We talked about health and safety ahead of the meetup, and again today to put me at ease. She told me that she is healthy and takes safety very seriously. She doesn’t do anything bare, ever, and with only one partner at a time to additionally mitigate risks or accidents. 

There was vaginal sex and oral performed on me only (all covered with a condom). The condom did not break, but it did ride up about halfway during intercourse, and the  exposed part of my shaft did have vaginal fluid on it when I pulled out, still fully erect as I did not finish that way. It ended with a handjob, also covered but mostly out of convenience. I know a handjob is safe. 

Based on what I’ve read here and the questions you’ve answered, I think this would be considered an extremely low risk encounter, but I would appreciate some reassurance. As you know from my previous questions I do have a long-time partner with whom I have been monogamous for most of our time together. We use condoms in all of our regular sexual activity as well.

Mostly, I just want to protect my partner. Am I good to go? Anything I should be concerned about or take action on? Thanks. 

It is common for condoms to slip part way down the penile shaft, as well as for the penis to slide inside a condom during sex. As long as the head of the penis and meatus (uretrhal opening) are covered, protection is considered complete. And you correctly understand that hand-genital contact is entirely free of STD risk, even without a condom.

I see no need for testing for any STD on account of this event. However, as we discussed previously, there is no such thing as 100% safe sex as long as vaginal or anal penetration occurs; unexplained condom failures are not unknown. We always advise people in your situation to be tested from time to time for common STDs, i.e urine testing for gonorrhea and chlamydia, and a blood test for HIV and syphilis. There is no rigid definition on frequency, but you might consider such testing after maybe every several exposures. But not necessarily at this time.

Interesting that you routinely use condoms for sex with your lifelong partner. Assuming that continues, it provides an additional measure of safety for her, further reducing the need for periodic STD testing.

I hope these comments are helpful. Best wishes and stay safe.

HHH, MD

I believe that when we last had a discussion here, you had said get checked maybe after every 5 to 10 times - and the only reason I haven’t tested is because this is quite literally the second time - with  the last time being 14 months ago.  If you feel that it makes sense to be tested at this time, let me know. 

Also, how long would I need to wait before testing?

Thx! 

And if I continue at my current pace of one exposure every year or so, I’ll need to test in the next 3 to 7 years :-)

But in all seriousness, if this is something I do very infrequently (which it is) is there a time range I should be tested?

Thx. 

That concludes this thread. This being your second with essentially the same questions, let's make it the last unless and until you move into higher risk situations.