Hello and I'm glad I found you!!!

- June 2 protected oral sex -csw -no more than 7 minutes.

- June 4, oral and vaginal sex both with a condom - csw

-June 7, oral and normal sex exposure, both protected - 15 min - csw different from the first two

-June 8 oral and vaginal sex both protected with a condom - 20 min - csw - different from the first three csw

Question: Risks/ Tests to be done... No symptoms so far.

Thanks docs !!!

You describe very safe sexual exposures with no realistic risk of any STD. We rarely advise STI testing at all after single exposures, especially when such low risk. Rather than getting tested after individual events, most sexually active persons -- with new partners etc -- are wiser to plan on regular testing, maybe every few months depending on numbers of exposures. So if you've had other exposures the last few months, testing now might be a good idea -- but not because of the events the past two weeks.

That said, of course you're free to be tested anyway if you would find the negative results helpful:  many people are more reassured by negative test results than by professional opinion, no matter how expert. (We don't take it personally!) If so, feel free to have urine and throat swab testing for gonorrhea/chlamydia (valid any time more than 4-5 days after exposure) and blood tests for syphilis and HIV in a few weeks. But I really don't think it's necessary. (And for sure don't test for anything else!)

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

I had another exposure 3, 4 years ago and I did all the tests. all negative.

Since then, the exposures presented in this post are the only ones I've had and I don't intend to do it regularly.

There was no kissing during these exposures. Is the throat test necessary?

I will do the urine test just to be sure!

You mentioned that if these were the only exposures, you do not recommend the test for HIV and syphilis. Do you think I can go ahead without testing? I also have a phobia of needles... I read about you and I know that you have a huge experience of over 40 years and I saw that your opinion is the right one regardless of the problem.

So no HBV, no HSV, no HPV...

Thanks and I look forward to your reply.. to move on!!!

I did raise the possibility of HIV and syphilis testing, if you would like the reassurance -- despite probably zero risk.

And for sure no need to test for HBV or HSV. And there are no approved or recommended tests for HPV in males.

To clarify, I am a 45-year-old heterosexual man and I had protected vaginal sex and received protected fellatio 

1. Although he was totally protected, what are the chances of getting infected with syphilis because I know that condoms do not protect 100%

2.Although I know that HIV is relatively difficult to transmit even in the case of protected sexual contact, what are the chances of being infected in my case (protected)

Thank you very much for your time and expertise

Looked at another way, if you were to continue your sex life the next 20 years as it has been the past several years, I would except you would never acquire any STD.

That concludes this thread. I hope the discussion has been helpful.