[Question #12236] STD / HSV2 exposure
9 months ago
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Greetings to all respectful doctors in this community.
Due to combined question regarding STD and Herpes 2, I would appreciate Dr H to respond.
I had a recent exposure with a lady and would like advice.
a) my exposure probability both std and hsv2?
b) what are probability of HSV2.?
Met a young female that is sexually active with different partners.
She is not aware of any sti but also has not tested. I am naturally concerned.
I was not able to fully perform the deed, however this is what happened.
1. Shower together she gave me unprotected oral 3min.
2. After shower I rubbed my penis head fast on her clit 3 to 4min, unprotected.
3. I did try to penertrate a few times, the head was inserted a few times 5 or 6 in total, with 2 or 3 thrust each time, I am not circumcised.
I was trying to get erect in order to wear a condom.
4. I used my penis to slap her pussy.
5. She gave me oral a few times unprotected.
Dr H
1. What test should I do for std? What should I test for?
2. HSV 2 what is the risk of exposure? How long do I have to wait to do test?
3. Based on all above what are you thoughts on this type of exposure in terms of risk respct to hsv.
Thank you
9 months ago
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Forgot go mention.
I also gave her oral for 10min.
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H. Hunter Handsfield, MD
9 months ago
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Welcome back; thank you for your continued confidence in our services, several years since your previous questions. Users do not have the option of selecting the moderator who responds, but I happened to be in line for this question.
Looking back, there's a major similarity of this question with your two previous ones. You tend be concerned about STDs, especially herpes, quite out of proportion to actual risk. The main thing to know is that without traditional unprotected intercourse -- vaginal, anal or oral penetration -- the risk of any and all STDs is generally very low, usually too low to warrant testing. And here you describe a very low risk exposure.
The only aspect that carries measurable risk was the unprotected fellatio (oral sex), but the chance of anything from any single exposure is very low, even with apparently high risk partners. Even among the most sexually active women, the large majority have no transmissible STDs in their oral cavity; and even when present, most infections are not transmitted. To the extent there is any risk at all, the main concerns are gonorrhea, nongonococcal urethritis (NGU), herpes due to HSV1, and syphilis. As for cunnilingus (your oral-vaginal contact), that's exceedingly low risk for any and all infections, with no cases of HIV transmission ever known.
1. All things considered, I would not advise testing for anything unless you develop typical symptoms -- discharge from your penis, penile blisters or sores, etc. If nothing within 4-5 days, gonorrhea will not be a concern; after 7-10 days you can dismiss worries about the others.
2. HSV2 is not transmitted by oral sex, only HSV1; and no significant risk from the other events described.
3. Over half of all adults have positive blood tests for HSV1, usually acquired in childhood. Those persons are immune to new infection. Even for those susceptible, and even if the partner has oral HSV1 but no obvious outbreak, the risk of infection probably is under one chance in thousands.
I hope these comments are helpful. Let me know if anything isn't clear.
HHH, MD
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9 months ago
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Thank your for your thorough response, patience and professionalism.
I understand your response.
I would just like to clarify.
1. There was penetrative sex not much due to the reasons above, but there was. Would this not have chances for HSV2?
2. For HSV 2 should I still test at 6 weeks? I know you mention no major risk, but I think penertrate a few times but want not intense or repetitive.
Thank you
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H. Hunter Handsfield, MD
9 months ago
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1. I understood and it doesn't change anything. Under one chance in thousands you were infected with HSV2.
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2. You should not test for HSV2 at all. The tests are imperfect and often misleading, and they mean nothing in the absence of symptoms.
Why is herpes in particular so on your mind? It's a trivial problem for most infected persons.
That concludes this thread. Let's make the last about your inflated fears of STI risks in general and herpes in particular.
Thanks and best wishes. I hope the discussion has been helpful.
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