[Question #12237] Oral Exposure
9 months ago
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Had an exposure 1 week ago where reciprocal oral was done between me (M) and another male. Neither of us finished in the others, and he didn’t finish at all. The whole encounter was less than 15 minutes. I don’t have any of the systems of chlamydia or Gonor, but noticed a small bump on the side of penis. It doesn’t look like other google images of STDs (syphilis or HSV), but I don’t know. Based on the encounter
1. Does this seem like a risk worth testing ? Does that fact that neither of us finished in any cavity matter?
2. When should I test to rule out Syphylis or hsv? I have hsv1 antibodies
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Edward W. Hook M.D.
9 months ago
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Welcome to the Forum. Thanks for your questions and your implied confidence in our service. I'll be glad to comment. The exposures you describe was virtually no risk. To expand on that, regarding HIV, the estimated risk of performing unprotected oral sex on an HIV infected, untreated man is less than, on average, 1 infection in 10,000 exposures (i.e. it would take over 27 years to be exposed 10,000 times if you performed oral sex on a person daily. Further, there are no known cases of HIV which have been acquired from receiving oral sex from an infected person. With You are not susceptible to HSV-1 because you have antibodies and HSV-2 is almost never transmitted from giving or receiving oral sex.
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The lesion you describe does not sound like an STI.
Thus, regarding your specific questions:
1. Does this seem like a risk worth testing ? Does that fact that neither of us finished in any cavity matter?
I see nothing to test for here based on the facts I have provided above.
2. When should I test to rule out Syphylis or hsv? I have hsv1 antibodies
The lesion you describe sounds nothing like syphilis or HSV. I would not test for either of these infections unless a new sign of infection develops
I hope this information is helpful, Please don't worry. EWH
9 months ago
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Can you please clarify why virtually “no risk”? Do you not recommend testing after an oral encounter where no condom was used? I don’t have any burning sensation but feel some itchiness around pee hole. I can’t tell if it’s just in my head, but it doesn’t feel itchy and present. There is no burning sensation when peeing or any discharge.
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Edward W. Hook M.D.
9 months ago
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On the Forum we use "virtually no risk" rather than no risk because in science and medicine you can never say never. As I already said, "To expand on that, regarding HIV, the estimated risk of performing unprotected oral sex on an HIV infected, untreated man is less than, on average, 1 infection in 10,000 exposures (i.e. it would take over 27 years to be exposed 10,000 times if you performed oral sex on a person daily. Further, there are no known cases of HIV which have been acquired from receiving oral sex from an infected person." Those are the scientific data that are available. Perhaps somewhere somebody got HIV from receipt of oral sex but that remains unproven. The risk is far far lower than your risk of getting stuck by lightening. If that's not low enough for you, then you should test as I said. Personally, I would not be worried. EWH ---
9 months ago
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Hi
Thanks for your responses. I just want to use my final reply to clarify a few things.
1. To clarify- I am not concerned with HIV at all, I understand the data and that probability of HIV from oral sex is extremely minuscule. I am more concerned with other STDs from oral. It seems that you and Dr HHH (from reading other Qs) believe that absent if pus dripping from penis or painful urination, one can rule out gonorrhea/chlymedia. Does that mean that other symptoms listed on CDC website are in addition to those, and would not cause worry for an std if experiencing those alone?
2. Can you please explain why the risk of mutual oral is considered low even if unprotected?
3. On day 10 after the encounter - I received an oral swab and urine culture for stds that can be tested that way. All came back negative. Can you confirm if the timeline means that those tests are accurate and I can move on?
Thank you for your time and you can close the thread.
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Edward W. Hook M.D.
9 months ago
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1. The CDC tends to be conservatives and lists possible symptoms without regard to their likelihood. By far, the most common STI acquired through giving or receiving oral sex with a male partner is gonorrhea but these infections are uncommon both because oral infections are uncommon and poorly transmitted. Both the biological efficiency of transmission and acquistion of all STIs, including gonorrhea are lower for oral sex than other types of penetrative sexual encounters (i.e. oral - genital or ano-genital). Further, most people do not have STIs and when they do, most infections are genital, not oral.
2. See above
3. Yes
As you suggest, this completes this thread which will be closed shortly. EWH
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