testing for syphilis and HIV requires blood tests which are conclusive when taken more than 6 weeks after an exposure.  I should mention that there has never been a case of HIV proven to have been acquired from receipt of oral sex and virtually all syphilis is detectable within 4 weeks of exposure although recommendations for conclusive testing vary and, in some situations, conservatively go as long as 3 months although in our opinion, this prolonged duration is unnecessary, particularly following the very low risk encounter you describe.

2. How likely I may have contracted anything? Should I stop worrying and put this to bed?
Your risk is very, very low.  Testing is a personal decision and should you choose to test, I am confident that the results will show that you were not infected.  If you test now, I see no reason for further testing.  EWH
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